Variations in antibiotic use across India: multi-centre study through Global Point Prevalence survey

The aim of the study was to assess antimicrobial prescribing patterns, and variation in practice, in India. A point prevalence survey (PPS) was conducted in October to December 2017 in 16 tertiary care hospitals across India. The survey included all inpatients receiving an antimicrobial on the day o...

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Published inThe Journal of hospital infection Vol. 103; no. 3; pp. 280 - 283
Main Authors Singh, S.K., Sengupta, S., Antony, R., Bhattacharya, S., Mukhopadhyay, C., Ramasubramanian, V., Sharma, A., Sahu, S., Nirkhiwale, S., Gupta, S., Rohit, A., Sharma, S., Raghavan, V., Barman, P., Sood, S., Mamtora, D., Rengaswamy, S., Arora, A., Goossens, H., Versporten, A.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.11.2019
Subjects
Anti-Bacterial Agents - therapeutic use
Antibiotic stewardship
Drug Utilization - statistics & numerical data
Empirical antimicrobial therapy
Humans
India
Medical prophylaxis
Quality indicators
Surgical prophylaxis
Surveys and Questionnaires
Targeted antimicrobial therapy
Tertiary Care Centers
India
Surgical prophylaxis
Quality indicators
Antibiotic stewardship
Medical prophylaxis
Empirical antimicrobial therapy
Targeted antimicrobial therapy
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Summary:The aim of the study was to assess antimicrobial prescribing patterns, and variation in practice, in India. A point prevalence survey (PPS) was conducted in October to December 2017 in 16 tertiary care hospitals across India. The survey included all inpatients receiving an antimicrobial on the day of PPS and collected data were analysed using a web-based application of the University of Antwerp. In all, 1750 patients were surveyed, of whom 1005 were receiving a total of 1578 antimicrobials. Among the antimicrobials prescribed, 26.87% were for community-acquired infections; 19.20% for hospital-acquired infections; 17.24% for medical prophylaxis; 28.70% for surgical prophylaxis; and 7.99% for other or undetermined reasons. Antibiotic prescribing quality indicators, such as reason in notes and post-prescription review score, were low. This PPS showed widespread antibiotic usage, underlining the need for antibiotic stewardship to promote evidence-based practice.
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ISSN:0195-6701
1532-2939
DOI:10.1016/j.jhin.2019.05.014