Global Point Prevalence Survey of Antimicrobial Use: an Opportunity Knocking on your Door

This post is to inform you about a new ongoing hospital-based project: the “Global-Point Prevalence Survey on Antimicrobial Consumption and Resistance (Global-PPS)”.
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Global-PPS is project aiming to expand a standardised surveillance method to monitor rates of antimicrobial prescribing in hospitalized patients. Protocol, data collection, templates and other supporting material are available here
The project is funded by BioMérieux and these are some of its main characteristics:
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  • The Global-PPS assesses antimicrobial use in all hospitalized patients (adults and children) of the participating centres at 8:00 am on the day of survey, and receiving an antimicrobial agent.
  • It is aimed to conduct a “one-day” cross-sectional PPS including each ward within the hospital just once within this period.
  • Foreseen timeline for the Global-PPS is February-April 2015.

 

Essential data to collect are:

  • the patients’ age and gender,
  • antimicrobial agent
  • dose per administration
  • number of doses per day
  • route of administration
  • anatomical site of infection or target for prophylaxis according to the list of provided reasons for treatment,
  • indication for therapy (community versus hospital acquired infection or prophylaxis)
  • Three additional quality indicators (reason for prescription in notes, is stop/review date documented, compliance with guidelines)
  • and whether the treatment choice is determined by available microbiological or biomarker data.
  • Denominator data are the number of admitted patients and the number of beds in each department

 

The Data collection is performed using paper forms (a department/ward form and a patient form). Afterwards, data are anonymously entered onto a central database using the Global-PPS program, a web-based application for data-entry, validation and reporting

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  • Hospitals can at any time extract their own data in an Excel file.
  • After final data-entry and validation, the hospital will be able to download a feedback which can be used for local communications and presentations (PPT-slides). Hospital specific prevalence figures will be plotted against overall mean national (if at least three hospitals per country have participated) and regional ranges (continental results).
  • All data collection is completely anonymous.
  • The data remains the property of the hospital.
  • Participation of hospitals and all fieldwork at the hospital level is done on a voluntary basis.

 

The Global-PPS was successfully piloted in 2014. In total 34 institutions of 10 different countries worldwide piloted the Global-PPS on a number of hospital wards using the Global-PPS programme, covering in total 409 wards, 8337 beds and 5980 patients. Now, all hospitals worldwide are invited to participate to this survey (contact information: Global-PPS@uantwerpen.be)

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