Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean
Objective. To assess antibiotic use in three hospitals in three Caribbean countries based on data from 2013 and 2018 using the World Health Organization Essential Medicines List “Access, Watch, Reserve” (AWaRe) classification. Methods. A retrospective observational study, which analyzed the World He...
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| Format: | Article |
| Language: | English |
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Pan American Health Organization
2022-11-01
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| Series: | Revista Panamericana de Salud Pública |
| Subjects: | |
| Online Access: | https://iris.paho.org/handle/10665.2/56618 |
| _version_ | 1797985158113001472 |
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| author | Tamarie Rocke Nathalie El Omeiri Rodolfo Ernesto Quiros Jenny Hsieh Pilar Ramon-Pardo |
| author_facet | Tamarie Rocke Nathalie El Omeiri Rodolfo Ernesto Quiros Jenny Hsieh Pilar Ramon-Pardo |
| author_sort | Tamarie Rocke |
| collection | DOAJ |
| description | Objective. To assess antibiotic use in three hospitals in three Caribbean countries based on data from 2013 and 2018 using the World Health Organization Essential Medicines List “Access, Watch, Reserve” (AWaRe) classification.
Methods. A retrospective observational study, which analyzed the World Health Organization Point Prevalence Survey data from three hospitals in three Caribbean countries, to examine proportional AWaRe group antibiotic use for the top ten inpatient indications. The Access-to-Watch ratio was calculated, and the top three antibiotics prescribed in each hospital were determined.
Results. The final data set included 376 prescriptions for the top ten indications in 766 inpatients. The hospital antibiotic use point prevalence for Hospital 1 was 35.6%, Hospital 2 was 48.6%, and Hospital 3 was 47.1%. The Access-to-Watch ratio for the top ten indications was 2.45, 1.36, and 1.72 in the three hospitals. Access group prevalence was 71.0% in Hospital 1, 57.6% in Hospital 2, and 63.2% in Hospital 3. There were no Reserve antibiotics prescribed in any of the institutions. The most common indication for Watch prescription was skin and soft tissue infections in Hospital 1 and pneumonia in Hospital 2 and 3.
Conclusions. This study draws urgent attention to evidence of a high proportion of Watch antibiotic prescribing and lack of Reserve group antibiotics in three Caribbean countries. This research provides data that may inform national formulary and antimicrobial stewardship policy-making across the settings analyzed and the wider region. |
| first_indexed | 2024-04-11T07:14:09Z |
| format | Article |
| id | doaj.art-0e49af25c971455abdf07eabc68db75c |
| institution | Directory Open Access Journal |
| issn | 1020-4989 1680-5348 |
| language | English |
| last_indexed | 2024-04-11T07:14:09Z |
| publishDate | 2022-11-01 |
| publisher | Pan American Health Organization |
| record_format | Article |
| series | Revista Panamericana de Salud Pública |
| spelling | doaj.art-0e49af25c971455abdf07eabc68db75c2022-12-22T04:38:04ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482022-11-01461861810.26633/RPSP.2022.186rpspReporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the CaribbeanTamarie Rocke0Nathalie El Omeiri1Rodolfo Ernesto Quiros2Jenny Hsieh3Pilar Ramon-Pardo4Pan American Health Organization, Washington, D.C., United States of AmericaPan American Health Organization, Washington, D.C., United States of AmericaPan American Health Organization, Washington, D.C., United States of AmericaPan American Health Organization, Washington, D.C., United States of AmericaPan American Health Organization, Washington, D.C., United States of AmericaObjective. To assess antibiotic use in three hospitals in three Caribbean countries based on data from 2013 and 2018 using the World Health Organization Essential Medicines List “Access, Watch, Reserve” (AWaRe) classification. Methods. A retrospective observational study, which analyzed the World Health Organization Point Prevalence Survey data from three hospitals in three Caribbean countries, to examine proportional AWaRe group antibiotic use for the top ten inpatient indications. The Access-to-Watch ratio was calculated, and the top three antibiotics prescribed in each hospital were determined. Results. The final data set included 376 prescriptions for the top ten indications in 766 inpatients. The hospital antibiotic use point prevalence for Hospital 1 was 35.6%, Hospital 2 was 48.6%, and Hospital 3 was 47.1%. The Access-to-Watch ratio for the top ten indications was 2.45, 1.36, and 1.72 in the three hospitals. Access group prevalence was 71.0% in Hospital 1, 57.6% in Hospital 2, and 63.2% in Hospital 3. There were no Reserve antibiotics prescribed in any of the institutions. The most common indication for Watch prescription was skin and soft tissue infections in Hospital 1 and pneumonia in Hospital 2 and 3. Conclusions. This study draws urgent attention to evidence of a high proportion of Watch antibiotic prescribing and lack of Reserve group antibiotics in three Caribbean countries. This research provides data that may inform national formulary and antimicrobial stewardship policy-making across the settings analyzed and the wider region.https://iris.paho.org/handle/10665.2/56618anti-infective agentsantimicrobial stewardshipdrug resistance, microbialpharmacopoeiaaccess to essential medicines and health technologiescaribbean region |
| spellingShingle | Tamarie Rocke Nathalie El Omeiri Rodolfo Ernesto Quiros Jenny Hsieh Pilar Ramon-Pardo Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean Revista Panamericana de Salud Pública anti-infective agents antimicrobial stewardship drug resistance, microbial pharmacopoeia access to essential medicines and health technologies caribbean region |
| title | Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
| title_full | Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
| title_fullStr | Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
| title_full_unstemmed | Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
| title_short | Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
| title_sort | reporting on antibiotic use patterns using the who access watch reserve classification in the caribbean |
| topic | anti-infective agents antimicrobial stewardship drug resistance, microbial pharmacopoeia access to essential medicines and health technologies caribbean region |
| url | https://iris.paho.org/handle/10665.2/56618 |
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