HINDU MISSION HOSPITAL 103, GST Road, Tambaram,Chennai, Tamil Nadu- 600045. Anti iotic Prescription and Usage Audit 'D ‘Area : Ward ‘Total number of inpatient beds at the facility: 2. © Does the Doctor document in the medical record a dose and duration forall antibiotic ures UNo prescriptions? wives UNo Does the Doctor document in the medical record an indication for each ai prescription? Does the Doctor collect and submit relevant clinical specimens before an antibiotic is és UNo prescribed? re =, Does the Doctor prescribe antibiotic by its generic name UYes Hie | | Are the Doctor reviewing the appropriateness of all empiric antibiotics 48 hoursafter the tial orders? Do specified antibiotic agents (e.g, colistin, carbapenems) need to be approved by a senior physician, pharmacologist, or infectious disease specialist prior to administration (i.e.,pre- | LI) Yes UNG” ithorization) at your facility? ‘Ace intravenous to oral antibiotic therapy in appropriate situations (e.g., switch to an nats appropriate antibiotic with good oral bioavailability are followed such as a SLs quinolone in the setting of clinical improvement)? Dose adjustments in cases of organ dysfunction? fés No Dose optimization (pharmacokinetics/pharmacodynamics) for treatment of organisms with | yo reduced susceptibility? ‘ a | Feedback in situations where therapy might be unnecessarily duplicative (e., double rivets erage}? Time-sensitive stop orders for specified antibiotics (e.g. col in, carbapenems, su LYes UNo | prophylaxis to be stopped after a certain number of days)? | po Doctor follow written guidance for treatment of Community-acquired pneumonia | Wes 1 No l +HINDU MISSION HOSPITAL 103, GST Road, Tambaram,Chenn: Do Doctor follow written guidance for treatment of Healthcare-associated pneumonia Wes No Do Doctor follow written guidance for treatment of Community-acquired urinary tract ae Sno infection dias Do Doctor follow written guidance for treatment of Healthcare-associated urinary tract | Wes I No infection | Do Doctor follow written guidance for treatment of Skin and soft tissue infections eg. | LiYes UNo abscess, cellulitis) least byes UI No Do Surgeon follow written guidance for treatment of Surgical prophylaxis, Do Doctor follow written guidance for treatment of Acute gastrointestinal infections Do Doctor follow written guidance for treatment of Meningitis Do Doctor follow written guidance for treatment of Neonatal sepsis aie Uno ves wo uve) Une | Do Doctor follow written guidance for treatment of Clinical sepsis (non-neonates) Do Doctor follow written guidance for treatment of Maternal intrapartum/postpartum infections Remarks Based On the Antibiotic Policy, the overall compliance rate was “J % °/. Name: Dv Sages Nalhan pate: \s)g)24 wid UN a¥es ONo |