66-436 / Monitoring the consumption of antimicrobials in Slovenia

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
Ministry of health


Clinical risk management
Surveillance of Patient Safety
Infection control / Prevention of surgical site infections
GOP Description
Implementation level
Clinical settings
The GOP objective is to monitor antibiotic consumption in some wards in all types of Slovenian hospitals.
Clinical pharmacists
Clinical pharmacists send data about antibiotic consumption in some wards to the central data manager, where these data are adjusted to DDD comparable units. These data are then fed back to the hospitals.
Timeframe implementation
6 – 12 months
Implementation tools available
In the last decade we have developed ways of monitoring antibiotic consumption in some wards (surgery, internal medicine, gynaecology, paediatric and ICU) in all types of Slovenian hospitals. The data are available on the website and every hospital pharmacist who provided the data can see his or her own data and also compare themselves against average consumption in hospitals of the same size.
Implementation cost
IT costs for both ambulatory and hospital monitoring of antibiotic consumption are 16.000 EUR annually.
Method used to measure the results
The data for health care (consumption of antimicrobials) are expressed in DDD per 1000 inhabitants per day (DID).
The data for health care (consumption of antimicrobials) are expressed in DDD per 1000 inhabitants per day (DID) and are shown annually, and at the University medical centre Ljubljana also monthly.
National data on HC are also publicly available from www.si-map.org
Analysis of the results
Every hospital is since 2011 obliged to monitor the consumption of antimicrobials; this has become a quality indicator in health care. The data from hospital as a whole and from the 5 wards are collected by the end of January for the past year. The data are analysed by the National Antimicrobial Committee. Members of this Committee will subsequently audit the appropriateness of antimicrobial use (audits are already going on since 2013).
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
Nonparticipation of clinical pharmacists, management ignorance, unresponsiveness of doctors
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
Other information about the GOP that you would like to add (Link or attached document)
Hospitals are the epicentre of the development of bacterial resistance and the data on consumption of antimicrobials provide the basis for improving antibiotic prescribing, evaluating trends, interventions, bechmarking and correlation between antibiotic consumption and resistance.