Metronidazole prescribing practices in Australian hospitals: Measuring guideline compliance and appropriateness to support antimicrobial stewardship

Bibliographic Details
Title: Metronidazole prescribing practices in Australian hospitals: Measuring guideline compliance and appropriateness to support antimicrobial stewardship
Authors: Simone Mo, Karin Thursky, Alexandros Chronas, Lisa Hall, Rodney James, Courtney Ierano
Source: Journal of Infection and Public Health, Vol 16, Iss , Pp 90-96 (2023)
Publisher Information: Elsevier, 2023.
Publication Year: 2023
Collection: LCC:Infectious and parasitic diseases
LCC:Public aspects of medicine
Subject Terms: Antimicrobial stewardship, Quality improvement, Guideline compliance, Audit and feedback, Anaerobic infection, Antimicrobial, Infectious and parasitic diseases, RC109-216, Public aspects of medicine, RA1-1270
More Details: Background: Metronidazole is a commonly prescribed antimicrobial in Australian hospitals. Inappropriate use may increase risks to patient care, such as toxicities and antimicrobial resistance. To date, there is limited information on the quality of metronidazole prescriptions to inform antimicrobial stewardship and quality improvement initiatives. This study aims to describe the quality of metronidazole prescribing practices in Australian hospitals. Methods: Retrospective data analysis of the Hospital National Antimicrobial Prescribing Survey (Hospital NAPS). Data were collected by auditors at each participating hospital using a standardised auditing tool. All data from 2013 to 2021 were de-identified and analysed descriptively. Variables included were antimicrobial prescribed, indication, guideline compliance and appropriateness. Results: Metronidazole was the fifth most prescribed antimicrobial in the Hospital NAPS dataset (2013–2021), accounting for 5.7 % (n = 14,197) of all antimicrobial prescriptions (n = 250,863). The proportion of metronidazole prescriptions declined by 2 % from 2013 to 2021 (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1876-0341
Relation: http://www.sciencedirect.com/science/article/pii/S1876034123003775; https://doaj.org/toc/1876-0341
DOI: 10.1016/j.jiph.2023.10.039
Access URL: https://doaj.org/article/28deae9b22514891aef3a5b616f57140
Accession Number: edsdoj.28deae9b22514891aef3a5b616f57140
Database: Directory of Open Access Journals
More Details
ISSN:18760341
DOI:10.1016/j.jiph.2023.10.039
Published in:Journal of Infection and Public Health
Language:English