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Tuesday, June 26

  1. 7:10 am

Tuesday, June 12

  1. page Surveillance of antimicrobial prescribing (point-prevalence studies and audits) edited ... Willemsen I et al. Appropriateness of antimicrobial therapy measured by repeated prevalence su…
    ...
    Willemsen I et al. Appropriateness of antimicrobial therapy measured by repeated prevalence surveys. Antimicrob Agents Chemother. 2007 Mar.;51(3):864–7.
    Gyssens IC et al. Optimizing antimicrobial therapy. A method for antimicrobial drug use evaluation. Journal of Antimicrobial Chemotherapy. 1992 Nov.;30(5):724–7.
    Therapeutic audits
    Antimicrobial Prescribing in Australian Hospitals 2011 {Australia Antimicrobial Stewardship_2011.pdf} . Chapter 5. Measuring the Performance of Antimicrobial Performance. Pages 61-62
    Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals – protocol version 4.3 {0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf} . ECDC. May 2012
    (view changes)
    3:48 am
  2. page Surveillance of antimicrobial prescribing (point-prevalence studies and audits) edited ... obtaining clinical data such as a) indication b) type of therapy (empiric or targeted) c) seve…
    ...
    obtaining clinical data such as a) indication b) type of therapy (empiric or targeted) c) severity of infection d) specific host factors (immune compromise, prosthetic material), can provide further information to better assess the appropriateness of antimicrobial prescribing but might not be practical (time-consuming).
    Ideally, PPS should be conducted in a single day. Nevertheless this might not be feasible in large institution. ESAC PPS, currently adopted by ECDC states that data should be collected in a single day for each ward/unit. The total time frame for data collection for all wards of a single hospital should not exceed two to three weeks. It is practice in some hospital units to admit additional patients on Mondays for elective procedures (especially surgery); it is therefore recommended that the survey in these units is conducted between Tuesday and Friday.
    Links to several point-prevalence surveys
    Robert J et al. Point prevalence survey of antibiotic use in French hospitals in 2009. J Antimicrob Chemother. 2012 Apr.;67(4):1020–6.
    Zarb P, Goossens H. European Surveillance of Antimicrobial Consumption (ESAC): value of a point-prevalence survey of antimicrobial use across Europe. Drugs. 2011 Apr. 16;71(6):745–55.
    Zarb P et al. Identification of targets for quality improvement in antimicrobial prescribing: the web-based ESAC Point Prevalence Survey 2009. J Antimicrob Chemother. 2011;66(2):443–9.
    Willemsen I et al. Appropriateness of antimicrobial therapy measured by repeated prevalence surveys. Antimicrob Agents Chemother. 2007 Mar.;51(3):864–7.
    Gyssens IC et al. Optimizing antimicrobial therapy. A method for antimicrobial drug use evaluation. Journal of Antimicrobial Chemotherapy. 1992 Nov.;30(5):724–7.

    Antimicrobial Prescribing in Australian Hospitals 2011 {Australia Antimicrobial Stewardship_2011.pdf} . Chapter 5. Measuring the Performance of Antimicrobial Performance. Pages 61-62
    Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals – protocol version 4.3 {0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf} . ECDC. May 2012
    (view changes)
    12:40 am

Monday, June 11

  1. page Surveillance of antimicrobial prescribing (point-prevalence studies and audits) edited ... Both strategies require, in different depth, obtaining and processing data from medical record…
    ...
    Both strategies require, in different depth, obtaining and processing data from medical records or patient notes and thus, these activities, are time consuming
    Point-prevalence surveys
    Point-prevalence surveys (PPS) are transversal
    It is like taking a no-zoom snapshot of antimicrobial prescribing, which may be useful to rapidly identify areas of improvement and to monitor evolution of antimicrobial prescribing if regularly repeated.
    Detail has frequently to be
    ...
    chart) and bbtainobtain a minimum
    the percentage of patients prescribed antimicrobials
    the range and volume of agents prescribed
    ...
    dosing and dosage interval
    and time for intravenous-to-oral switching
    ...
    who were prescribedantimicrobialsprescribed antimicrobials within 24 hours of a surgical procedure.
    obtaining clinical data such as a) indication b) type of therapy (empiric or targeted) c) severity of infection d) specific host factors (immune compromise, prosthetic material), can provide further information to better assess the appropriateness of antimicrobial prescribing but might not be practical (time-consuming).
    Ideally, PPS should be conducted
    in a single day. Nevertheless this might not be feasible in large institution. ESAC PPS, currently adopted by ECDC states that data should be collected in a single day for each ward/unit. The total time frame for data collection for all wards of a single hospital should not exceed two to three weeks. It is practice in some hospital units to admit additional patients on Mondays for elective procedures (especially surgery); it is therefore recommended that the previous 24 hours.survey in these units is conducted between Tuesday and Friday.
    Antimicrobial Prescribing in Australian Hospitals 2011 {Australia Antimicrobial Stewardship_2011.pdf} . Chapter 5. Measuring the Performance of Antimicrobial Performance. Pages 61-62
    Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals – protocol version 4.3 {0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf} . ECDC. May 2012
    (view changes)
    11:45 pm
  2. page Surveillance of antimicrobial prescribing (point-prevalence studies and audits) edited ... It is like taking a no-zoom snapshot of antimicrobial prescribing, which may be useful to rapi…
    ...
    It is like taking a no-zoom snapshot of antimicrobial prescribing, which may be useful to rapidly identify areas of improvement and to monitor evolution of antimicrobial prescribing if regularly repeated.
    Detail has to be sacrificed in benefit of simplicity
    ...
    about prescribing < Antimicrobial Prescribing in Australian Hospitals {Australia Antimicrobial Stewardship_2011.pdf} . Chapter 5. Measuring the Performance of Antimicrobial Performance/> :
    the percentage of patients prescribed antimicrobials
    the range and volume of agents prescribed
    ...
    and time for intravenous-to-oral switching
    prophylactic use, which can be assessed by reviewing surgical patients who were prescribedantimicrobials in the previous 24 hours.
    Antimicrobial Prescribing in Australian Hospitals 2011 {Australia Antimicrobial Stewardship_2011.pdf} . Chapter 5. Measuring the Performance of Antimicrobial Performance. Pages 61-62
    Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals – protocol version 4.3 {0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf} . ECDC. May 2012

