Over-used and un­der­doc­u­mented

Pharmacy Daily - - FRONT PAGE -

THE use of an­timi­cro­bials is ex­ces­sive in Aus­tralian aged care homes and doc­u­men­ta­tion around their use is in­com­plete, ac­cord­ing to a new re­port from the 2016 Aged Care Na­tional An­timi­cro­bial Pre­scrib­ing Sur­vey (acNAPS) pub­lished by the Aus­tralian Com­mis­sion on Safety and Qual­ity in Health Care.

The sur­vey iden­ti­fied a num­ber of is­sues of par­tic­u­lar con­cern:

1. The use of an­timi­cro­bials in un­con­firmed in­fec­tion cases

2. More than two-thirds (67.2%) of pre­scrip­tions were for res­i­dents who did not have signs or symp­toms of in­fec­tion

3. Al­most onequar­ter (23%) of an­timi­cro­bials had been ad­min­is­tered for longer than six months

4. More than one-quar­ter (26.9%) of pre­scrip­tions were for top­i­cal prepa­ra­tion when most mi­nor skin in­fec­tions are self­lim­it­ing and re­solve with­out the use of an an­tibi­otic with stan­dard skin hy­giene care - top­i­cal an­tibi­otics are only ap­pro­pri­ate for pa­tients with mi­nor, lo­calised ar­eas of im­petigo

5. The an­timi­cro­bial start date was un­known for 3.2% of an­timi­cro­bials ad­min­is­tered, while the in­di­ca­tion was not doc­u­mented in 22.1% of cases and a re­view or stop date was not spec­i­fied for 49.9% of the an­timi­cro­bials ad­min­is­tered.

>/ < , Z to ac­cess the re­port.

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