The report, National Antimicrobial Prescribing Practice: results of the 2014 National Antimicrobial Prescribing Survey (NAPS), was released by the Australian Commission on Safety and Quality in Health Care and the National Centre for Antimicrobial Stewardship (NCAS) at the Peter Doherty Institute for Infection and Immunity.
The 2014 report summarises the results of a voluntary annual audit of 248 hospitals (197 public and 51 private) from across Australia. This resulted in a data set of almost 20,000 prescriptions.
The report shows:
- Approximately one-quarter (24.3%) of the 19,944 prescriptions surveyed were non-compliant with guidelines, and 23% were deemed to be inappropriate.
- Only 74% of antimicrobials prescribed had their indications documented in the medical notes (more than 95% is considered best practice).
- Surgical prophylaxis continues to be an issue with 35.9% of the survey prescriptions continuing beyond 24 hours (less than 5% is considered best practice). 2% of prescriptions for surgical prophylaxis were also considered inappropriate, mainly due to incorrect duration and dose, and absence of an indication for an antimicrobial.
- Infective exacerbation of chronic obstructive pulmonary disease was poorly prescribed (36.8% were deemed inappropriate), as were other respiratory tract infections such as bronchitis (50.7% inappropriate) and exacerbation of asthma (70.0% inappropriate).
- The most common prescribed antimicrobials were cephazolin, ceftriaxone and metronidazole.