A multicenter point-prevalence survey of antibiotic use in 13 Chinese hospitals. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Xie, Duo-shuang; Xiang, Li-li; Li, Rui; Hu, Qiao; Luo, Qing-qin; Xiong, Wei
• Is Part Of: Journal of infection and public health. Volume 8:Issue 1(2015)
• Page Start: 55
• Page End: 61
• Publication Date: 2015-01
• Subjects: Communicable diseases -- Periodicals; Public health -- Periodicals; Epidemiology -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Medical microbiology -- Periodicals; 614.4
• DOI: 10.1016/j.jiph.2014.07.001
• Languages: English
• ISSNs: 1876-0341

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Summary</title> <sec> <title id="sect0010">Background</title> <p id="spar0005">The use of antibiotics is considered a major determinant of the development of resistance in organisms. This study assessed current patterns of antibiotic prescription and provides background for quality improvement in general hospitals in Hubei, China.</p> </sec> <sec> <title id="sect0015">Methods</title> <p id="spar0010">A point-prevalence study was performed in November 2008. All inpatients on the day of the survey were included in the analysis.</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0015">On the day of the study, 6904 patients (56%) were receiving antibiotic therapy; the highest rate occurred in the ICU (90%), and the lowest occurred in the medical wards (39%). The most commonly used antibiotics were β-lactam antibiotics, including cephalosporins (40%) and piperacillin (19%), followed by fluoroquinolones (14%).</p> </sec> <sec> <title id="sect0025">Conclusions</title> <p id="spar0020">Our data indicated a high rate of antibiotic use in Chinese hospitals. These findings suggest important areas for intervention and the implementation of antibiotic stewardship policies in Chinese hospitals. A multi-faceted strategy should be implemented at the national level in China and should include education, regulation, and greater financial support from the government.</p> </sec> </abstract>