Has primary care antimicrobial use really been increasing? Comparison of changes in different prescribing measures for a complete geographic population 1995-2014

Objectives To elucidate how population trends in total antimicrobials dispensed in the community translate into individual exposure. Methods Retrospective, population-based observational study of all antimicrobial prescribing in a Scottish region in financial years 1995, 2000 and 2005–14. Analysis of temporal changes in all antimicrobials and specific antimicrobials measured in: WHO DDD per 1000 population; prescriptions per 1000 population; proportion of population with ≥1 prescription; mean number of prescriptions per person receiving any; mean DDD per prescription. Results Antimicrobial DDD increased between 1995 and 2014, from 5651 to 6987 per 1000 population [difference 1336 (95% CI 1309–1363)]. Prescriptions per 1000 fell (from 821 to 667, difference –154, –151 to –157), as did the proportion prescribed any antimicrobial [from 39.3% to 30.8% (–8.5, –8.4 to –8.6)]. Rising mean DDD per prescription, from 6.88 in 1995 to 10.47 in 2014 (3.59, 3.55–3.63), drove rising total DDD. In the under-5s, every measure fell over time (68.2% fall in DDD per 1000; 60.7% fall in prescriptions per 1000). Among 5–64 year olds, prescriptions per 1000 were lowest in 2014 but among older people, despite a reduction since 2010, the 2014 rate was still higher than in 2000. Trends in individual antimicrobials provide some explanation for overall trends. Conclusions Rising antimicrobial volumes up to 2011 were mainly due to rising DDD per prescription. Trends in dispensed drug volumes do not readily translate into information on individual exposure, which is more relevant for adverse consequences including emergence of resistance.PostprintPeer reviewe

Covid 19 Accident and Emergency Statistics

Abstract Contains data on episode level new and unscheduled attendances at Emergency Departments and some smaller community hospitals and minor injury units (MIUs). Contact [email protected]

Adverse positioning in mammography - observations of imaging features

This dataset consists of observations of mammographic images, plus three relevant variables used in the validation process for the measure of adverse positioning we developed based on the dataset. An expert observer generated the primary data by reviewing mammographic images to judge the presence or absence of a set of features developed through theory and consultation with other experts. The data can be reused by anyone wishing to learn and practice psychometric validation techniques, for example using the Rasch Measurement Theory approach described in the two journal articles that are associated with this dataset. The data can also form a starting-point for researchers wishing to build on our preliminary measure for the assessment of mammographic clinical image quality

Tayside & Fife Radiology

Abstract Extracts from local health board Radiology Information System (RIS). - covers all patients in the health boards who attend hospital for radiology exams, and includes booking system information, imaging modality, body part and text based radiology report. Documentation Data for Tayside starts in 1994 and for Fife 2008. Contact [email protected] for more informatio

Prescribing

Abstract Community-dispensed primary care prescription data. Documentation Primary care prescriptions for patients in the Tayside and Fife regions in Scotland. The data contains granular information such as drug strength, unit and dose. Tayside 1989 – Current; Fife 2009 – onwards. The data is coded using the BNF standard but can also be provided with SNOMED/DM+D codes, or in the OMOP format. Contact [email protected] for more informatio

NHS Tayside and Fife Haematology

Abstract NHS Tayside and Fife labs Haematology data. Documentation This data is provided in a format based upon the SCI-Store system. SCI-Store is a data repository which retains patient laboratory test result information at a health board level. Data prior to 2007 for Tayside has been transformed to fit this structure. Fife data starts in 2005 and all originates from SCI-Store. There is earlier data available for Fife. Contact [email protected] for more informatio

Covid-19 Tests

Abstract Covid 19 Test Results Documentation Health Protection Scotland (HPS), part of Public Health Scotland (PHS), is leading the Enhanced Surveillance of COVID-19 in Scotland (ESoCiS) programme on behalf of Scottish Government gathering a wide variety of data about COVID-19 from a range of sources, to learn more about the virus and gain an understanding of how it is spreading through the population in Scotland. Data is via ECOSS (health protection system) and the Test and Protect datasets. NHS Digital have been providing a feed of the UK Gov data into NSS IT which then populates the systems for a full picture. Contact [email protected] for more informatio

NHS Tayside Virology

Abstract Scottish laboratory data covering virology tests from the Tayside regions. Documentation This covers lab tests for a large variety of virus antigen and antibody data, including covid19 from 2010 onwards. Contact [email protected] for more informatio

NHS Tayside and Fife Immunology

Abstract NHS Tayside and NHS Fife laboratory data. Documentation This data is provided in a format based upon the SCI-Store system. SCI-Store is a data repository which retains patient laboratory test result information at a health board level. Data prior to 2007 for Tayside has been transformed to fit this structure. Fife data starts in 2005 and all originates from SCI-Store. There is earlier data available for Fife. Contact [email protected] for more informatio