A Closed Loop Two Cycle Audit Assessing the Prescription Practice of Topical Antibiotics for Acute Infective Conjunctivitis in a Primary Care Department
Journal Title: Journal of Clinical Medical Research - Year 2022, Vol 4, Issue 1
Abstract
Background: The implementation of guideline recommendations for antibiotics prescription for the management of patients with Acute Infective Conjunctivitis (AIC) in primary care departments remains below par. Objectives: To assess the impact of clinical audit on adherence to evidence-based indications for prescription of antibiotic eye drops in patients diagnosed with AIC, in the setting of a primary care practice in western Greece. Methods: This was a closed loop two cycle audit to evaluate the current prescription practice of antibiotics for the managements of AIC. Following evidence-based indications for the prescription of antibiotics in AIC through literature search, and in combination with discussion and collaboration with the primary care doctors of our department, we formulated and implemented guidelines for the management of AIC. In the second cycle of the audit we assessed the management of patients with AIC after local implementation of the guidelines. Results: A total of 191 cases were audited in the first cycle before the introduction of the guidelines, from 15th June 2019 to 7th March 2020, and 140 cases after, from 10th March 2020 to 20th November 2020. The compliance with the guidelines regarding antibiotics prescription was significantly improved from 12.0% to 84.6% between the first and the second cycles of audit. Conclusion: In this study, clinical audit with locally introduction of guidelines significantly improved the prescription practice of topical antibiotics in patients with AIC in a primary care department.
Authors and Affiliations
Andreas Katsimpris, Nafsika Voulgari, Nikolaos Georgiadis, Stylianos Kandarakis
Keywords
Related Articles
- EP ID EP711902
- DOI http://dx.doi.org/10.46889/JCMR.2023.4101
- Views 61
- Downloads 0
To Mask or Not to Mask Correctly: An Empirical Look at Public Masking Behavior
Introduction: Mask usage was mandated by public health authorities globally to decrease the spread of COVID-19. These recommendations were based on data showing that N95 masks and possibly surgical masks, when worn tight...
Low-Dose Oral Therapy of Pyridostigmine for the Treatment of Severe Side Effects from Botulinum Toxin Injection
Botulinum toxin is a potent neurotoxin that causes flaccid paralysis of muscles by blocking the release of acetylcholine at the neuromuscular junction, thus preventing muscle contraction. Injecting the toxin is a cosmeti...
Incremental Increases in Non-Exercise Estimated Fitness Reduce Subsequent Depressive Symptoms
The purpose of this observational retrospective cohort study was to examine the association between non-exercise estimated Cardiorespiratory Fitness (eCRF) and incident depressive symptoms. A total of 14,431 participants...
Effect of Early Administration of Oropharyngeal Colostrum in Reducing Late Onset Neonatal Sepsis
Background: Early administration of colostrum by oropharyngeal route plays a tremendous role in preventing mortality and morbidity in preterm infants. The objective of this study was to determine if oropharyngeal adminis...
The Use of Intra-Operative Brilliance Amplifier by Novice Surgeons to Improve Bone Tunnels Placement in Anterior Cruciate Ligament Reconstruction during Residency Curriculum: Useful or Not?
Objective: Our objective was to evaluate the contribution of the use of intra-operative fluoroscopy on tunnels positioning during the Anterior Cruciate Ligament (ACL) reconstruction. Methods: Between January 2020 and...