Type

Journal Article

Authors

Akke Vellinga
Andrew W. Murphy
Kathleen Bennett
Sinead Duane
Martin Cormican
Aoife Callan
Sandra Galvin

Subjects

Medicine & Nursing

Topics
primary care data extraction data collection irish antimicrobial resistance antimicrobial prescribing general practitioners electronic prescribing

Improving antimicrobial prescribing in Irish primary care through electronic data collection and surveillance: a feasibility study. (2014)

Abstract The increase in the spread of antimicrobial resistance (AMR) in bacterial pathogens and limited availability of new antimicrobials places immense pressure on general practitioners (GPs) to prescribe appropriately. Currently, electronic antimicrobial prescribing data is not routinely collected from GPs in Ireland for surveillance purposes to assess regional specific fluctuations or trends in antimicrobial prescribing. The current study aimed to address this issue by assessing the feasibility of remotely extracting antimicrobial prescribing data from primary care practices in Ireland, for the purpose of assessing prescribing quality using the European Surveillance of Antimicrobial Consumption (ESAC) drug specific quality indicators. Participating practices (n = 30) uploaded data to the Irish Primary Care Research Network (IPCRN). The IPCRN data extraction facility is integrated within the practice patient management software system and permitted the extraction of anonymised patient prescriptions for a one year period, from October 2012 to October 2013. The quality of antimicrobial prescribing was evaluated using the twelve ESAC drug specific quality indicators using the defined daily dose (DDD) per 1,000 inhabitants per day (DID) methodology. National and European prescribing surveillance data (based on total pharmacy sales) was obtained for a comparative analysis. Antimicrobial prescriptions (n = 57,079) for 27,043 patients were obtained from the thirty study practices for a one year period. On average, study practices prescribed a greater proportion of quinolones (37 % increase), in summer compared with winter months, a variation which was not observed in national and European data. In comparison with national data, study practices prescribed higher proportions of β-lactamase-sensitive penicillins (4.98 % vs. 4.3 %) and a greater use of broad spectrum compared to narrow-spectrum antimicrobials (ratio = 9.98 vs. 6.26) was observed. Study practices exceeded the European mean for prescribing combinations of penicillins, including β-lactamase inhibitors. This research demonstrates the feasibility and potential use of direct data extraction of anonymised practice data directly through the patient management software system. The data extraction methods described can facilitate the provision of routinely collected data for sustained and inclusive surveillance of antimicrobial prescribing. These comparisons may initiate further improvements in antimicrobial prescribing practices by identifying potential areas for improvement.
Collections Ireland -> National University of Ireland Galway -> PubMed

Full list of authors on original publication

Akke Vellinga, Andrew W. Murphy, Kathleen Bennett, Sinead Duane, Martin Cormican, Aoife Callan, Sandra Galvin

Experts in our system

1
Akke Vellinga
National University of Ireland Galway
Total Publications: 21
 
2
Andrew W. Murphy
National University of Ireland Galway
Total Publications: 91
 
3
Kathleen Bennett
Royal College of Surgeons in Ireland
Total Publications: 135
 
4
Sinead Duane
National University of Ireland Galway
Total Publications: 6
 
5
Martin Cormican
National University of Ireland Galway
Total Publications: 51