Evidence map›Paper›PMID 31428322›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2019

Antibiotic utilisation in adult and children patients in Kosovo hospitals.

Shaip Krasniqi, Ann Versporten, Arianit Jakupi, Denis Raka, Armond Daci, Valon Krasniqi, Zana Deva, Albiona Rashiti, Naime Brajshori, Shefqet Hajdari and 4 more

Abstract read
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Article in European journal of hospital pharmacy : science and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Antibiotics Use Patterns in Low- and Middle-Income Countries: A Systematic Review Analysis.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Shaip KrasniqiDepartment of Pharmacology, Faculty of Medicine, University of Prishtina, Prishtina, Kosovo.
Ann VersportenFaculty of Medicine and Health Science, Laboratory of Medical Microbiology, Vaccine & Infectious Disease Institute (VAXINFECTIO), University of Antwerp, Antwerp, Belgium.
Arianit JakupiKosovo Medicine Agency, Ministry of Health of Kosovo, Prishtina, Kosovo.
Denis RakaDepartment of Pharmacy, Faculty of Medicine, University of Prishtina, Prishtina, Kosovo.
Armond DaciDepartment of Pharmacy, Faculty of Medicine, University of Prishtina, Prishtina, Kosovo.
Valon KrasniqiDepartment of Pharmacology, Faculty of Medicine, University of Prishtina, Prishtina, Kosovo.
Zana DevaInstitute of Microbiology, National Institute of Public Health of Kosovo, Prishtina, Kosovo.
Albiona RashitiInstitute of Microbiology, National Institute of Public Health of Kosovo, Prishtina, Kosovo.
Naime BrajshoriFaculty of Medicine, University of Prishtina, Prishtina, Kosovo.
Shefqet HajdariFaculty of Medicine, University of Prishtina, Prishtina, Kosovo.
Jetëmira BytyqiFaculty of Medicine, University of Prishtina, Prishtina, Kosovo.
Burim NeziriFaculty of Medicine, University of Prishtina, Prishtina, Kosovo.
Herman GoossensFaculty of Medicine and Health Science, Laboratory of Medical Microbiology, Vaccine & Infectious Disease Institute (VAXINFECTIO), University of Antwerp, Antwerp, Belgium.
Lul RakaInstitute of Microbiology, National Institute of Public Health of Kosovo, Prishtina, Kosovo.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere are no reliable data on antibiotic use in Kosovo hospitals. The aim of this survey was to monitor volumes and patterns of antibiotic use in hospitalised patients in order to identify targets for quality improvement.

methodsData on antimicrobial use were collected from seven hospitals in Kosovo during 2013 using the standardised point prevalence survey (PPS) methodology as developed by the ESAC (European Surveillance of Antimicrobial Consumption) and ARPEC (Antibiotic Resistance and Prescribing in European Children). The survey included all inpatients receiving an antimicrobial agent on the day of the PPS.

resultsOverall, 1667 patients were included in the study: adults 1345 (81%) and children 322 (19%). Of the hospital inpatients, 579/1345 (43%) adults and 188/322 (58%) children received at least one antibiotic during a hospital stay. The top three antibacterial subgroups (ATC level 3) were β-lactam antibiotics, cephalosporins and aminoglycosides. In all hospital centres, the most commonly prescribed antibiotic was ceftriaxone (39% for adult and 36% for children). Antibiotics were administered mainly parenterally in 74% of adults and 94% of children. Empirical prescribing was higher in adults 498/579 (86%) and children 181/188 (96%), compared with targeted treatment based on susceptibility testing-81 (14%) and 8 (4%), respectively.

conclusionsAntibiotic use in Kosovo's hospitals is very high. Gathered data will be an important tool to identify targets for quality improvement and will support preparation of guidelines and protocols for the prudent use of antibiotics.

Indexed as

antibiotic usepoint prevalence surveysurveillance

Identifiers

PMID31428322
PMCPMC6684012

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