1. The practice and evaluation of antifungal stewardship programs at a tertiary first-class hospital in China
- Author
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Huiyuan Zhang, Yinglin Wang, Ruigang Diao, Xuechen Huo, and Quan Zhao
- Subjects
Antifungal stewardship ,Plan-do-check-act ,Antifungal drug consumption ,Proportion of rational prescriptions ,Drug resistance of fungi ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background The sharp increase in fungal infections, insufficient diagnostic and treatment capabilities for fungal infections, poor prognosis of patients with fungal infections as well as the increasing drug resistance of fungi are serious clinical problems. It is necessary to explore the implementation and evaluation methods of antifungal stewardship (AFS) to promote the standardized use of antifungal drugs. Methods The AFS programme was implemented at a tertiary first-class hospital in China using a plan-do-check-act (PDCA) quality management tool. A baseline investigation was carried out to determine the utilization of antifungal drugs in pilot hospitals, analyse the existing problems and causes, and propose corresponding solutions. The AFS programme was proposed and implemented beginning in 2021, and included various aspects, such as team building, establishment of regulations, information construction, prescription review and professional training. The management effectiveness was recorded from multiple perspectives, such as the consumption of antifungal drugs, the microbial inspection rate of clinical specimens, and the proportion of rational prescriptions. The PDCA management concept was used for continuous improvement to achieve closed-loop management. Results In the first year after the implementation of the AFS programme, the consumption cost, use intensity and utilization rate of antifungal drugs decreased significantly (P
- Published
- 2024
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