6 5 Cellulitis/ 759 74.7 24.8 0.5 Erysipelas 7 20 Appendicitis 159 76.7 22.6 0.6 8 9 Wound infection: 369 74.5 21.4 4.1 surgical 9 10 Pneumonia: 362 77.1 21.3 1.7 aspiration 10 8 Hospital-acquired 401 77.8 21.2 1.0 pneumonia 11 17 Abscess 190 77.9 19.5 2.6 12 6 Sepsis: empiric 563 80.8 17.1 2.1 therapy 13 15 Diverticulitis 219 85.8 14.2 0.0 14 14 Osteomyelitis 249 81.9 13.3 4.8 15 18 Sepsis: 188 87.2 12.8 0.0 bacteraemia 16 19 Diabetic infection 169 88.2 11.2 0.6 (including foot) 17 12 Sepsis: 261 89.7 10.0 0.4 bacteraemia 18 13 Febrile 258 92.6 6.6 0.8 neutropenia 19 3 Medical 1320 89.9 6.4 3.6 prophylaxis (bacterial, viral and fungal) 20 11 Oral candidiasis 332 89.8 5.7 4.5 COPD = chronic obstructive pulmonary disease a Rank in the 20 most common indications, where 1 is the most common Source: National Antimicrobial Prescribing Survey, 2014 How appropriate is antibacterial use in the community? The NPS MedicineWise MedicineInsight program data showed that around 30% of people prescribed an antibacterial had an indication recorded for it in their medical record. Of these people, more than half of those who had colds and other upper respiratory tract infections were prescribed an antibacterial where none was indicated. Many people with acute tonsillitis, acute or chronic sinusitis, acute otitis media or acute bronchitis were prescribed an antibacterial even when such prescribing is either not recommended by or is not in line with Therapeutic Guidelines: Antibiotic recommendations (see Table 7). For example, 91% of people were prescribed an antibacterial for acute
6 5 Cellulitis/ Erysipelas 759 74.7 24.8 0.5 7 20 Appendicitis 159 76.7 22.6 0.6 8 9 Wound infection: surgical 369 74.5 21.4 4.1 9 10 Pneumonia: aspiration 362 77.1 21.3 1.7 10 8 Hospital-acquired pneumonia 401 77.8 21.2 1.0 11 17 Abscess 190 77.9 19.5 2.6 12 6 Sepsis: empiric therapy 563 80.8 17.1 2.1 13 15 Diverticulitis 219 85.8 14.2 0.0 14 14 Osteomyelitis 249 81.9 13.3 4.8 15 18 Sepsis: bacteraemia 188 87.2 12.8 0.0 16 19 Diabetic infection (including foot) 169 88.2 11.2 0.6 17 12 Sepsis: bacteraemia 261 89.7 10.0 0.4 18 13 Febrile neutropenia 258 92.6 6.6 0.8 19 3 Medical prophylaxis (bacterial, viral and fungal) 1320 89.9 6.4 3.6 20 11 Oral candidiasis 332 89.8 5.7 4.5 COPD = chronic obstructive pulmonary disease a Rank in the 20 most common indications, where 1 is the most common Source: National Antimicrobial Prescribing Survey, 2014 How appropriate is antibacterial use in the community? The NPS MedicineWise MedicineInsight program data showed that around 30% of people prescribed an antibacterial had an indication recorded for it in their medical record. Of these people, more than half of those who had colds and other upper respiratory tract infections were prescribed an antibacterial where none was indicated. Many people with acute tonsillitis, acute or chronic sinusitis, acute otitis media or acute bronchitis were prescribed an antibacterial even when such prescribing is either not recommended by or is not in line with Therapeutic Guidelines: Antibiotic recommendations (see Table 7). For example, 91% of people were prescribed an antibacterial for acute
Antibacterial-Use-in-Australia.docx