Applicability of Outpatient Quality Indicators for Appropriate Antibiotic Use in a Primary Health Care Area: a Point Prevalence Survey

Author:

March-López Pablo123ORCID,Madridejos Rosa2,Tomas Rosa2,Boix-Palop Lucía34,Arcenillas Paula1,Gómez Lucía4,Padilla Emma5ORCID,Xercavins Mariona5,Martinez Laura1,Massats Úrsula6,Badia Cristina6,Lledó Joan Manuel Sánchez7,Casino Alberto Domingo7,Nicolás Jordi18,Calbo Esther34ORCID

Affiliation:

1. Hospital Pharmacy, Pharmacy Department, Hospital Universitari Mútua Terrassa, Barcelona, Spain

2. Primary Care Pharmacy, Pharmacy Department, Mútua Terrassa, Barcelona, Spain

3. School of Medicine, Universitat Internacional de Catalunya, Barcelona, Spain

4. Infectious Diseases Unit, Hospital Universitari Mútua Terrassa, Barcelona, Spain

5. Microbiology Department, CATLAB, Barcelona, Spain

6. Infection Control Nurse, Hospital Universitari Mútua Terrassa, Barcelona, Spain

7. Information Systems, Mútua Terrassa, Barcelona, Spain

8. Universitat de Barcelona, Barcelona, Spain

Abstract

The ability to measure the quality of antibiotic prescriptions is a critical element in all antimicrobial stewardship programs. The aims of the present study were to evaluate the clinimetric properties of 32 recently developed outpatient quality indicators (OQIs) and to identify potential room for improvement in antibiotic use in a primary health care (PHC) area. The study was performed in a PHC area in Barcelona, Spain with 260,657 inhabitants, nine PHC centers, and a 400-bed acute-care teaching hospital.

Funder

Astellas Pharma

Pfizer

Merck & Co., Inc. | Merck Sharp and Dohme

AstraZeneca

Novartis

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference32 articles.

1. World Health Organization. 2014. Antimicrobial resistance: global report on surveillance. World Health Organization, Geneva, Switzerland. https://apps.who.int/iris/bitstream/handle/10665/112642/9789241564748_eng.pdf;jsessionid=16C633BA216FD209B181D04BA2C09E87?sequence=1.

2. Antibiotic resistance threats in the United States, 2019

3. The 10 × ‘20 Initiative: Pursuing a Global Commitment to Develop 10 New Antibacterial Drugs by 2020

4. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship

5. European Centre for Disease Prevention and Control. 2018. Antimicrobial consumption. ECDC annual epidemiological report for 2017. Stockholm Sweden. https://www.ecdc.europa.eu/sites/default/files/documents/AER_for_2017-antimicrobial-consumption.pdf.

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