1. Quality indicators for responsible antibiotic use in the inpatient setting: a systematic review followed by an international multidisciplinary consensus procedure
- Author
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Monnier, AA, Schouten, J, Le Maréchal, M, Tebano, G, Pulcini, C, Stanić Benić, M, Vlahović-Palĉevski, V, Milanič, R, Adriaenssens, N, Versporten, A, Huttner, B, Zanichelli, V, Hulscher, ME, Gyssens, IC, Antonisse, A, Beović, B, Borg, M, Buyle, F, Cavaleri, M, Dhillon, H, Dumartin, C, Drew, R, Findlay, D, Ghafur, A, Grayson, L, Hermsen, E, Hicks, L, Howard, P, Kenston, M, Kesselheim, AS, Knirsch, C, Lacor, P, Laxminarayan, R, Paul, M, Plachouras, D, Poulakou, G, Rabaud, C, Rex, JH, Rodriguez-Baño, J, Srinivasan, A, Lundborg, CS, Tängdén, T, Thamlikitkul, V, Waluszewski, A, Wellsteed, S, Wertheim, H, Wild, C, Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), Service des Maladies Infectieuses et Tropicales [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Department of Infectious Diseases and Infection Control [Geneva, Switzerland], Hôpitaux Universitaires de Genève (HUG), Scientific Center for Quality of Healthcare [Nijmegen, The Netherlands], Radboud University Medical Center [Nijmegen]-Radboud Institute for Health Sciences [Nijmegen, the Netherlands], University Medical Center Ljubljana, European Medicines Agency [London] (EMA), 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), Center for Disease Dynamics, Economics & Policy (CDDEP), Sackler Faculty of Medicine, Tel Aviv University [Tel Aviv], Fourth Department of Medicine, University Hospital Virgen Macarena, Department of Economic History, Uppsala University, Oxford University Clinical Research Unit [Ho Chi Minh City] (OUCRU), Radboud University Medical Center [Nijmegen], Hasselt University (UHasselt), University Hospital Rijeka, University of Rijeka, Vaccine & Infectious Disease Institute [Antwerp, Belgium] (VAXINFECTIO), University of Antwerp (UA), Geneva University Hospitals and Geneva University, DRIVE-AB WP1 Grp, and APH - Aging & Later Life
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0301 basic medicine ,Microbiology (medical) ,medicine.medical_specialty ,Internationality ,Delphi Technique ,intrinsic drive ,030106 microbiology ,lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] ,BIOMEDICINE AND HEALTHCARE. Basic Medical Sciences. Pharmacology ,Medical Records ,antibiotics ,inpatients ,Antimicrobial Stewardship ,03 medical and health sciences ,Stakeholder Participation ,Surveys and Questionnaires ,Antimicrobial chemotherapy ,medicine ,Humans ,Pharmacology (medical) ,guidelines ,Antibiotic use ,internet ,quality indicators ,public health medicine ,community ,consensus ,Intensive care medicine ,Biology ,ComputingMilieux_MISCELLANEOUS ,Quality Indicators, Health Care ,Pharmacology ,ddc:616 ,Internet ,business.industry ,Pharmacology. Therapy ,BIOMEDICINA I ZDRAVSTVO. Temeljne medicinske znanosti. Farmakologija ,Anti-Bacterial Agents ,3. Good health ,lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] ,Infectious Diseases ,Supplement Papers ,Practice Guidelines as Topic ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Public Health ,Human medicine ,business - Abstract
Contains fulltext : 193452.pdf (Publisher’s version ) (Open Access) Background: This study was conducted as part of the Driving Reinvestment in Research and Development and Responsible Antibiotic Use (DRIVE-AB) project and aimed to develop generic quality indicators (QIs) for responsible antibiotic use in the inpatient setting. Methods: A RAND-modified Delphi method was applied. First, QIs were identified by a systematic review. A complementary search was performed on web sites of relevant organizations. Duplicates were removed and disease and patient-specific QIs were combined into generic indicators. The relevance of these QIs was appraised by a multidisciplinary international stakeholder panel through two questionnaires and an in-between consensus meeting. Results: The systematic review retrieved 70 potential generic QIs. The QIs were appraised by 25 international stakeholders with diverse backgrounds (medical community, public health, patients, antibiotic research and development, regulators, governments). Ultimately, 51 QIs were selected in consensus. QIs with the highest relevance score included: (i) an antibiotic plan should be documented in the medical record at the start of the antibiotic treatment; (ii) the results of bacteriological susceptibility testing should be documented in the medical record; (iii) the local guidelines should correspond to the national guidelines but should be adapted based on local resistance patterns; (iv) an antibiotic stewardship programme should be in place at the healthcare facility; and (v) allergy status should be taken into account when antibiotics are prescribed. Conclusions: This systematic and stepwise method combining evidence from literature and stakeholder opinion led to multidisciplinary international consensus on generic inpatient QIs that can be used globally to assess the quality of antibiotic use.
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- 2018
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