Assessing retrospective data in antibiotic stewardship programs (ASP) at Hospital Kajang, Selangor / Nurhidayah Mohd Razif

Introduction: Antibiotic Stewardship Program (ASP) is systematic program that reduce expenditure of drugs, prevent medication errors and enhance therapeutic outcomes. Locally, there is no recent study that has been conducted to describe the pattern of prescribing antibiotic by physicians after the implementation of ASP.
Aim: The aims of this study are to observe the trend of antibiotic usage in Hospital Kajang in terms of types of antibiotics, systems involved in the diagnosis of infection, indication of antibiotics and its diagnosis, dosage adjustment, proportion of patient using antibiotic more than 4 days and proportion of patient who convert to oral antibiotic from parenteral antibiotic dosage form. This study also aims to identify the percentage of antibiotic order forms being completely filled by the prescriber.
Method: Retrospective data was collected from January 2014 to Jun 2014. Data from Antibiotic Order Forms were collected from the Inpatient Pharmacy, Hospital Kajang.
Results: The Antibiotic Order Form of 1958 admitted patients were reviewed. Majority of the used antibiotic is Ceftriaxone (43.8%). Respiratory system, 175(38.7%) ranked as the most frequent use of system in ASP. There are 63(92.6%) renal impairment patient who had their antibiotic dose adjusted. There were only 452(23.3%) out of 1936 forms were completely filled and available for analysis.
Conclusion: The highest usage antibiotic in this program is Ceftriaxone and it is recommmended by National Antibiotic Guideline 2008 as first line treatment for infection in Intensive Care Unit. Majority of physician were aware of dose alterations of ASP antibiotic except for Ceftriaxone. However, the compliance of physicians towards this program is poor as low percentages of completely filled Antibiotic Order Form by the prescribers.