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PPS audit allows the hospital to measure changes in practice and determine the
impact of interventions.

Example of Point Prevalence Survey Forms & Work Process (Appendix 4)
Example of Point Prevalence Survey User Manual & Assessment Tool – Google
Drive link:
https://drive.google.com/drive/folders/1rRhsRQKW8XHNATDKrispuxekWwCUaLo9?usp= sharing

1.2.3 Surgical Antibiotic Prophylaxis (SAP) Audit
Surgical antibiotic prophylaxis is the use of antibiotic before a surgical procedure
to reduce the risk of post-operative surgical site infections (SSI). However, if
administered inappropriately, antibiotic prophylaxis will not be effective and may
be harmful. An audit can be done to monitor and measure inappropriate use of
antibiotics (antibiotic necessity, antibiotic selection, time of administration and
duration) for surgical prophylaxis.

Table 1. Common concerns of antimicrobial prescribing practice that can be targeted

Areas of Concern Description
Overprescribing Antibiotics are prescribed when not needed, e.g. fever without
evidence of infection, asymptomatic urinary tract
colonization, viral infections, malaria, and inflammatory
conditions.

Broad-spectrum More broad-spectrum antibiotics are prescribed than are
necessary (e.g. surgical prophylaxis).

Unnecessary Multiple antibiotics are used, particularly with overlapping
combination therapy, spectra and in combinations that have not been shown to
including certain fixed improve clinical outcomes.
dose combinations

Wrong antibiotic Wrong antibiotic(s) are prescribed for particular indications/
choice infections.

Wrong dose Antibiotics are prescribed with the wrong dose (overdosing or
underdosing).

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