{"id":1801,"date":"2013-08-19T15:48:38","date_gmt":"2013-08-19T15:48:38","guid":{"rendered":"http:\/\/test-medrazgl.aed-baza.si\/?p=1801"},"modified":"2013-08-19T15:48:38","modified_gmt":"2013-08-19T15:48:38","slug":"audit-of-appropriateness-and-correctness-of-antimicrobial-prescribing-in-adult-patients-with-bacterial-infections3","status":"publish","type":"post","link":"https:\/\/medrazgl.si\/en\/audit-of-appropriateness-and-correctness-of-antimicrobial-prescribing-in-adult-patients-with-bacterial-infections3\/","title":{"rendered":"Audit of Appropriateness and Correctness of Antimicrobial Prescribing in Adult Patients with Bacterial Infections3"},"content":{"rendered":"<div>\n<p>BACKGROUND. Inappropriate use of antibiotics is linked to the emergence and dissemina\u00adtion of antimicrobial-resistant bacteria. Guidelines for antimicrobial prescribing are a possible intervention to increase the appropriateness of antimicrobial prescribing. AIM. To measure the influence of the Guidelines for antimicrobial prescribing published in 2006, compared to those published in 1998 concerning the appropriateness and correctness of antibiotic use. To find out whether there is a statistically significant difference in the impact of the two guide\u00adlines on antimicrobial prescribing. To establish the most common mistakes arising in connection to antimicrobial prescribing. HYPOTHESIS. The guidelines published in 2006 increased the appropriateness and correctness of antimicrobial prescribing. The choice of the appropriate antibiotic and the duration of therapy are the most common mistakes associated with antimi\u00adcrobial prescribing. METHODS. The study included 100 subsequent adult patients from the Department of Infectious Diseases in Ljubljana who were hospitalized in November 2005, and 100 subsequent adult patients hospitalized in November 2006. The data was gathered by revising the patient charts. The study was retrospective and followed the established method\u00adology of the appropriateness and correctness of antimicrobial prescribing. RESULTS. In 2006, 51.9% of antibiotic prescriptions were completely in line with the guidelines and in 2005 there were 35.3% such antibiotic prescriptions. In 4.7% (2006) and 6.4% (2005) of the cases, the antibiotic was prescribed without the appropriate indication. There was an increase in prescribing the first choice antibiotic and a decrease in incorrectly prescribed antibiotics in 2006. In 2005, incorrect duration of therapy was the most common mistake (22.0%), while in 2006 it was dosing (17.6%). The percentages of correctly documented antibiotic therapy in the two years were similar. There was an increase in incorrect dosing and a decrease in incorrect duration 230 of documented therapy in 2006. CONCLUSIONS. The results of the study partly confirmed our hypothesis. No statistically significant improvement after the implementation of the 2006 guidelines was proved. However, there was a trend towards an improvement in antimicro\u00adbial prescribing. Furthermore, it was confirmed that the most common mistake referred to the duration of therapy.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>BACKGROUND. Inappropriate use of antibiotics is linked to the emergence and dissemina\u00adtion of antimicrobial-resistant bacteria. Guidelines for antimicrobial prescribing are a possible intervention to increase the appropriateness of antimicrobial prescribing. AIM. To measure the influence of the Guidelines for antimicrobial prescribing published in 2006, compared to those published in 1998 concerning the appropriateness and correctness [&hellip;]<\/p>\n","protected":false},"author":30,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[],"tags":[],"class_list":["post-1801","post","type-post","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Audit of Appropriateness and Correctness of Antimicrobial Prescribing in Adult Patients with Bacterial Infections3 - Dru\u0161tvo Medicinski razgledi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medrazgl.si\/ocena-pravilnosti-in-primernosti-antibioticnega-predpisovanja-pri-odraslih-bolnikih-z-bakterijskimi-okuzbami\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Audit of Appropriateness and Correctness of Antimicrobial Prescribing in Adult Patients with Bacterial Infections3 - Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"og:description\" content=\"BACKGROUND. Inappropriate use of antibiotics is linked to the emergence and dissemina\u00adtion of antimicrobial-resistant bacteria. Guidelines for antimicrobial prescribing are a possible intervention to increase the appropriateness of antimicrobial prescribing. AIM. To measure the influence of the Guidelines for antimicrobial prescribing published in 2006, compared to those published in 1998 concerning the appropriateness and correctness [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medrazgl.si\/ocena-pravilnosti-in-primernosti-antibioticnega-predpisovanja-pri-odraslih-bolnikih-z-bakterijskimi-okuzbami\/\" \/>\n<meta property=\"og:site_name\" content=\"Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"article:published_time\" content=\"2013-08-19T15:48:38+00:00\" \/>\n<meta name=\"author\" content=\"\u010crt Zavrnik\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\u010crt Zavrnik\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/ocena-pravilnosti-in-primernosti-antibioticnega-predpisovanja-pri-odraslih-bolnikih-z-bakterijskimi-okuzbami\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/ocena-pravilnosti-in-primernosti-antibioticnega-predpisovanja-pri-odraslih-bolnikih-z-bakterijskimi-okuzbami\\\/\"},\"author\":{\"name\":\"\u010crt Zavrnik\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/80418a5a6b59976483b5d19fc87a9092\"},\"headline\":\"Audit of Appropriateness and Correctness of Antimicrobial Prescribing in Adult Patients with Bacterial Infections3\",\"datePublished\":\"2013-08-19T15:48:38+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/ocena-pravilnosti-in-primernosti-antibioticnega-predpisovanja-pri-odraslih-bolnikih-z-bakterijskimi-okuzbami\\\/\"},\"wordCount\":336,\"commentCount\":0,\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/medrazgl.si\\\/ocena-pravilnosti-in-primernosti-antibioticnega-predpisovanja-pri-odraslih-bolnikih-z-bakterijskimi-okuzbami\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/ocena-pravilnosti-in-primernosti-antibioticnega-predpisovanja-pri-odraslih-bolnikih-z-bakterijskimi-okuzbami\\\/\",\"url\":\"https:\\\/\\\/medrazgl.si\\\/ocena-pravilnosti-in-primernosti-antibioticnega-predpisovanja-pri-odraslih-bolnikih-z-bakterijskimi-okuzbami\\\/\",\"name\":\"Audit of Appropriateness and Correctness of Antimicrobial Prescribing in Adult Patients with Bacterial Infections3 - 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