Dynamic online antimicrobial guideline with stewardship program: Impact on antimicrobial prescribing

Authors

  • Syeda Papia Sultana Department of Pharmacology, Faculty of Basic Science and Paraclinical Science, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka http://orcid.org/0000-0003-0713-6552
  • Md. Sayedur Rahman Department of Pharmacology, Faculty of Basic Science and Paraclinical Science, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka http://orcid.org/0000-0002-5960-0161

DOI:

https://doi.org/10.3329/bjp.v12i4.33209

Keywords:

Dynamic Online Antimicrobial Guideline, Antimicrobial Stewardship, Bangladesh, BSMMU

Abstract

Dynamic online antimicrobial guideline with stewardship program was attempted in Bangabandhu Sheikh Mujib Medical University (BSMMU) to improve the antimicrobial prescribing. The prescribing pattern was evaluated by retrospective prescription audit. Overall 59.4% of admitted patients of four selected departments received antimicrobials. Highest (81.9%) was in the Department of Obstetrics and Gynecology, followed by Surgery (78.5%), Internal Medicine (47.6%) and Pediatrics (46.7%). After launching of guideline, antimicrobial prescribing was significantly reduced in the Department of Internal Medicine (47.6% to 22.2%; p<0.01) and Pediatrics (50.0% to 40.0%; p<0.01). Significant (p<0.05 to p<0.001) change was observed with different antimicrobials in different departments. Consumption of cefixime (8.5 ± 3.7 to 3.9 ± 2.5; p<0.05) and ceftriaxone (6.9 ± 3.4 to 3.1 ± 2.2; p<0.005) was reduced significantly in Internal Medicine. The adherence to guideline was highest in the Department of Obstetrics and Gynecology (91.3%) followed by Pediatrics (86.3%) and Internal Medicine (81.2%).

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Author Biographies

Syeda Papia Sultana, Department of Pharmacology, Faculty of Basic Science and Paraclinical Science, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Resident

 

Md. Sayedur Rahman, Department of Pharmacology, Faculty of Basic Science and Paraclinical Science, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Professor

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Published

2017-10-08

How to Cite

Sultana, S. P., and M. S. Rahman. “Dynamic Online Antimicrobial Guideline With Stewardship Program: Impact on Antimicrobial Prescribing”. Bangladesh Journal of Pharmacology, vol. 12, no. 4, Oct. 2017, pp. 364-70, doi:10.3329/bjp.v12i4.33209.

Issue

Vol. 12 No. 4 (2017)

Section

Research Articles

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