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Point-prevalence study of antimicrobial use in public hospitals in southern Sri Lanka identifies opportunities for improving prescribing practices

Published online by Cambridge University Press:  07 December 2018

Tianchen Sheng ,
Gaya B. Wijayaratne ,
Thushani M. Dabrera ,
Richard J. Drew ,
Ajith Nagahawatte ,
Champica K. Bodinayake ,
Ruvini Kurukulasooriya ,
Truls Østbye ,
Kristin J. Nagaro  and
Cherin De Silva
...Show all authors
Tianchen Sheng
Affiliation:
Duke Global Health Institute, Durham, North Carolina
Gaya B. Wijayaratne
Affiliation:
Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka
Thushani M. Dabrera
Affiliation:
Sri Lanka Ministry of Health, Colombo, Sri Lanka
Richard J. Drew
Affiliation:
Duke University School of Medicine, Durham, North Carolina
Ajith Nagahawatte
Affiliation:
Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka
Champica K. Bodinayake
Affiliation:
Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka
Ruvini Kurukulasooriya
Affiliation:
Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka
Truls Østbye
Affiliation:
Duke Global Health Institute, Durham, North Carolina Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka Duke University School of Medicine, Durham, North Carolina
Kristin J. Nagaro
Affiliation:
Duke University School of Medicine, Durham, North Carolina
Cherin De Silva
Affiliation:
Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka
Hasini Ranawakaarachchi
Affiliation:
Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka
A. T. Sudarshana
Affiliation:
Sri Lanka Ministry of Health, Colombo, Sri Lanka
Deverick J. Anderson
Affiliation:
Duke University School of Medicine, Durham, North Carolina
Christopher W. Woods
Affiliation:
Duke Global Health Institute, Durham, North Carolina Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka Duke University School of Medicine, Durham, North Carolina
L. Gayani Tillekeratne*
Affiliation:
Duke Global Health Institute, Durham, North Carolina Duke-Ruhuna Collaborative Research Centre, Galle, Sri Lanka Duke University School of Medicine, Durham, North Carolina
*
Author for correspondence: L. Gayani Tillekeratne, 310 Trent Drive, Durham, NC 27710. E-mail: [email protected]
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Abstract

A point-prevalence study of antimicrobial use among inpatients at 5 public hospitals in Sri Lanka revealed that 54.6% were receiving antimicrobials: 43.1% in medical wards, 68.0% in surgical wards, and 97.6% in intensive care wards. Amoxicillin-clavulanate was most commonly used for major indications. Among patients receiving antimicrobials, 31.0% received potentially inappropriate therapy.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 2 , February 2019 , pp. 224 - 227
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

PREVIOUS PRESENTATION: These data were presented at a poster session at the American Society for Microbiology Microbe 2018 conference on June 7–11, 2018, in Atlanta, Georgia.

Cite this article: Sheng T, et al. (2019). Point-prevalence study of antimicrobial use in public hospitals in southern Sri Lanka identifies opportunities for improving prescribing practices. Infection Control & Hospital Epidemiology 2019, 40, 224–227. doi: 10.1017/ice.2018.321

References

1. Laxminarayan, R, Duse, A, Wattal, C, et al. Antibiotic resistance—the need for global solutions. Lancet Infect Dis 2013;13:1057–1098.Google Scholar
2. Centers for Disease Control and Prevention. Antibiotic use in the United States, 2017: progress and opportunities. Atlanta, GA: US Department of Health and Human Services, CDC; 2017.Google Scholar
3. Centers for Disease Control and Prevention. The core elements of human antibiotic stewardship programs in resource-limited settings: national and hospital levels. Centers for Disease Control and Prevention website. https://www.cdc.gov/antibiotic-use/healthcare/implementation.html. Published 2018. Accessed November 21, 2018.Google Scholar
4. Ministry of Healthcare and Nutrition, Sri Lanka. Health information unit beds and institution annual census Sri Lanka. Sri Lanka: Medical Statistics Unit, Ministry of Health, Nutrition and Indigenous Medicine; 2012.Google Scholar
5. Magill, SS, Edwards, JR, Beldavs, ZG, et al. Prevalence of antimicrobial use in US acute care hospitals, May–September 2011. JAMA. 2014;312:1438–1446. doi:10.1001/jama.2014.12923 Google Scholar
6. Sri Lanka College of Microbiologists in Collaboration with other Professional Colleges in Healthcare and The Ministry of Health, Nutrition and Indigenous Medicine. Empirical and prophylactic use of antimicrobials, national guidelines, 2016. Sri Lanka College of Microbiologists website. http://slmicrobiology.net/download/National-Antibiotic-Guidelines-2016-Web.pdf. Published 2016. Accessed November 21, 2018.Google Scholar
7. Morgan, DJ, Okeke, IN, Laxminarayan, R, Perencevich, EN, Weisenberg, S. Non-prescription antimicrobial use worldwide: a systematic review. Lancet Infect Dis 2011;11:692–701.Google Scholar
8. Xie, DS, Xiang, LL, Li, R, Hu, Q, Luo, QQ, Xiong, W. A multicenter point-prevalence survey of antibiotic use in 13 Chinese hospitals. J Infect Public Health 2015;8:55–61.Google Scholar
9. Thu, TA, Rahman, M, Coffin, S, Rashid, HO, Sakamoto, J, Nguyen, VH. Antibiotic use in Vietnamese hospitals: a multicenter point-prevalence study. Am J Infect Control 2012;40:840–844.Google Scholar
10. Yeo, JM. Antimicrobial stewardship: improving antibiotic prescribing practice in a respiratory ward. BMJ Open Quality 2016;5:u206491.w3570. doi: 10.1136/bmjquality.u206491.w3570.Google Scholar
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