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Internal medicine journal · Jun 2012
Point-prevalence study of inappropriate antibiotic use at a tertiary Australian hospital.
- P R Ingram, J M Seet, C A Budgeon, and R Murray.
- Department of Infectious Diseases and Microbiology, Royal Perth Hospital, Perth, WA 6000, Australia. paul.ingram@health.wa.gov.au
- Intern Med J. 2012 Jun 1;42(6):719-21.
AbstractA point-prevalence study at a tertiary Australian hospital found 199 of 462 inpatients (43%) to be receiving antibiotic therapy. Forty-seven per cent of antibiotic use was discordant with guidelines or microbiological results and hence considered inappropriate. Risk factors for inappropriate antibiotic prescribing included bone/joint infections, the absence of infection, creatinine level >120 µmol/L, carbapenem or macrolide use and being under the care of the aged care/rehabilitation team. In the setting of finite antimicrobial stewardship resources, identification of local determinants for inappropriate antibiotic use may enable more targeted interventions.© 2012 The Authors. Internal Medicine Journal © 2012 Royal Australasian College of Physicians.
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