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Antimicrobial stewardship: 4a-Antibiotic prescribing in accordance with current and peer reviewed clinical guidelines

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 4a-Antibiotic prescribing in accordance with current and peer reviewed clinical guidelines
METeOR identifier:Help on this term612220
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of antibiotic prescriptions that are in accordance with current and peer reviewed clinical guidelines.

Rationale:Help on this term

The decision to prescribe an antibiotic should always be clinically justified and guided by the latest version of Therapeutic guidelines: antibiotic (Antibiotic Expert Group 2014) or locally-endorsed antibiotic prescribing guidelines. This ensures that the correct drug is prescribed, and the dose and duration of therapy are optimised (Duguid & Cruickshank 2011).

Indicator set:Help on this termClinical care standard indicators: antimicrobial stewardship Health, Standard 12/09/2016
Outcome area:Help on this termUse of guidelines and clinical condition Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

For the numerator and denominator, there may be one or more prescriptions for any one patient during an episode of admitted care. All prescriptions meeting the criteria for the numerator or the denominator should be counted.

For the numerator, 'in accordance' with guidelines means that the prescription aligns with the choice of antimicrobial, dose, route, and frequency, as per the guidelines used.

Presented as a percentage

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of prescriptions for an antibiotic that are in accordance with the current version of Therapeutic guidelines: antibiotic or locally-endorsed antibiotic prescribing guidelines.

Denominator:Help on this term

Number of prescriptions for antibiotics.

Comments:Help on this term

There are a number of existing audit tools where samples of medication charts are assessed for appropriateness and compliance of antimicrobial prescribing against the Therapeutic guidelines: antibiotic. These include:

  • The National Antimicrobial Prescribing Survey (NAPS)–conducted by the Centre of Research Excellence–National Centre for Antimicrobial Stewardship (NCAS), using a point prevalence survey.
  • ‚ÄčAudits of GP prescribing administered by the National Prescribing Service (NPS) MedicineWise. These include, but are not confined to, antimicrobial prescribing.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term

N[NN]

Source and reference attributes

Reference documents:Help on this term

Antibiotic Expert Group 2014. Therapeutic guidelines: antibiotic. Version 15. Melbourne: Therapeutic Guidelines Limited.

Duguid M & Cruickshank M (eds) 2011. Antimicrobial stewardship in Australian hospitals. Sydney: Australian Commission on Safety and Quality in Health Care.

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