| People in ARC dispensed an antibiotic specifically indicated for UTIs, rate per 100 |
This measure details the rate per 100 of people listed in ARC dispensed an antibiotic specifically indicated for urinary tract infections (UTIs). Nitrofurantoin or trimethoprim are recommended as first-line treatment for UTIs. Norfloxacin is second-line treatment. The rationale for this measure is to explore the use of antibiotics for UTIs, with a view identifying whether there are areas of high use of these antibiotics. |
Pharmaceutical Collection (PHARMS), PHO Enrolment Collection, Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| People dispensed an antibiotic specifically indicated for urinary tract infections, rate per 100 |
This measure details the rate per 100 of people dispensed an antibiotic specifically indicated for urinary tract infections (UTIs). Nitrofurantoin or trimethoprim are recommended as first-line treatment for UTIs. Norfloxacin is second-line treatment. The rationale for this measure is to explore the use of antibiotics for UTIs, with a view to identifying whether there are areas of high use of these antibiotics. |
Pharmaceutical Collection (PHARMS), PHO Enrolment Collection, Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| People dispensed a topical antibiotic in a year, rate per 100 |
This measure details the rate per 100 people dispensed a topical antibiotic in a year. Topical antibiotics have few indications while good skin hygiene and topical antiseptics such as hydrogen peroxide or povidone iodine are recommended for treating localised or minor skin infections, including impetigo. In Aotearoa New Zealand, increasing use of topical fusidic acid has occurred concurrently with increasing fusidic acid resistance. For this reason, it is recommended that the use of topical antibiotics is limited. |
Pharmaceutical Collection (PHARMS), PHO Enrolment Collection, Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| Surgical hospital admissions with an antibiotic dispensed within 30 days of discharge, rate per 100 |
This measure details the rate per 100 of surgical hospital admission with an antibiotic dispensed within 30 days of discharge. It is recommended that, along with good infection control, antibiotics be prescribed only when needed, with the narrowest spectrum of antimicrobial activity. It is not best practice for antibiotics to be administered routinely postoperatively. The National Institute for Health and Care Excellence recommends antibiotics be used only in cases where infection is clinically evident. Previous research in Aotearoa New Zealand concluded a significant proportion of antibiotics dispensed in patients discharged following surgery was inappropriate and recommended enhanced antimicrobial stewardship in this area. |
Pharmaceutical Collection (PHARMS), National Minimum Dataset (NMDS), Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| Seasonal variation in community systemic antibiotic dispensing, percent |
This measure shows the percentage of seasonal variation in community systemic antibiotic dispensing. While bacterial infections increase during winter, increased prescribing in winter may suggest antibiotics are also being used to treat viral respiratory infections. This may represent an opportunity to optimise antibiotic use. |
Pharmaceutical Collection (PHARMS), PHO Enrolment Collection, Ministry of Health, New Zealand Resident Population - Stats NZ |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| People dispensed a broad-spectrum penicillin as a percent of all people dispensed a penicillin |
This measure details the number of people dispensed a broad-spectrum penicillin as a percentage of all people dispensed a penicillin. Broad-spectrum antibiotics are associated with antimicrobial resistance and are generally recommended only for certain indications. The other penicillins are classed as narrow spectrum. This measure calculates amoxicillin or amoxicillin with clavulanic acid use as a percent of total penicillin dispensing. Wide regional variation in the use of amoxicillin or amoxicillin with clavulanic acid might highlight areas for improvement. |
Pharmaceutical Collection (PHARMS), PHO Enrolment Collection, Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| Medical hospital admissions with an antibiotic dispensed within 30 days of discharge, rate per 100 |
This measure details the rate per 100 of medical hospital admission with an antibiotic dispensed within 30 days of discharge. It is recommended that, along with good infection control, antibiotics be prescribed only when needed, with the narrowest spectrum of antimicrobial activity. Previous research in Aotearoa New Zealand concluded a significant proportion of antibiotics prescribed to patients discharged following surgery was inappropriate and recommended enhanced antimicrobial stewardship in this area. It appears there may be a similar pattern in medical patients. |
Pharmaceutical Collection (PHARMS), PHO Enrolment Collection, Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| People in ARC dispensed one or more systemic antibiotics in a year, rate per 100 |
This measure details the rate per 100 people listed in aged residential care (ARC) dispensed one or more systemic antibiotics in a year. Research in Aotearoa New Zealand has found higher rates of community antibiotic use for older people in general and especially high rates for people living in ARC due to multimorbidity and frailty. Higher rates of antibiotic-resistant organisms are also found in ARC residents. |
Pharmaceutical Collection (PHARMS), Aged Residential Care (ARC) Funding, PHO Enrolment Collection, Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| People dispensed one or more systemic antibiotics in a year, rate per 100 |
This measure details the rate per 100 people dispensed one or more systemic antibiotics in a year. Research in Aotearoa New Zealand has found high rates of community antibiotic use with up to 95 percent of all antibiotics dispensed in the community, compared with 5 percent in hospital. This raises questions on the appropriateness of prescribing. |
Pharmaceutical Collection (PHARMS), PHO Enrolment Collection, Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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| People dispensed amoxicillin with clavulanic acid one or more times in a year, rate per 100 |
This measure details the rate per 100 people dispensed amoxicillin with clavulanic acid one or more times in a year. Amoxicillin with clavulanic acid is a broad-spectrum antibiotic. Broad-spectrum antibiotics are associated with antimicrobial resistance and are generally recommended only for specific indications. |
Pharmaceutical Collection (PHARMS), PHO Enrolment Collection, Ministry of Health |
Health Quality & Safety Commission | Te Tāhū Hauora |
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