Antibiotic Prescribing Trends in a UK Secondary Care Setting: A 2019–2020 Medical Records Review Using the WHO AWaRe Classification

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Abstract

This study investigates shifts in antibiotic prescribing practices in a UK secondary care setting during the COVID-19 pandemic, highlighting implications for antimicrobial resistance (AMR). Using data from 640 patient records, it compares antibiotic use before and during the pandemic, with findings showing a notable increase in "Watch" category antibiotics, such as azithromycin and clarithromycin, and a doubling in levofloxacin use. These trends underscore the need for stringent antimicrobial stewardship (AMS) to ensure responsible prescribing. The study stresses the importance of enhanced AMS practices and sustained monitoring efforts to address AMR effectively and safeguard patient outcomes during health crises.
Original languageEnglish
Publication statusPublished - 5 Nov 2024
EventRoyal pharmaceutical society annual conference 2024: Working across boundaries: Embracing new opportunities and empowering excellence - Convene, 133 Houndsditch, London, United Kingdom
Duration: 8 Nov 20248 Nov 2024

Conference

ConferenceRoyal pharmaceutical society annual conference 2024
Abbreviated titleRPS 2024
Country/TerritoryUnited Kingdom
CityLondon
Period8/11/248/11/24

Keywords

  • Antibiotic prescribing
  • Secondary care
  • Medical records review
  • Antibiotic trends
  • UK healthcare
  • Antimicrobial resistance
  • COVID-19 impact
  • Prescribing patterns
  • Healthcare utilisation
  • Stewardship practices
  • WHO AWaRe classification
  • Access, Watch, Reserve (AWaRe)

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