title: Misuse of antibiotics reserved for hospital settings in outpatients: a prospective clinical audit in a university hospital in Southern France.
abstract: Some antibiotics are reserved essentially for hospital settings owing to cost effectiveness and in order to fight the emerging antibiotic resistance crisis. In some cases, antibiotics reserved exclusively for use in hospitals may be prescribed in outpatients for serious infections or in the absence of a therapeutic alternative. A 30-day prospective audit of outpatient prescriptions of antibiotics reserved exclusively for use in hospitals was performed. The objective of this study was to evaluate the relevance of outpatient antibiotic prescriptions by measuring appropriateness according to guidelines. During the study period, 53 prescriptions were included, only 40% of which were appropriate. Among the 32 inappropriate prescriptions, 4 cases lacked microbial arguments, 1 case was not adequate for the infection type, 1 case involved an incorrect antibiotic dosage, 1 case involved an incorrect interval of dose administration, 3 cases had a therapeutic alternative and 22 cases were not recommended. Of the 53 prescriptions, 66% were started in hospital and 34% in outpatients. Only 25% of cases were prescribed with infectious diseases specialist (IDS) advice, 64% were based on microbiological documentation and 13% had a negative bacterial culture. Inappropriate prescriptions were usually observed in antibiotic lock therapy, skin infections, Clostridium difficile colitis, intra-abdominal infections and intravascular catheter-related infections. Outpatient prescriptions of antimicrobial drugs reserved exclusively for use in hospitals are frequently inappropriate. We recommend a real-time analysis algorithm with the involvement of an IDS for monitoring prescriptions to improve the quality of these prescriptions and possibly to prevent antibiotic resistance.
authors.affiliation: Service Central des Opérations Pharmaceutiques (SCOP), Assistance Publique Hôpitaux de Marseille, 80 rue Brochier, 13354 Marseille, France; Aix-Marseille Université, UMR 7273 CNRS, 27 Boulevard Jean Moulin, Marseille, France.
authors.forename: Manon
authors.initials: M
authors.lastname: Roche
authors.affiliation: Pharmacie de la Conception, Assistance Publique Hôpitaux de Marseille, 147 Bd. Baille, 13005 Marseille, France.
authors.forename: Charléric
authors.initials: C
authors.lastname: Bornet
authors.affiliation: Pharmacie de la Conception, Assistance Publique Hôpitaux de Marseille, 147 Bd. Baille, 13005 Marseille, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Monges
authors.affiliation: Service des Maladies Infectieuses, Hôpital de la Conception, Assistance Publique Hôpitaux de Marseille, 147 Bd. Baille, 13005 Marseille, France; Centre interrégional de référence des infections ostéo-articulaires Méditerranée Sud, Assistance Publique Hôpitaux de Marseille, 147 Bd. Baille, 13005 Marseille, France; Aix-Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, Marseille, France.
authors.forename: Andreas
authors.initials: A
authors.lastname: Stein
authors.affiliation: Pharmacie de la Conception, Assistance Publique Hôpitaux de Marseille, 147 Bd. Baille, 13005 Marseille, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Gensollen
authors.affiliation: Service des Maladies Infectieuses, Hôpital de la Conception, Assistance Publique Hôpitaux de Marseille, 147 Bd. Baille, 13005 Marseille, France; Centre interrégional de référence des infections ostéo-articulaires Méditerranée Sud, Assistance Publique Hôpitaux de Marseille, 147 Bd. Baille, 13005 Marseille, France; Aix-Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, Marseille, France. Electronic address: sengpiseth@yahoo.fr.
authors.forename: Piseth
authors.initials: P
authors.lastname: Seng
mesh_terms: D000553:Ambulatory Care / Q000379:methods*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D054869:Clinical Audit; D004363:Drug Utilization; D005602:France; D019983:Guideline Adherence; D006785:Hospitals, University; D006801:Humans; D010045:Outpatients; D011446:Prospective Studies
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibiotic misuse; Antibiotic policy; Antibiotic prescription; Antibiotic usage; Antibiotics reserved for hospital settings; Outpatient prescription