    (view changes)
    11:31 pm
  3. page Surveillance of antimicrobial prescribing (point-prevalence studies and audits) edited ... It is like taking a no-zoom snapshot of antimicrobial prescribing, which may be useful to rapi…
    ...
    It is like taking a no-zoom snapshot of antimicrobial prescribing, which may be useful to rapidly identify areas of improvement and to monitor evolution of antimicrobial prescribing if regularly repeated.
    Detail has to be sacrificed in benefit of simplicity
    ...
    about prescribing < Antimicrobial Prescribing in Australian Hospitals {Australia Antimicrobial Stewardship_2011.pdf} . Chapter 5. Measuring the Performance of Antimicrobial Performance/> :
    the percentage of patients prescribed antimicrobials
    the range and volume of agents prescribed
    ...
    and time for intravenous-to-oral switching
    prophylactic use, which can be assessed by reviewing surgical patients who were prescribedantimicrobials in the previous 24 hours.
    Antimicrobial Stewardship in Australian Hospitals. Chapter 5. Measuring de Performance of Antimicrobial Stewardship Porgrams. Pages 61-62
    (view changes)
    11:25 pm
  4. page Surveillance of antimicrobial prescribing (point-prevalence studies and audits) edited Introduction Evaluating antimicrobial prescribing is a relevant activity within Antimicrobial …

    Introduction

    Evaluating antimicrobial prescribing is a relevant activity within Antimicrobial Stewardship Programs (ASP) because it facilitates:
    the identification of the priorities and goals of the program
    ...
    Both strategies require, in different depth, obtaining and processing data from medical records or patient notes and thus, these activities, are time consuming
    Point-prevalence surveys
    ...
    or unit.
    It is like taking a no-zoom snapshot of antimicrobial prescribing, which may be useful to rapidly identify areas of improvement and to monitor evolution of antimicrobial prescribing if regularly repeated.
    ...
    to be sacrificed in benefit of simplicity
    There is no a standardized model, but most point-prevalence surveys collect data from one data source (the medication chart) and bbtain a minimum amount of information about prescribing :
    the percentage of patients prescribed antimicrobials
    the range and volume of agents prescribed
    number of antimicrobials per patient
    duration of therapy
    dosing and dosage interval
    and time for intravenous-to-oral switching
    prophylactic use, which can be assessed by reviewing surgical patients who were prescribedantimicrobials in the previous 24 hours.
    Antimicrobial Stewardship in Australian Hospitals. Chapter 5. Measuring de Performance of Antimicrobial Stewardship Porgrams. Pages 61-62

    (view changes)
    11:21 pm
  5. page Surveillance of antimicrobial prescribing (point-prevalence studies and audits) edited ... (ASP) because it facilitates: the identification of the priorities and goals of the progra…
    ...
    (ASP) because it facilitates:
    the identification of the priorities and goals of the program
    the evaluation of the impact of several interventions
    the verification of the objectives set for the program
    There most common approaches to evaluate antimicrobial prescribing are:
    point-prevalence surveys
    therapeutic audits
    Both strategies require, in different depth, obtaining and processing data from medical records or patient notes and thus, these activities, are time consuming
    Point-prevalence surveys
    Point-prevalence surveys are transversal evaluations of antimicrobial prescribing, aiming to obtain an overall picture of antimicrobial prescribing at a certain institution or unit.
    It is like taking a no-zoom snapshot of antimicrobial prescribing, which may be useful to rapidly identify areas of improvement and to monitor evolution of antimicrobial prescribing if regularly repeated.
    Detail has to be

    (view changes)
    11:12 pm
  6. page Surveillance of antimicrobial prescribing (point-prevalence studies and audits) edited q Evaluating antimicrobial prescribing is a relevant activity within Antimicrobial Stewardship Pr…
    qEvaluating antimicrobial prescribing is a relevant activity within Antimicrobial Stewardship Programs (ASP) because facilitates:
    the identification of the priorities and goals of the program
    the evaluation of the impact of several interventions
    the verification of the objectives set for the program

    (view changes)
    5:39 am

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