Antibiotic stewardship: volume of antibiotic prescribing

Below are the database queries which are used to create this measure. These are run against a copy of the BSA prescribing data which we store in Google BigQuery. We're working on making our BigQuery tables publicly available at which point it will be possible to run and modify these queries yourself. But even where code and database queries are not directly useable by others we believe it is always preferable to make them public.

Description Prescription items for all oral antibacterial drugs (excluding antituberculosis drugs and antileprotic drugs) per 1000 patients
Why it matters Antibiotics play a critical role in modern medicines, as both a treatment of common infections and for the prevention of infections, for example in patients undergoing surgery or chemotherapy. Antimicrobial resistance therefore poses a significant threat to public health. To help slow the development of resistance it is important that antiobiotics aren't overused.
Tags Antimicrobial Stewardship, Standard, Infections, NICE
Implies cost savings No
Authored by christopher.wood
Checked by richard.croker
Last reviewed 2024-08-05
Next review due 2026-08-05
History View change history on GitHub →

Numerator SQL

SELECT
     CAST(month AS DATE) AS month,
     practice AS practice_id,
     SUM(items) AS numerator
 FROM hscic.normalised_prescribing
 WHERE bnf_code IN ("0501011P0AAADAD", "0501011P0AAAFAF", "0501011P0AAAJAJ", "0501011P0AAARAR", "0501011P0AAASAS", "0501012G0AAAAAA", "0501012G0AAABAB", "0501012G0AAAFAF", "0501012G0AAAGAG", "0501012G0AAAPAP", "0501012G0AAAQAQ", "0501012G0BBABAB", "0501012H0AAAAAA", "0501012H0AAABAB", "0501012H0BBAAAA", "0501012H0BBABAB", "0501013B0AAAAAA", "0501013B0AAABAB", "0501013B0AAAHAH", "0501013B0AAAIAI", "0501013B0AAAJAJ", "0501013B0AAAKAK", "0501013B0AAASAS", "0501013B0AAATAT", "0501013B0AAAUAU", "0501013B0AAAVAV", "0501013B0BCAAAA", "0501013B0BCABAB", "0501013B0BCAEAS", "0501013B0BCAFAT", "0501013B0BCAGAI", "0501013B0BCAIAH", "0501013E0AAAAAA", "0501013E0AAABAB", "0501013E0AAAEAE", "0501013E0AAAFAF", "0501013K0AAAAAA", "0501013K0AAABAB", "0501013K0AAADAD", "0501013K0AAAGAG", "0501013K0AAAHAH", "0501013K0AAAIAI", "0501013K0AAAJAJ", "0501013K0AAAKAK", "0501013K0AAANAN", "0501013K0BBAAAA", "0501013K0BBAJAD", "0501013K0BBAKAG", "0501013K0BBALAJ", "0501013K0BBAMAK", "0501013L0AAAAAA", "0501013L0AAADAD", "0501015P0AAABAB", "0501015P0AAACAC", "0501015P0BBABAB", "0501021A0AAAAAA", "0501021A0AAABAB", "0501021A0AAACAC", "0501021A0AAAEAE", "0501021A0AAAGAG", "0501021A0AAAJAJ", "0501021A0AAAKAK", "0501021A0BBABAB", "0501021A0BBACAC", "0501021A0BBADAE", "0501021A0BBAEAG", "0501021B0AAAAAA", "0501021B0AAACAC", "0501021C0AAAAAA", "0501021C0AAACAC", "0501021C0BBAAAA", "0501021K0AAAAAA", "0501021K0AAABAB", "0501021K0AAACAC", "0501021K0BBAAAA", "0501021K0BBABAB", "0501021K0BBACAC", "0501021L0AAAAAA", "0501021L0AAABAB", "0501021L0AAACAC", "0501021L0AAADAD", "0501021L0AAAEAE", "0501021L0AAAGAG", "0501021L0AAAHAH", "0501021L0AAANAN", "0501021L0AAAPAP", "0501021L0BCAAAA", "0501021L0BCABAB", "0501021L0BCACAG", "0501021L0BCADAH", "0501021L0BCAEAC", "0501021L0BCAFAD", "0501021M0AAAAAA", "0501021M0AAABAB", "0501021M0BCAAAA", "0501021M0BCABAB", "0501030F0AAAAAA", "0501030F0AAAFAF", "0501030F0AAAGAG", "0501030F0AAAIAI", "0501030F0AAAJAJ", "0501030I0AAAAAA", "0501030I0AAABAB", "0501030I0AAAHAH", "0501030I0AAAKAK", "0501030I0AAALAL", "0501030I0AAAMAM", "0501030I0BCAAAB", "0501030I0BCABAA", "0501030L0AAABAB", "0501030L0BBABAB", "0501030P0AAAAAA", "0501030P0AAABAB", "0501030P0AAACAC", "0501030P0AAADAD", "0501030P0AAAEAE", "0501030P0BBACAC", "0501030P0BDABAE", "0501030P0BHAAAC", "0501030P0BHABAC", "0501030T0AAAJAJ", "0501030T0AAAPAP", "0501030T0BIAAAJ", "0501030V0AAAAAA", "0501030V0AAAFAF", "0501030V0AAARAR", "0501