ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2025
Patterns of antimicrobial use in Qatar's hospitals: Results from the first national point prevalence survey.
Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND AND
objectivesAntimicrobial resistance (AMR) poses a serious global public health crisis. Optimizing antimicrobial use is critical to slowing the occurrence and spread of resistant pathogens.
methodsBetween September 9 and 27, 2022, a point prevalence survey (PPS) for antimicrobial use was conducted in 17 hospitals in Qatar. All patients admitted to the hospital wards at 8:00 a.m. on survey day constituted the sample. Data included patients' characteristics, antimicrobials received, and therapeutic indications.
resultsAmong the 1733 inpatients surveyed, 811 (46.8%) received at least one antimicrobial. Of 1158 antimicrobial prescriptions, antibacterial agents constituted 82.9% (n = 961), 913 systemic antibacterials and 48 antimycobacterial agents. Parenteral administration predominated (83.3%, n = 676). Indications were documented for 96.3% (n = 1116) of prescriptions. Antimicrobials were prescribed for community-acquired infections (41.4%, n = 479), followed by medical prophylaxis (16.8%, n = 194). Third-generation cephalosporins (16.8%) and penicillin/ β-lactamase inhibitor combinations (15.5%) were most frequently prescribed. For community-acquired infections, penicillin combinations (22%) and third-generation cephalosporins (21%) were preferred. First-generation cephalosporins comprised 46% of surgical prophylaxis prescriptions. WHO AWaRe classification showed 35.5% Access and 40.4% Watch group prescriptions.
conclusionAntimicrobial use in Qatar hospitals was generally high, with broad-spectrum antimicrobials predominating. These findings underscore the urgent need for sector-specific targeted antimicrobial stewardship programs to optimize usage.
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