Impact of a Primary Care Antimicrobial Stewardship Program on Bacterial Resistance Control and Ecological Imprint in Urinary Tract Infections.

Autor: Jover-Sáenz, Alfredo, Ramírez-Hidalgo, María, Bellés Bellés, Alba, Ribes Murillo, Esther, Batlle Bosch, Meritxell, Cayado Cabanillas, José, Garrido-Calvo, Sònia, Gracia Vilas, María Isabel, Gros Navés, Laura, Javierre Caudevilla, María Jesús, Mari López, Alba, Montull Navarro, Lidia, Ortiz Valls, Mireia, Terrer Manrique, Gemma, Vaqué Castilla, Pilar, Ichart Tomás, José Javier, Justribó Sánchez, Elena, Andreu Mayor, Ester, Carrera Guiu, Joan, Martorell Solé, Roser
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Zdroj: Antibiotics (2079-6382); Dec2022, Vol. 11 Issue 12, p1776, 16p
Abstrakt: Antimicrobial stewardship programs (ASPs) are a central component in reducing the overprescription of unnecessary antibiotics, with multiple studies showing benefits in the reduction of bacterial resistance. Less commonly, ASPs have been performed in outpatient settings, but there is a lack of available data in these settings. We implemented an ASP in a large regional outpatient setting to assess its feasibility and effectiveness. Over a 5-year post-implementation period, compared to the pre-intervention period, a significant reduction in antibiotic prescription occurred, with a reduction in resistance in E. coli urinary isolates. ASP activities also were found to be cost-effective, with a reduction in medication prescription. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index