Antibiotic consumption and stewardship data at your Fingertips
PHE ePoster Library. Budd E. Sep 12, 2017; 186443; 58
Dr. Emma Budd
Dr. Emma Budd
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Abstract
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Abstract Background: The Commissioning for Quality and Innovation (CQUIN) framework supports quality improvement in NHS services. The 2016/17 national antimicrobial resistance (AMR) CQUIN requests 1% reductions in total, carbapenem and piperacillin-tazobactam antibiotic consumption against a 2013/14 baseline; and that at least 90% of antibiotic prescriptions are reviewed within 72 hours by Q4 2016/17.PHE collects, analyses and publishes antibiotic consumption and stewardship data to support the AMR CQUIN.Methods: PHE, NHS England and NHS Improvement developed an MS Excel template to collect antibiotic consumption data, and select survey to collect antimicrobial stewardship data. These documents were made available to all 154 English NHS Acute Trusts to support quarterly data submissions for the AMR CQUIN.Results: 125 & 127 Trusts submitted antibiotic stewardship and consumption data respectively up to Q3 2016/17. Of these, 54 (43%) Trusts reduced total antimicrobial consumption to 1% below their 2013/14 baseline levels, with 46 (36%) Trusts achieving a 1% piperacillin/tazobactam reduction and 72 (57%) achieving a 1% carbapenem reduction. Nationally, the rate of carbapenem prescribing reduced by 9.2% from 104.9 to 95.3 defined daily doses/1000 admissions since 2013/14.122 (98%) Trusts reviewed at least 75% of antibiotic prescriptions in Q3 2016/17. Nationally, the percentage of antibiotic prescriptions with evidence of 72 hour review increased from 81% in Q1 2016/17 to 90% in Q3. Conclusions: Reductions in carbapenem prescribing and increases in antibiotic prescriptions with evidence of review within 72 hours have been achieved. These data are openly published on PHE's Fingertips data portal; facilitating individual organisation benchmarking.
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