The University of Southampton
University of Southampton Institutional Repository

European Surveillance of Antimicrobial Consumption (ESAC): disease-specific quality indicators for outpatient antibiotic prescribing

Record type: Article

Background

In 2007, ESAC (http://www.esac.ua.ac.be) published a set of 12 valid drug-specific quality indicators for outpatient antibiotic use in Europe. In this study, the authors aimed to develop evidence-based disease-specific quality indicators for outpatient antibiotic prescribing in Europe.

Methods

Two meetings were convened to produce a list of disease-specific quality indicators for outpatient antibiotic prescribing which conform to internationally agreed recommendations, building on a similar development of drug-specific quality indicators, and in collaboration with CHAMP and HAPPY AUDIT. 62 experts were asked to complete two scoring rounds of the proposed indicators on seven dimensions: their relevance to (1) reducing antimicrobial resistance, (2) patient health benefit, (3) cost-effectiveness, (4) policy makers, (5) individual prescribers, (6) their evidence base and (7) their range of acceptable use, using a scale ranging from 1 (=completely disagree) to 9 (=completely agree). Scores were judged according to the UCLA-RAND appropriateness method.

Results

For the six main indications for antibiotic prescribing (acute otitis media, acute upper-respiratory infection, acute/chronic sinusitis, acute tonsillitis, acute bronchitis/bronchiolitis, cystitis/other urinary infection) and for pneumonia, three quality indicators were proposed, the percentage prescribed (a) antibiotics; (b) recommended antibiotics; (c) quinolones. This set was scored by 40 experts from 25 countries. After one scoring round, all indicators were already rated as relevant on all dimensions, except one.

Conclusion

All proposed disease-specific quality indicators for outpatient antibiotic prescribing have face validity and are potentially applicable. They could be used to better describe antibiotic use and assess the quality of antibiotic prescribing patterns in ambulatory care.

PDF BMJ Qual Saf-2011-Adriaenssens-bmjqs.2010.049049.pdf - Accepted Manuscript
Download (223kB)

Citation

Adriaenssens, Niels, Coenen, Samuel, Tonkin-Crine, Sarah, Verheij, Theo J.M., Little, Paul and Goossens, Herman on behalf of the ESAC Project Group (2011) European Surveillance of Antimicrobial Consumption (ESAC): disease-specific quality indicators for outpatient antibiotic prescribing Quality and Safety in Health Care, 20, pp. 764-772. (doi:10.1136/bmjqs.2010.049049). (PMID:21441602).

More information

Accepted/In Press date: 5 February 2011
Published date: 21 March 2011
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 181311
URI: http://eprints.soton.ac.uk/id/eprint/181311
ISSN: 1475-3898
PURE UUID: 5b4b5706-8a8a-4b2c-8154-81019500e3d3

Catalogue record

Date deposited: 14 Apr 2011 10:16
Last modified: 18 Jul 2017 11:59

Export record

Altmetrics

Contributors

Author: Niels Adriaenssens
Author: Samuel Coenen
Author: Sarah Tonkin-Crine
Author: Theo J.M. Verheij
Author: Paul Little
Author: Herman Goossens

University divisions


Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×