Point prevalence survey shows 43.7% of patients received antimicrobials in Kaliningrad hospitals, indicating gaps in justification and documentation standards.
To improve the practice of use antimicrobial drugs (AMD) it is necessary to conduct point prevalence surveys with a certain frequency, draw up an individual plan for correcting deficiencies and monitor the effectiveness of implemented measures. Materials and methods: Global Point Prevalence Survey (Global-PPS) was conducted on September-December 2021 in three hospitals in Kaliningrad. Were studied the class of AMD, the empirical or targeted use of antimicrobials, the compliance of the prescription with the results of microbiological research and clinical recommendations. Results: AMD was received by 43.7 % of patients. The most frequently prescribed class of AMD was cephalosporins of the third generation. The most frequent biomarkers of bacterial infection were C-reactive protein and blood leukocytosis. From 0 to 8.5 % of patients received an antimicrobial drug as a targeted therapy. The medical records do not always contain a justification for the prescription of AMD, and there is often no documentation of the timing of cancellation/change of AMD.
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Tsapkova et al. (2025) studied this question.
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