| Title: |
Disease-Specific Quality Indicators for Outpatient Antibiotic Prescribing for Respiratory Infections (ESAC Quality Indicators) Applied to Point Prevalence Audit Surveys in General Practices in 13 European Countries |
| Authors: |
Vellinga,Akke; Luke-Currier,Addiena; Garzón-Orjuela,Nathaly; Aabenhus,Rune; Anastasaki,Marilena; Balan,Anca; Böhmer,Femke; Lang,Valerija Bralić; Chlabicz,Slawomir; Coenen,Samuel; García-Sangenís,Ana; Kowalczyk,Anna; Malania,Lile; Tomacinschii,Angela; van der Linde,Sanne R; Bongard,Emily; Butler,Christopher C; Goossens,Herman; van der Velden, Alike W; HAG Infectieziekten; Infection & Immunity; JC onderzoeksprogramma Infectious Diseases |
| Publication Year: |
2023 |
| Subject Terms: |
antibiotic prescribing; audit; primary health care; quality in healthcare; respiratory infections; Microbiology (medical); Infectious Diseases; Pharmacology (medical); Biochemistry; Pharmacology; Toxicology and Pharmaceutics(all); Microbiology |
| Description: |
Up to 80% of antibiotics are prescribed in the community. An assessment of prescribing by indication will help to identify areas where improvement can be made. A point prevalence audit study (PPAS) of consecutive respiratory tract infection (RTI) consultations in general practices in 13 European countries was conducted in January-February 2020 (PPAS-1) and again in 2022 (PPAS-4). The European Surveillance of Antibiotic Consumption quality indicators (ESAC-QI) were calculated to identify where improvements can be made. A total of 3618 consultations were recorded for PPAS-1 and 2655 in PPAS-4. Bacterial aetiology was suspected in 26% (PPAS-1) and 12% (PPAS-4), and an antibiotic was prescribed in 30% (PPAS-1) and 16% (PPAS-4) of consultations. The percentage of adult patients with bronchitis who receive an antibiotic should, according to the ESAC-QI, not exceed 30%, which was not met by participating practices in any country except Denmark and Spain. For patients (≥1) with acute upper RTI, less than 20% should be prescribed an antibiotic, which was achieved by general practices in most countries, except Ireland (both PPAS), Croatia (PPAS-1), and Greece (PPAS-4) where prescribing for acute or chronic sinusitis (0-20%) was also exceeded. For pneumonia in adults, prescribing is acceptable for 90-100%, and this is lower in most countries. Prescribing for tonsillitis (≥1) exceeded the ESAC-QI (0-20%) in all countries and was 69% (PPAS-1) and 75% (PPAS-4). In conclusion, ESAC-QI applied to PPAS outcomes allows us to evaluate appropriate antibiotic prescribing by indication and benchmark general practices and countries. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text/plain |
| Language: |
English |
| ISSN: |
2079-6382 |
| Relation: |
https://dspace.library.uu.nl/handle/1874/448880 |
| Availability: |
https://dspace.library.uu.nl/handle/1874/448880 |
| Rights: |
info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.CFB739FD |
| Database: |
BASE |