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A standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care

BACKGROUND: A key component of strategies to reduce antimicrobial resistance is better antimicrobial prescribing. The majority of antibiotics are prescribed in primary care. While many existing surveillance systems can monitor trends in the quantities of antibiotics prescribed in this setting, it ca...

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Autores principales: Smith, Sue, Hawker, Jeremy I, Smith, Gillian E, Morbey, Roger, Johnson, Alan P, Fleming, Douglas M, Shallcross, Laura, Hayward, Andrew C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166589/
https://www.ncbi.nlm.nih.gov/pubmed/28977493
http://dx.doi.org/10.1093/pubmed/fdx114
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author Smith, Sue
Hawker, Jeremy I
Smith, Gillian E
Morbey, Roger
Johnson, Alan P
Fleming, Douglas M
Shallcross, Laura
Hayward, Andrew C
author_facet Smith, Sue
Hawker, Jeremy I
Smith, Gillian E
Morbey, Roger
Johnson, Alan P
Fleming, Douglas M
Shallcross, Laura
Hayward, Andrew C
author_sort Smith, Sue
collection PubMed
description BACKGROUND: A key component of strategies to reduce antimicrobial resistance is better antimicrobial prescribing. The majority of antibiotics are prescribed in primary care. While many existing surveillance systems can monitor trends in the quantities of antibiotics prescribed in this setting, it can be difficult to monitor the quality of prescribing as data on the condition for which prescriptions are issued are often not available. We devised a standardized methodology to facilitate the monitoring of condition-specific antibiotic prescribing in primary care. METHODS: We used a large computerized general practitioner database to develop a standardized methodology for routine monitoring of antimicrobial prescribing linked to clinical indications in primary care in the UK. Outputs included prescribing rate by syndrome and percentages of consultations with antibiotic prescription, for recommended antibiotic, and of recommended treatment length. RESULTS: The standardized methodology can monitor trends in proportions of common infections for which antibiotics were prescribed, the specific drugs prescribed and duration of treatment. These data can be used to help assess the appropriateness of antibiotic prescribing and to assess the impact of prescribing guidelines. CONCLUSIONS: We present a standardized methodology that could be applied to any suitable national or local database and adapted for use in other countries.
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spelling pubmed-61665892019-09-01 A standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care Smith, Sue Hawker, Jeremy I Smith, Gillian E Morbey, Roger Johnson, Alan P Fleming, Douglas M Shallcross, Laura Hayward, Andrew C J Public Health (Oxf) Original Article BACKGROUND: A key component of strategies to reduce antimicrobial resistance is better antimicrobial prescribing. The majority of antibiotics are prescribed in primary care. While many existing surveillance systems can monitor trends in the quantities of antibiotics prescribed in this setting, it can be difficult to monitor the quality of prescribing as data on the condition for which prescriptions are issued are often not available. We devised a standardized methodology to facilitate the monitoring of condition-specific antibiotic prescribing in primary care. METHODS: We used a large computerized general practitioner database to develop a standardized methodology for routine monitoring of antimicrobial prescribing linked to clinical indications in primary care in the UK. Outputs included prescribing rate by syndrome and percentages of consultations with antibiotic prescription, for recommended antibiotic, and of recommended treatment length. RESULTS: The standardized methodology can monitor trends in proportions of common infections for which antibiotics were prescribed, the specific drugs prescribed and duration of treatment. These data can be used to help assess the appropriateness of antibiotic prescribing and to assess the impact of prescribing guidelines. CONCLUSIONS: We present a standardized methodology that could be applied to any suitable national or local database and adapted for use in other countries. Oxford University Press 2018-09 2017-09-11 /pmc/articles/PMC6166589/ /pubmed/28977493 http://dx.doi.org/10.1093/pubmed/fdx114 Text en © Crown copyright 2017. http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/This article contains public sector information licensed under the Open Government Licence v3.0 (http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/).
spellingShingle Original Article
Smith, Sue
Hawker, Jeremy I
Smith, Gillian E
Morbey, Roger
Johnson, Alan P
Fleming, Douglas M
Shallcross, Laura
Hayward, Andrew C
A standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care
title A standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care
title_full A standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care
title_fullStr A standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care
title_full_unstemmed A standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care
title_short A standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care
title_sort standardized methodology for the surveillance of antimicrobial prescribing linked to clinical indications in primary care
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166589/
https://www.ncbi.nlm.nih.gov/pubmed/28977493
http://dx.doi.org/10.1093/pubmed/fdx114
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