Antibiotic prescribing in general medical and surgical specialties: a prospective cohort study

Qualitative work has described the differences in prescribing practice across medical and surgical specialties. This study aimed to understand if specialty impacts quantitative measures of prescribing practice. We prospectively analysed the antibiotic prescribing across general medical and surgical...

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Bibliographic Details
Published in:Antimicrobial resistance & infection control 2019-09, Vol.8 (1), p.151-151, Article 151
Main Authors: Charani, E, de Barra, E, Rawson, T M, Gill, D, Gilchrist, M, Naylor, N R, Holmes, A H
Format: Article
Language:English
Subjects:
Analysis
Antibiotic escalation
Antibiotic-decision making
Antibiotics
Cohort analysis
Comorbidity
Decision making
Health aspects
Health risk assessment
Hospital patients
Medical research
Microbiology
Prophylaxis
Rankings
Surgery
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Summary:Qualitative work has described the differences in prescribing practice across medical and surgical specialties. This study aimed to understand if specialty impacts quantitative measures of prescribing practice. We prospectively analysed the antibiotic prescribing across general medical and surgical teams for acutely admitted patients. Over a 12-month period (June 2016 - May 2017) 659 patients (362 medical, 297 surgical) were followed for the duration of their hospital stay. Antibiotic prescribing across these cohorts was assessed using Chi-squared or Wilcoxon rank-sum, depending on normality of data. The t-test was used to compare age and length of stay. A logistic regression model was used to predict escalation of antibiotic therapy. Surgical patients were younger (  
ISSN:2047-2994
2047-2994
DOI:10.1186/s13756-019-0603-6