Spanish adaptation of the Start Smart-Then Focus tool for optimizing the use of antimicrobials.
| Autor: | Gil-Navarro MV; Unidad Clínica de Farmacia, Instituto de Biomedicina de Sevilla (IBIS)/Hospital Universitario Virgen del Rocío, Sevilla. Spain.. mariav.gil.sspa@juntadeandalucia.es., Gutiérrez-Urbón JM; Servicio de Farmacia, Complejo Hospitalario Universitario La Coruña, La Coruña. Spain.. mariav.gil.sspa@juntadeandalucia.es., El Fahimi N; Servicio de Farmacia, United Lincolnshire Hospitals NHS Trust, United Kingdom.. mariav.gil.sspa@juntadeandalucia.es., Cisneros-Herreros JM; Unidad Clínica de Enfermedades infecciosas, Microbiología y Medicina Preventiva, Instituto de Biomedicina de Sevilla (IBIS)/Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Sevilla. Spain.. mariav.gil.sspa@juntadeandalucia.es. |
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| Jazyk: | angličtina |
| Zdroj: | Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria [Farm Hosp] 2021 Feb 22; Vol. 45 (2), pp. 82-88. Date of Electronic Publication: 2021 Feb 22. |
| DOI: | 10.7399/fh.11535 |
| Abstrakt: | Objective: The Start Smart-Then Focus tool of the United Kingdom's National Health System is a tool to be implemented in antimicrobial stewardship programs. The objective of this work is the adaptation of Start Smart-Then Focus tool to the Spanish health system. Method: Delphi methodology was used. Two rounds were conducted by email. In the first, a questionnaire was sent out that included the criteria of the tool. These criteria were independently assessed by 16 experts. They rated the suitability and applicability of each criterion on a scale from 1 to 9 and made free comments on each one. The tool was modified and sent out again to all the experts. They re-scored the questionnaire individually, while aware of the anonymized results of the first round. Results: The first questionnaire was made up of 19 indicators. Of these, 16 indicators had a median of more than 7 in suitability and applicability. However, regarding applicability, 3 indicators had a median of less than 7 and 10 had a minimum of less than 5. From the initial 19 indicators, we obtained 8 final indicators and 8 options were added to the sixth indicator. Conclusions: It would be very useful to implement the Spanish adaptation of the Start Smart-Then Focus tool in antimicrobial stewardship programs at a national level. It would also contribute to improving the use of antimicrobials. (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.) |
| Databáze: | MEDLINE |
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