Antimicrobial point prevalence surveys in two Ghanaian hospitals: opportunities for antimicrobial stewardship

Daniel Kwame Afriyie, Israel A. Sefah, Jacqueline Sneddon, William Malcolm, Rachel McKinney, Lesley Cooper, Amanj Kurdi, Brian Godman, Andrew Seaton

Research output: Contribution to conferenceAbstract

Abstract

Background: There is an urgent need to support antimicrobial stewardship (AMS) and reduce antimicrobial resistance (AMR) in Ghana. Point prevalence studies (PPS) were conducted in two hospitals as part of a global health partnership project in order to: (i) provide baseline antimicrobial utilisation data for Keta Municipal Hospital (KMH) and Ghana Police Hospital (GPH) to identify priorities for improvement; (ii) assess the feasibility of conducting PPS studies; (iii) compare results with other African countries. Methods: The Global PPS system was used. Training of hospital staff was undertaken by the Scottish team prior to data collection. Results: Prevalence of antibiotic use was 65% in GPH and 82% in KMH. Penicillins and other beta-lactams were the most commonly prescribed antibiotics, with third generation cephalosporins mainly used in GPH. Antibiotics were administered empirically and usually initiated IV and infections were mainly community acquired. Indication documentation for antibiotic use in both hospitals was good and guideline compliance was > 50%. Notably for many indications no guidelines were available. Most prescriptions had recorded stop dates and there appeared to be no missed doses. Penicillin allergy was not recorded for any patients. The duration of surgical prophylaxis was generally more than one day (69% in GPH and 77% in KMH). Conclusions: PPS was feasible and achieved with limited training. Encouraging findings were seen which can be shared with other countries. Identified concerns included broad spectrum antibiotics, length of prescribing including prophylaxis and oral use post IV, and lack of freely available microbiology resources to inform treatment
LanguageEnglish
Number of pages1
Publication statusAccepted/In press - 21 Nov 2019
EventEuroDURG 2020 - Szeged, Hungary
Duration: 4 Mar 20207 Mar 2020

Conference

ConferenceEuroDURG 2020
CountryHungary
CitySzeged
Period4/03/207/03/20

Fingerprint

Ghana
Police
Municipal Hospitals
Anti-Bacterial Agents
Cross-Sectional Studies
Penicillins
Guidelines
beta-Lactams
Cephalosporins
Microbiology
Surveys and Questionnaires
Documentation
Compliance
Prescriptions
Hypersensitivity
Infection

Keywords

  • Ghanaian hospitals
  • antimicrobial stewardship
  • point prevalence studies

Cite this

Afriyie, D. K., Sefah, I. A., Sneddon, J., Malcolm, W., McKinney, R., Cooper, L., ... Seaton, A. (Accepted/In press). Antimicrobial point prevalence surveys in two Ghanaian hospitals: opportunities for antimicrobial stewardship. Abstract from EuroDURG 2020, Szeged, Hungary.
Afriyie, Daniel Kwame ; Sefah, Israel A. ; Sneddon, Jacqueline ; Malcolm, William ; McKinney, Rachel ; Cooper, Lesley ; Kurdi, Amanj ; Godman, Brian ; Seaton, Andrew. / Antimicrobial point prevalence surveys in two Ghanaian hospitals : opportunities for antimicrobial stewardship. Abstract from EuroDURG 2020, Szeged, Hungary.1 p.
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title = "Antimicrobial point prevalence surveys in two Ghanaian hospitals: opportunities for antimicrobial stewardship",
abstract = "Background: There is an urgent need to support antimicrobial stewardship (AMS) and reduce antimicrobial resistance (AMR) in Ghana. Point prevalence studies (PPS) were conducted in two hospitals as part of a global health partnership project in order to: (i) provide baseline antimicrobial utilisation data for Keta Municipal Hospital (KMH) and Ghana Police Hospital (GPH) to identify priorities for improvement; (ii) assess the feasibility of conducting PPS studies; (iii) compare results with other African countries. Methods: The Global PPS system was used. Training of hospital staff was undertaken by the Scottish team prior to data collection. Results: Prevalence of antibiotic use was 65{\%} in GPH and 82{\%} in KMH. Penicillins and other beta-lactams were the most commonly prescribed antibiotics, with third generation cephalosporins mainly used in GPH. Antibiotics were administered empirically and usually initiated IV and infections were mainly community acquired. Indication documentation for antibiotic use in both hospitals was good and guideline compliance was > 50{\%}. Notably for many indications no guidelines were available. Most prescriptions had recorded stop dates and there appeared to be no missed doses. Penicillin allergy was not recorded for any patients. The duration of surgical prophylaxis was generally more than one day (69{\%} in GPH and 77{\%} in KMH). Conclusions: PPS was feasible and achieved with limited training. Encouraging findings were seen which can be shared with other countries. Identified concerns included broad spectrum antibiotics, length of prescribing including prophylaxis and oral use post IV, and lack of freely available microbiology resources to inform treatment",
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Afriyie, DK, Sefah, IA, Sneddon, J, Malcolm, W, McKinney, R, Cooper, L, Kurdi, A, Godman, B & Seaton, A 2019, 'Antimicrobial point prevalence surveys in two Ghanaian hospitals: opportunities for antimicrobial stewardship' EuroDURG 2020, Szeged, Hungary, 4/03/20 - 7/03/20, .

