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Antimicrobial stewardship: 7a-Review of patients prescribed broad-spectrum antibiotics

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 7a-Review of patients prescribed broad-spectrum antibiotics
METeOR identifier:Help on this term612226
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of admitted patients who were prescribed a broad-spectrum antibiotic and for whom a medical review is documented within 48 hours from the first prescription.

Rationale:Help on this term

Unnecessary continuation of broad-spectrum antibiotics is associated with antimicrobial resistance.

Culture results, including identification and antibiotic susceptibility test results, are usually available 24–48 hours after specimen collection. The results of these tests should be used to reassess the appropriateness of the initial therapy prescribed, along with the patient’s clinical progress and other investigation results (ACSQHC 2014a).

Indicator set:Help on this termClinical care standard indicators: antimicrobial stewardship Health, Standard 12/09/2016
Outcome area:Help on this termUse of broad-spectrum antibiotics Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

For the numerator, ‘reviewed’ means that the clinician initials the microbiology result report (or in an electronic environment, there is evidence that the clinician has reviewed the result), and a treatment decision is documented within 48 hours from the first prescription. For the purposes of this indicator, ‘documented’ means there is a note about the treatment decision in the patient's prescription or medical record, which may be paper-based or electronic.

For the numerator and denominator ‘broad-spectrum antibiotics’ refers to antibiotics that are active against a wide range of organisms (ACSQHC 2014b) and includes one or more of: meropenem, vancomycin, ciprofloxacin, ceftriaxone or piperacillin and tazobactam.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of admitted patients for whom one or more broad-spectrum antibiotics were prescribed and for whom the microbiology results were reviewed.

Denominator:Help on this term

Number of admitted patients for whom one or more broad-spectrum antibiotics were prescribed.

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

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2014a. Action 4: Review and assess antibiotics at 48 hours–Fact sheet. Sydney: ACSQHC.

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2014b. Antimicrobial Stewardship Clinical Care Standard. Sydney: ACSQHC.

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