Legal framework of antimicrobial stewardship in hospitals (LEASH): a European Society of Clinical Microbiology and Infectious Diseases (ESCMID) cross-sectional international survey

Autor: José Ramón Paño Pardo, Cristina Maurel, Thorolfur Gudnason, Oliver J. Dyar, Hege Salvesen Bix, Cairine Gormley, Céline Pulcini, Jacqueline Sneddon, Agnes Wechsler-Fördös, Dag Berild, Emma Keuleyan, Botond Lakatos, May Doušak, Tomislav Kostyanev, Jaap ten Oever, Guillaume Béraud, Petros Ioannou, Milan Čižman, Peter Zarb, Bojana Beović, Mical Paul, Philip Howard, Mihaela Popescu, Benedikt Huttner, Vladimir Krcmery, Mihaela Popovici, Franz Allerberger, Balint Gergely Szabo, Vera Vlahović-Palčevski, Ria Benko, Ramona Ionescu, Goran Stevanović, Barbara Nerat, Robert Cunney, Malin Grape, Roberto Luzzati, Uga Dumpis, Leonardo Pagani, Diamantis P. Kofteridis, Jeroen Schouten, Onder Ergonul, Martine Debacker, Viviane Knepper, C. Dumartin, Aleksander Deptuła
Přispěvatelé: University of Ljubljana, Service des Maladies Infectieuses et Tropicales [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire de Biotechnologie et Microbiologie Appliquée (LBMA), Université Bordeaux Segalen - Bordeaux 2-Institut National de la Recherche Agronomique (INRA), Centre hospitalier universitaire de Poitiers (CHU Poitiers), CHU de Québec–Université Laval, Hasselt University, Maribor Higher Court, Azienda Sanitaria Universitaria Integrata di Trieste, Beović, Bojana, Pulcini, Céline, Dumartin, Catherine, Béraud, Guillaume, Nerat, Barbara, Maurel, Cristina, Doušak, May, Čižman, Milan, Allerberger, Franz, Benko, Ria, Berild, Dag, Cunney, Robert, Debacker, Martine, Deptula, Aleksander, Dumpis, Uga, Dyar, Oliver J, Ergonul, Onder, Szabo, Balint Gergely, Gormley, Cairine, Grape, Malin, Gudnason, Thorolfur, Howard, Philip, Huttner, Benedikt, Ioannou, Petro, Ionescu, Ramona, Keuleyan, Emma, Knepper, Viviane, Kofteridis, Diamanti, Kostyanev, Tomislav, Krcmery, Vladimir, Lakatos, Botond, Luzzati, Roberto, ten Oever, Jaap, Pagani, Leonardo, Pardo, José Ramón Paño, Popescu, Mihaela, Popovici, Mihaela, Paul, Mical, Bix, Hege Salvesen, Schouten, Jeroen, Sneddon, Jacqueline, Stevanović, Goran, Wechsler-Fördös, Agne, de With, Katja, Vlahović-Palčevski, Vera, Zarb, Peter, Université Laval [Québec] (ULaval), Hasselt University (UHasselt), LEASH Study Group on behalf of ESCMID Study Group for Antimicrobial StewardshiP (ESGAP)
Rok vydání: 2017
Předmět:
Zdroj: International Journal of Antimicrobial Agents
International Journal of Antimicrobial Agents, Elsevier, 2018, 52 (5), pp.616-621. ⟨10.1016/j.ijantimicag.2018.07.019⟩
ISSN: 1872-7913
0924-8579
DOI: 10.1016/j.ijantimicag.2018.07.019⟩
Popis: Antimicrobial stewardship (AMS) is the cornerstone activity in the combat against antimicrobial resistance. In order to ensure sustainable deployment and development of AMS, a strategic and regulatory framework needs to be provided by national healthcare authorities. Experts from 32 European countries, Israel and Turkey were invited to participate in a cross-sectional internet-based survey from October 2016 to May 2017 on the legal framework and mandatory components (structures, activities) of AMS in hospitals, i.e. components required by legislation or regulations. We collected data from 25 countries and two regions (in countries with federal health administration). Laws regulating AMS existed in seven countries and one region. Other health ministry regulations were applicable in 13 countries and one region. National strategies and/or action plans approved by ministries of health were in place in 13 countries and one region. Conversely, five countries and one region had no regulation of AMS in hospitals. Funding for AMS in hospitals was provided in five countries and one region. Eight countries and one region reported mandatory AMS structures and activities complying with the Transatlantic Taskforce on Antimicrobial Resistance (TATFAR) structure, policy and practice indicators. In 10/27 cases, however, the mandatory AMS activities were not being fully carried out. The survey showed heterogeneous legal frameworks for AMS in hospitals, and in many countries it was even lacking. The situation may be critical in countries with poor control of antimicrobial use and resistance. Recent international initiatives calling on policy-makers to address the threat of antimicrobial resistance could yield improvement.
peer-reviewed
Databáze: OpenAIRE
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