Clinical_Audit_Presentation.pptx on antibiotic use

audit presentation on antibiotic stewardship: antibiotics to be taken after cultures done

1. CLINICAL AUDIT

2. CLINICAL AUDIT Anticipating Cure: Blood and Urine Cultures Before Starting Antibiotics Patients Admitted in Medical Wards (A & B) from Emergency Department at Lady Reading Hospital MTI, Peshawar

3. Authors Medical B Ward Dr Muhammad Hamza Khan Dr Leena Ali Dr Syed Mahnoor Dr Abdur Rehman Dr Hamza Ajmal Supervisor: Dr Salma Zeb Head of Department: Prof Dr Yaseen Khan Medical A Ward Dr NajeebUllah Dr Saad Ur Rehman Dr Laiba Ahmed Dr Abdurrahman Qazi Head of Department: Associate Prof Dr Atta Muhammad Khan

4. Introduction Blood and urine cultures are essential in diagnosing severe bloodstream and urinary tract infections, guiding the appropriate use of antibiotics. Adherence to guidelines set by the Infectious Diseases Society of America (IDSA) is critical for ensuring timely and accurate treatment. However, compliance with these guidelines can vary, impacting patient care quality.

5. Objective This clinical audit aimed to evaluate adherence to IDSA guidelines regarding the collection of blood and urine cultures before starting antibiotic therapy in patients admitted from the Emergency Department to Medical Wards (A & B) at Lady Reading Hospital, Peshawar.

6. Methods A retrospective analysis was conducted on 200 patients, split into two groups: 100 for blood cultures and 100 for urine cultures. These patients were admitted to the Medical Wards (A & B) after initial admission to the Emergency Department. The audit compared the practices observed against the IDSA guidelines, with a target of 100% compliance.

7. Results In the first audit cycle, adherence was notably low, with only 10% of patients receiving the required blood cultures and 2% receiving urine cultures before antibiotic administration. However, after implementing targeted interventions, the second cycle showed a significant improvement, achieving 100% compliance for both blood and urine cultures.

8. Interventions To address the gaps identified in the first cycle, workshops were conducted to educate healthcare providers on the importance of following IDSA guidelines. The guidelines were also integrated into clinical protocols within the Emergency and Medical Wards, ensuring consistent application across departments.

9. Audit Cycle Blood Cultures Compliance (%) Urine Cultures Compliance (%) First Cycle 10% 2% Second Cycle 100% 100%

10. Conclusion The audit highlighted a critical gap in adherence to IDSA guidelines, which was successfully addressed through targeted interventions. The improvements observed in the second audit cycle underscore the importance of continuous education and protocol integration in enhancing patient care and ensuring compliance with evidence-based practices.