Antibiotic use and irrational antibiotic prescriptions in 66 primary healthcare institutions in Beijing City, China, 2015–2018

Yumiti Taxifulati; Haishaerjiang Wushouer; Mengyuan Fu; Yue Zhou; Kexin Du; Xi Zhang; Yaoyao Yang; Bo Zheng; Xiaodong Guan; Luwen Shi

doi:10.1186/s12913-021-06856-9

August 18, 2021BMC Health Services ResearchOpen Access

Antibiotic use and irrational antibiotic prescriptions in 66 primary healthcare institutions in Beijing City, China, 2015–2018

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Key Points

To evaluate antibiotic prescription patterns and identify the frequency and nature of irrational antibiotic prescriptions within primary healthcare institutions in Beijing, China.
Retrospective review of prescription data from January 2015 to December 2018 across 66 primary healthcare institutions (7 community healthcare centers and 59 community healthcare stations) using the Beijing Prescription Reviewing System.
Screened 11,166,905 total records to extract a sample of 189,962 prescriptions, identifying 9,167 antibiotic prescriptions and clinically evaluating 7,531 of them for appropriateness.
The antibiotic prescription rate fell from 5.2% in 2015 to 4.1% in 2018, whereas the irrational antibiotic prescription rate increased from 10.4% to 11.8%.
Acute bronchitis was the most common indication (17.6%), followed by unspecified acute respiratory tract infections (14.4%), with cephalosporins, fluoroquinolones, and macrolides accounting for 89.3% of all antibiotic prescriptions.
Among 7,531 reviewed antibiotic prescriptions, 12.5% (939) were rated as irrational, with inappropriate antibiotic selection and incorrect dosage comprising 54.4% of all irrational cases.

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Implication

Retrospective study reveals declining antibiotic prescription rates but rising irrational prescribing in primary care clinics, highlighting the urgent need for targeted antimicrobial stewardship.

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Taxifulati et al. (2021) studied this question.

synapsesocial.com/papers/6a7712cef6b553d308ae3dea https://doi.org/10.1186/s12913-021-06856-9

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Antibiotic use and irrational antibiotic prescriptions in 66 primary healthcare institutions in Beijing City, China, 2015–2018

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Antibiotic use and irrational antibiotic prescriptions in 66 primary healthcare institutions in Beijing City, China, 2015–2018

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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