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Appropriateness of antimicrobial prescribing in a Swiss tertiary care hospital: a repeated point prevalence survey
Author(s) -
Nicolas Grtler,
Andrea Erba,
Cline Giehl,
Sarah TschudinSutter,
Stefano Bassetti,
Michael Osthoff
Publication year - 2019
Publication title -
schweizerische medizinische wochenschrift
Language(s) - English
Resource type - Journals
ISSN - 0036-7672
DOI - 10.4414/smw.2019.20135
Subject(s) - medicine , antimicrobial , antimicrobial stewardship , medical prescription , ceftriaxone , cephalosporin , antibiotic resistance , dosing , adverse effect , intensive care medicine , emergency medicine , antibiotics , pharmacology , chemistry , organic chemistry , microbiology and biotechnology , biology
Almost one third of prescriptions were inappropriate in our tertiary care centre despite local guidelines and an on-demand infectious diseases consultation service. Our results underscore the need for expanding current antimicrobial stewardship efforts, including national initiatives such as stewardship and prescribing guidelines, repeated surveys and identification of areas for improvement including timely intravenous to oral switches in order to reduce the consequences of inappropriate prescribing and of multidrug resistant organisms.

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