A survey on antimicrobial stewardship prerequisites, objectives and improvement strategies: systematic development and nationwide assessment in Dutch acute care hospitals
| Autor: | J.M. Prins, M. C. Kallen, Bart Jan Kullberg, Jeroen Schouten, Marlies E J L Hulscher, J. ten Oever |
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| Přispěvatelé: | AII - Infectious diseases, Graduate School, Infectious diseases |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty 030106 microbiology lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] MEDLINE 03 medical and health sciences Antimicrobial Stewardship All institutes and research themes of the Radboud University Medical Center Acute care Surveys and Questionnaires medicine Antimicrobial stewardship Humans Pharmacology (medical) Hospital pharmacy Health policy Netherlands Pharmacology Response rate (survey) business.industry Health Policy Health services research Hospitals lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] Infectious Diseases Family medicine Stewardship Health Services Research business |
| Zdroj: | Journal of Antimicrobial Chemotherapy, 73, 3496-3504 Journal of antimicrobial chemotherapy, 73(12), 3496-3504. Oxford University Press Journal of Antimicrobial Chemotherapy, 73, 12, pp. 3496-3504 |
| ISSN: | 0305-7453 |
| Popis: | Background Stewardship guidelines define three essential building blocks for successful hospital antimicrobial stewardship programmes (ASPs): stewardship prerequisites, stewardship objectives and improvement strategies. Objectives We systematically developed a survey, based on these building blocks, to evaluate the current state of antimicrobial stewardship in hospitals. We tested this survey in 64 Dutch acute care hospitals. Methods We performed a literature review on surveys of antimicrobial stewardship. After extraction and categorization of survey questions, five experts merged and rephrased questions during a consensus meeting. After a pilot study, the survey was sent to 80 Dutch hospitals. Results The final survey consisted of 46 questions, categorized into hospital characteristics, stewardship prerequisites, stewardship objectives and stewardship strategies. The response rate was 80% (n = 64). Ninety-four percent of hospitals had established an antimicrobial stewardship team, consisting of at least one hospital pharmacist and one clinical microbiologist. An infectious diseases specialist was present in 68% of the teams. Nine percent had dedicated IT support. Forty-one percent of the teams were financially supported, with a median of 0.6 full-time equivalents (FTE; 0.1-1.8). The majority of hospitals performed monitoring of restricted antibiotic agents (91%), dose optimization (65%), bedside consultation (56%) and intravenous-to-oral switch (53%). Fifty-eight percent of the hospitals provided education to residents and 28% to specialists. Conclusions The survey provides information on the progress that is being made in hospitals regarding the three building blocks of a successful ASP, and provides clear aims to strengthen ASPs. Ultimately, these data will be related to national data on antibiotic consumption and resistance. |
| Databáze: | OpenAIRE |
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