Variations In Antibiotic Use Across India – Multicentre Study Through Global Point Prevalence Survey

Publication date: Available online 3 June 2019Source: Journal of Hospital InfectionAuthor(s): Sanjeev K. Singh, Sharmila Sengupta, Remya Antony, Sanjay Bhattacharya, Chiranjay Mukhopadhyay, V. Ramasubramanian, Anita Sharma, Suneeta Sahu, .Suhas Nirkhiwale, Dr.Sweta Gupta, Anusha Rohit, Sunil Sharma, Vaidehi Raghavan, Purabi Barman, Smita Sood, Dhruv Mamtora, Sukhanya Rengaswamy, Anita Arora, Herman Goossens, Ann VersportenSummaryThe aim of the study was to assess antimicrobial prescribing patterns, and variation in practice, in India. A point prevalence survey (PPS) was conducted in Oct-Dec 2017 in 16 tertiary care hospitals across India. The survey included all inpatients receiving an antimicrobial on the day of PPS and collected data was analysed using a web-based application of University of Antwerp. 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.
Source: Journal of Hospital Infection - Category: Infectious Diseases Source Type: research