Table 5 Appropriateness of antibiotic prescriptions in infectious cases
Long-term care hospitals | Acute care hospitals | P-value | All hospitals | |
|---|---|---|---|---|
Appropriateness of diagnosis for infectious diseases1 (%) | ||||
By each antibiotic | 282/370 (76.2) | 119/155 (76.8) | 0.078 | 401/525 (76.4) |
By each patient | 191/260 (73.5) | 93/123 (75.6) | 0.122 | 284/383 (74.2) |
Appropriateness of antibiotic prescription, by each antibiotic (%) | < 0.001 | |||
Optimal | 49/370 (13.2) | 65/155 (41.9) | 114/525 (21.7) | |
Suboptimal | 29/370 (7.8) | 12/155 (7.7) | 41/525 (7.8) | |
Inappropriate | 98/370 (26.5) | 54/155 (34.8) | 152/525 (29.0) | |
N/A | 194/370 (52.4) | 24/155 (15.5) | 218/525 (41.5) | |
Appropriateness of antibiotic, by each patient (%) | < 0.001 | |||
Optimal | 29/260 (11.2) | 48/123 (39.0) | 77/383 (20.1) | |
Suboptimal: one or more antibiotics were suboptimal | 26/260 (10.0) | 9/123 (7.3) | 35/383 (9.1) | |
Suboptimal: unnecessary combination therapy | 1/260 (0.4) | 3/123 (2.4) | 4/383 (1.0) | |
Inappropriate | 75/260 (28.8) | 41/123 (33.3) | 116/383 (30.3) | |
N/A | 129/260 (49.6) | 22/123 (17.9) | 151/383 (39.4) | |
Appropriateness of antibiotic prescription only in cases with the appropriate diagnosis, by each antibiotic (%) | < 0.001 | |||
Optimal | 49/282 (17.4) | 64/119 (53.8) | 113/401 (28.2) | |
Suboptimal | 27/282 (9.6) | 9/119 (7.6) | 36/401 (9.0) | |
Inappropriate | 53/282 (18.8) | 32/119 (26.9) | 85/401 (21.2) | |
N/A | 153/282 (54.3) | 14/119 (11.8) | 167/401 (41.6) | |
Appropriateness of antibiotic prescription only in cases with the appropriate diagnosis, by each patient (%) | < 0.001 | |||
Optimal | 29/191 (15.2) | 48/93 (51.6) | 77/284 (27.1) | |
Suboptimal: one or more antibiotics were suboptimal | 24/191 (12.6) | 7/93 (7.5) | 31/284 (10.9) | |
Suboptimal: unnecessary combination therapy | 1/191 (0.5) | 3/93 (3.2) | 4/284 (1.4) | |
Inappropriate | 43/191 (22.5) | 23/93 (24.7) | 66/284 (23.2) | |
N/A | 94/191 (49.2) | 12/93 (12.9) | 106/284 (37.3) | |