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Antimicrobial stewardship activities in hospitals in Ireland and the United Kingdom: a comparison of two national surveys.

Fleming, Aoife; Tonna, Antonella; O'Connor, Síle; Byrne, Stephen; Stewart, Derek

Authors

Aoife Fleming

Antonella Tonna

Síle O'Connor

Stephen Byrne

Derek Stewart

Abstract

Best practice guidelines recommend that a multidisciplinary Antimicrobial Management Team (AMT) conduct antimicrobial stewardship (AMS) activities in hospitals. In order to continuously improve AMS activities in Irish hospitals it is important to benchmark performance by comparison with other countries. The purpose of this study was to compare the membership of AMTs and AMS activities conducted in Irish and United Kingdom (UK) hospitals. The research used a postal questionnaire to determine the membership and activities of AMTs, which was issued to the specialist antimicrobial pharmacist or pharmacist in charge at all Irish Hospitals and all UK National Health Service Hospitals. The membership of AMTs and the extent of AMS activities conducted were compared between the countries. The response rates to the surveys were 73% (n = 51) in Ireland and 33% in the UK (n = 273). 57% of Irish respondents reported having an AMT compared to 82% in the UK (p < 0.001). Significantly more AMTs in the UK had a specialist antimicrobial pharmacist on the team (95% UK, 69% Ireland, p < 0.001). A higher proportion of Irish respondents reported measuring the overall volume of antimicrobial prescribing (Ireland 85%, UK 72%, p = 0.057). A higher proportion of UK respondents reported measuring the appropriateness of antimicrobial prescribing (76% UK, 58% Ireland, p = 0.019) and the appropriateness of restricted antimicrobial prescribing (64% UK, 52% Ireland, p = 0.140). In conclusion, Irish and UK AMTs need to be supported to recruit and retain specialist antimicrobial pharmacists and to achieve higher rates of audit, prescription appropriateness review and feedback activities.

Journal Article Type Article
Publication Date Oct 1, 2015
Journal International journal of clinical pharmacy
Print ISSN 2210-7703
Electronic ISSN 2210-7711
Publisher Springer (part of Springer Nature)
Peer Reviewed Peer Reviewed
Volume 34
Issue 5
Pages 776-781
Institution Citation FLEMING, A., TONNA, A., O'CONNOR, S., BYRNE, S. and STEWART, D. 2015. Antimicrobial stewardship activities in hospitals in Ireland and the United Kingdom: a comparison of two national surveys. International journal of clinical pharmacy [online], 37(5), pages 776-781. Available from: https://doi.org/10.1007/s11096-015-0114-3
DOI https://doi.org/10.1007/s11096-015-0114-3
Keywords Antibiotics; Antibiotic prescribing; Antimicrobial stewardship; Hospital pharmacy; Ireland; Survey; United Kingdom

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