Antimicrobial point prevalence surveys in two Ghanaian hospitals : opportunities for antimicrobial stewardship. / Afriyie, Daniel Kwame; Sefah, Israel A.; Sneddon, Jacqueline; Malcolm, William ; McKinney, Rachel ; Cooper, Lesley ; Kurdi, Amanj; Godman, Brian; Seaton, Andrew.

2019. Abstract from EuroDURG 2020, Szeged, Hungary.

Research output: Contribution to conferenceAbstract

TY - CONF

T1 - Antimicrobial point prevalence surveys in two Ghanaian hospitals

T2 - opportunities for antimicrobial stewardship

AU - Afriyie, Daniel Kwame

AU - Sefah, Israel A.

AU - Sneddon, Jacqueline

AU - Malcolm, William

AU - McKinney, Rachel

AU - Cooper, Lesley

AU - Kurdi, Amanj

AU - Godman, Brian

AU - Seaton, Andrew

PY - 2019/11/21

Y1 - 2019/11/21

N2 - Background: There is an urgent need to support antimicrobial stewardship (AMS) and reduce antimicrobial resistance (AMR) in Ghana. Point prevalence studies (PPS) were conducted in two hospitals as part of a global health partnership project in order to: (i) provide baseline antimicrobial utilisation data for Keta Municipal Hospital (KMH) and Ghana Police Hospital (GPH) to identify priorities for improvement; (ii) assess the feasibility of conducting PPS studies; (iii) compare results with other African countries. Methods: The Global PPS system was used. Training of hospital staff was undertaken by the Scottish team prior to data collection. Results: Prevalence of antibiotic use was 65% in GPH and 82% in KMH. Penicillins and other beta-lactams were the most commonly prescribed antibiotics, with third generation cephalosporins mainly used in GPH. Antibiotics were administered empirically and usually initiated IV and infections were mainly community acquired. Indication documentation for antibiotic use in both hospitals was good and guideline compliance was > 50%. Notably for many indications no guidelines were available. Most prescriptions had recorded stop dates and there appeared to be no missed doses. Penicillin allergy was not recorded for any patients. The duration of surgical prophylaxis was generally more than one day (69% in GPH and 77% in KMH). Conclusions: PPS was feasible and achieved with limited training. Encouraging findings were seen which can be shared with other countries. Identified concerns included broad spectrum antibiotics, length of prescribing including prophylaxis and oral use post IV, and lack of freely available microbiology resources to inform treatment

AB - Background: There is an urgent need to support antimicrobial stewardship (AMS) and reduce antimicrobial resistance (AMR) in Ghana. Point prevalence studies (PPS) were conducted in two hospitals as part of a global health partnership project in order to: (i) provide baseline antimicrobial utilisation data for Keta Municipal Hospital (KMH) and Ghana Police Hospital (GPH) to identify priorities for improvement; (ii) assess the feasibility of conducting PPS studies; (iii) compare results with other African countries. Methods: The Global PPS system was used. Training of hospital staff was undertaken by the Scottish team prior to data collection. Results: Prevalence of antibiotic use was 65% in GPH and 82% in KMH. Penicillins and other beta-lactams were the most commonly prescribed antibiotics, with third generation cephalosporins mainly used in GPH. Antibiotics were administered empirically and usually initiated IV and infections were mainly community acquired. Indication documentation for antibiotic use in both hospitals was good and guideline compliance was > 50%. Notably for many indications no guidelines were available. Most prescriptions had recorded stop dates and there appeared to be no missed doses. Penicillin allergy was not recorded for any patients. The duration of surgical prophylaxis was generally more than one day (69% in GPH and 77% in KMH). Conclusions: PPS was feasible and achieved with limited training. Encouraging findings were seen which can be shared with other countries. Identified concerns included broad spectrum antibiotics, length of prescribing including prophylaxis and oral use post IV, and lack of freely available microbiology resources to inform treatment

KW - Ghanaian hospitals

KW - antimicrobial stewardship

KW - point prevalence studies

M3 - Abstract

ER -

Afriyie DK, Sefah IA, Sneddon J, Malcolm W, McKinney R, Cooper L et al. Antimicrobial point prevalence surveys in two Ghanaian hospitals: opportunities for antimicrobial stewardship. 2019. Abstract from EuroDURG 2020, Szeged, Hungary.