학술논문

Point prevalence multicenter survey of antimicrobial consumption in Russian hospitals: results of the Global-PPS 2021
Document Type
article
Source
Клиническая микробиология и антимикробная химиотерапия, Vol 25, Iss 2, Pp 150-158 (2023)
Subject
antimicrobials
hospital
consumption
covid-19
quality indicators
Infectious and parasitic diseases
RC109-216
Microbiology
QR1-502
Language
Russian
ISSN
1684-4386
2686-9586
Abstract
Objective. To evaluate prescribing patterns of antimicrobials and quantify them in relation to quality indicators in Russian multi-field hospitals. Materials and Methods. Point Prevalence Survey of Antimicrobial Consumption as a part of an international Global-PPS project was conducted in 8 multi-field hospitals in different Russian cities (Krasnoyarsk, Moscow, Omsk, Saratov, Smolensk, Ulan-Ude, Yakutsk) during the period from May till December 2021. Case records of patients who received therapeutic or prophylactic systemic antimicrobial agents were analyzed. Local practices of antimicrobials’ utilization were evaluated in relation to quality indicators defined by the study protocol. Results. Common mistakes requiring a prompt intervention included low adherence to clinical guidelines, absence of stop/review dates in the medical records, extended duration of surgical prophylaxis, III generation cephalosporin’s overuse and low rate of targeted therapy. Conclusions. The results of the project can be valuable for the improvement to antimicrobial utilization approaches at the study centers as well as for monitoring of antimicrobial stewardship programs’ implementation.