030Z0AAAAAA", "0501030Z0AAABAB", "0501030Z0BBAAAA", "0501030Z0BCAAAB", "0501040H0AAAWAW", "0501040H0AAAYAY", "0501040N0AAADAD", "0501040U0AAAHAH", "0501050A0AAAAAA", "0501050A0AAABAB", "0501050A0AAADAD", "0501050A0AAAGAG", "0501050A0AAAHAH", "0501050A0BBAAAA", "0501050A0BBABAB", "0501050A0BBADAD", "0501050B0AAAAAA", "0501050B0AAABAB", "0501050B0AAADAD", "0501050B0AAAEAE", "0501050B0AAAFAF", "0501050B0AAAHAH", "0501050B0AAAKAK", "0501050B0BBAAAA", "0501050B0BBABAB", "0501050B0BBADAD", "0501050B0BBAEAE", "0501050B0BBAFAF", "0501050B0BBAHAH", "0501050B0BEAAAE", "0501050B0BHAAAE", "0501050C0AAABAB", "0501050C0AAAKAK", "0501050C0BCAAAK", "0501050C0BKAAAK", "0501050C0BLAAAK", "0501050H0AAAAAA", "0501050H0AAABAB", "0501050H0AAACAC", "0501050H0AAAEAE", "0501050H0AAALAL", "0501050H0AAAMAM", "0501050H0AAANAN", "0501050H0BDAIAE", "0501050H0BDAMAM", "0501050H0BDANAL", "0501050H0BDAPAN", "0501050N0AAAAAA", "0501050N0AAABAB", "0501050N0BBAAAA", "0501050N0BBABAB", "0501050N0BCAAAA", "0501050N0BCABAB", "0501060D0AAAAAA", "0501060D0AAABAB", "0501060D0AAAEAE", "0501060D0AAAGAG", "0501060D0AAAHAH", "0501060D0AAAIAI", "0501060D0AAAJAJ", "0501060D0AAAMAM", "0501060D0AAANAN", "0501060D0AAAPAP", "0501060D0AAAQAQ", "0501060D0AAASAS", "0501060D0AAATAT", "0501060D0BBAAAA", "0501060D0BBABAB", "0501070ABAAAAAA", "0501070ABAAABAB", "0501070ACAAAAAA", "0501070ACAAABAB", "0501070ACBBAAAA", "0501070ACBBABAB", "0501070AEAAADAD", "0501070AEBBADAD", "0501070AEBDAAAD", "0501070F0AAAAAA", "0501070M0AAAAAA", "0501070M0BBAAAA", "0501070N0AAADAD", "0501070N0BBAAAD", "0501070T0AAAAAA", "0501070T0AAABAB", "0501070T0AAACAC", "0501070T0AAADAD", "0501070T0BBAAAA", "0501070T0BBABAB", "0501070U0AAAAAA", "0501070U0AAABAB", "0501070U0AAACAC", "0501070U0AAAFAF", "0501070U0AAAHAH", "0501070U0AAAKAK", "0501070U0AAALAL", "0501070U0BBAAAA", "0501070U0BBADAC", "0501070U0BBAEAF", "0501070W0AAAAAA", "0501070W0AAABAB", "0501070W0BBAAAA", "0501070W0BBACAB", "0501070X0AAAAAA", "0501070X0AAABAB", "0501070X0AAACAC", "0501070X0BCAAAA", "0501070X0BEAAAB", "0501070Z0AAAAAA", "0501080D0AAACAC", "0501080D0AAAEAE", "0501080D0AAAHAH", "0501080D0AAAJAJ", "0501080D0BGAAAH", "0501080D0BGACAJ", "0501080D0BGAFAC", "0501080J0AAABAB", "0501080J0AAAHAH", "0501080V0AAADAD", "0501080V0BDABAD", "0501080W0AAADAD", "0501080W0AAAEAE", "0501080W0AAAIAI", "0501080W0AAAMAM", "0501080W0AAAQAQ", "0501080W0BCACAI", "0501080W0BGABAE", "0501080W0BHAAAD", "0501080W0BHABAE", "0501110C0AAAEAE", "0501110C0AAAIAI", "0501110C0AAAJAJ", "0501110C0AABHBH", "0501110C0AABLBL", "0501110C0AABQBQ", "0501110C0AABTBT", "0501110C0BCAAAI", "0501110C0BCABAJ", "0501110C0BCAIAE", "0501110G0AAABAB", "0501110G0BBAAAB", "0501120L0AAAAAA", "0501120L0AAAFAF", "0501120L0AAAGAG", "0501120L0AAAJAJ", "0501120L0AAAUAU", "0501120L0AABGBG", "0501120L0BBAAAA", "0501120L0BBABAF", "0501120L0BBADAJ", "0501120L0BBAJBG", "0501120P0AAAAAA", "0501120P0AAABAB", "0501120P0BBAAAA", "0501120P0BBACAB", "0501120Q0AAAAAA", "0501120Q0BBAAAA", "0501120X0AAAAAA", "0501120X0AAABAB", "0501120Y0AAAAAA", "0501120Y0BBAAAA", "0501130H0AAAAAA", "0501130H0BBAAAA", "0501130R0AAAAAA", "0501130R0AAABAB", "0501130R0AAACAC", "0501130R0AAADAD", "0501130R0AAAEAE", "0501130R0AAAGAG", "0501130R0AAAJAJ", "0501130R0AAAMAM", "0501130R0AAANAN", "0501130R0AAARAR", "0501130R0AAATAT", "0501130R0AAAUAU", "0501130R0AAAVAV", "0501130R0AABEBE", "0501130R0AACMCM", "0501130R0BBAAAD", "0501130R0BBACAC", "0501130R0BCAAAA", "0501130R0BCABAB", "0501130R0BGAAAG", "0501130R0BHAAAE", "0501130R0BHABAD", "0501130S0AAAAAA", "0501130S0BBAAAA")
 GROUP BY month, practice_id

Denominator SQL

SELECT
     CAST(month AS DATE) AS month,
     practice AS practice_id,
     SUM(total_list_size / 1000.0) AS denominator
 FROM hscic.practice_statistics
 GROUP BY month, practice_id
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