Table 9 Antibiotic quality prescribing and patient care indicators among inpatients in regional hospitals in Limpopo Province
From: Antibiotic prescribing to inpatients in Limpopo, South Africa: a multicentre point-prevalence survey
Quality indicators | N | Hospital A | Hospital B | Hospital C | Hospital D | Hospital E | Overall | 95% CI | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | n | % | n | % | n | % | % | ||
Prescribing quality indicators | ||||||||||||||
Non-proprietary prescribing (Yes) | 416 | 20 | 31.5 | 35 | 34.7 | 22 | 29.3 | 32 | 32.3 | 28 | 36.4 | 137 | 32.9 | 28.4–37.4 |
Parenteral route of administration | 416 | 52 | 81.3 | 86 | 85.2 | 69 | 92.0 | 89 | 89.9 | 69 | 80.6 | 365 | 87.7 | 84.6–90.9 |
Prescribing reason on notes (Yes) | 416 | 39 | 60.9 | 60 | 59.4 | 54 | 72.0 | 59 | 59.6 | 58 | 75.3 | 270 | 64.9 | 60.3–69.5 |
Prolonged surgical prophylaxis | 59 | 0 | 0.0 | 10 | 41.7 | 4 | 44.4 | 6 | 85.7 | – | – | 20 | 34.5 | 21.8–46.0 |
Adherence to treatment guidelines (Yes) | 416 | 51 | 79.7 | 96 | 95.1 | 73 | 97.3 | 95 | 94.0 | 73 | 94.8 | 388 | 93.3 | 90.9–95.7 |
Treatment plan or stop/review date (Yes) | 416 | 5 | 7.8 | 18 | 17.8 | 10 | 13.3 | 21 | 21.2 | 35 | 45.5 | 89 | 21.4 | 17.5–25.3 |
Targeted prescribing (Yes) | 416 | 6 | 9.4 | – | – | 3 | 4.0 | 4 | 4.0 | 1 | 1.3 | 14 | 3.4 | 1.6–5.1 |
Patient care quality indicators | ||||||||||||||
Specimen collection (Yes) | 261 | 8 | 20.5 | – | – | 11 | 23.4 | 9 | 14.3 | 3 | 6.5 | 31 | 11.9 | 8.0–15.8 |
Culture results available (Yes) | 31 | 6 | 75.0 | – | – | 2 | 18.2 | 5 | 55.6 | 1 | 33.3 | 14 | 45.2 | 27.6–62.7 |
Prescribed antibiotics administered (Yes) | 261 | 38 | 97.4 | 64 | 96.8 | 45 | 95.7 | 60 | 95.2 | 43 | 93.4 | 250 | 95.7 | 93.3–98.2 |
Missed doses (n) | Â | 5 | Â | 13 | Â | 7 | Â | 7 | Â | 9 | Â | 41 | Â | Â |
Intravenous to oral switch (No) | 261 | 1 | 2.6 | 5 | 7.6 | 7 | 14.9 | 7 | 11.1 | 16 | 34.8 | 36 | 13.8 | 9.6–18.0 |
Renal dose adjustment (No) | 261 | – | – | 2 | 3.0 | 6 | 12.8 | 1 | 1.6 | 8 | 17.4 | 17 | 6.5 | 3.5–9.5 |
Therapeutic drug monitoring (No) | 261 | 2 | 5.1 | 1 | 1.5 | 2 | 4.3 | 1 | 1.6 | – | – | 6 | 2.3 | 0.5–4.1 |