Back to Search
Start Over
An international cross-sectional survey of antimicrobial stewardship programmes in hospitals
- Source :
- Journal of Antimicrobial Chemotherapy, Journal of Antimicrobial Chemotherapy, Oxford University Press (OUP), 2015, 70 (4), pp.1245-1255. ⟨10.1093/jac/dku497⟩, Journal of Antimicrobial Chemotherapy, Oxford University Press (OUP), 2015, 70 (4), pp.1245-1255. 〈10.1093/jac/dku497〉, Journal of Antimicrobial Chemotherapy, Vol. 70, No 4 (2015) pp. 1245-55
- Publication Year :
- 2015
- Publisher :
- HAL CCSD, 2015.
-
Abstract
- Objectives To report the extent and components of global efforts in antimicrobial stewardship (AMS) in hospitals. Methods An Internet-based survey comprising 43 questions was disseminated worldwide in 2012. Results Responses were received from 660 hospitals in 67 countries: Africa, 44; Asia, 50; Europe, 361; North America, 72; Oceania, 30; and South and Central America, 103. National AMS standards existed in 52% of countries, 4% were planning them and 58% had an AMS programme. The main barriers to implementing AMS programmes were perceived to be a lack of funding or personnel, a lack of information technology and prescriber opposition. In hospitals with an existing AMS programme, AMS rounds existed in 64%; 81% restricted antimicrobials (carbapenems, 74.3%; quinolones, 64%; and cephalosporins, 58%); and 85% reported antimicrobial usage, with 55% linking data to resistance rates and 49% linking data to infection rates. Only 20% had electronic prescribing for all patients. A total of 89% of programmes educated their medical, nursing and pharmacy staff on AMS. Of the hospitals, 38% had formally reviewed their AMS programme: reductions were reported by 96% of hospitals for inappropriate prescribing, 86% for broad-spectrum antibiotic use, 80% for expenditure, 71% for healthcare-acquired infections, 65% for length of stay or mortality and 58% for bacterial resistance. Conclusions The worldwide development and implementation of AMS programmes varies considerably. Our results should inform and encourage the further evaluation of this with a view to promoting a worldwide stewardship framework. The prospective measurement of well-defined outcomes of the impact of these programmes remains a significant challenge.
- Subjects :
- Cross-sectional study
MESH : Drug Prescriptions
MESH: Global Health
Global Health
MESH : Drug Utilization
antibiotic prescription
0302 clinical medicine
MESH : Cross-Sectional Studies
MESH: Drug Prescriptions
Antimicrobial stewardship
Pharmacology (medical)
030212 general & internal medicine
MESH : Anti-Bacterial Agents
MESH: Drug Utilization
ddc:616
0303 health sciences
[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie
Antimicrobial
MESH: Hospitals
Hospitals
Organizational Policy
Antibiotic prescription
Anti-Bacterial Agents
3. Good health
MESH : Hospitals
Infectious Diseases
Health Services Research
MESH : Organizational Policy
MESH: Health Services Research
Microbiology (medical)
medicine.medical_specialty
MESH : Health Services Research
Drug Prescriptions
03 medical and health sciences
Pharmacy (field)
MESH: Cross-Sectional Studies
Environmental health
Electronic prescribing
MESH: Anti-Bacterial Agents
medicine
Humans
Intensive care medicine
Pharmacology
MESH: Humans
030306 microbiology
business.industry
MESH : Humans
Drug Utilization
antibiotic policy
Cross-Sectional Studies
MESH : Global Health
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
MESH: Organizational Policy
antibiotic management
business
Subjects
Details
- Language :
- English
- ISSN :
- 03057453 and 14602091
- Database :
- OpenAIRE
- Journal :
- Journal of Antimicrobial Chemotherapy, Journal of Antimicrobial Chemotherapy, Oxford University Press (OUP), 2015, 70 (4), pp.1245-1255. ⟨10.1093/jac/dku497⟩, Journal of Antimicrobial Chemotherapy, Oxford University Press (OUP), 2015, 70 (4), pp.1245-1255. 〈10.1093/jac/dku497〉, Journal of Antimicrobial Chemotherapy, Vol. 70, No 4 (2015) pp. 1245-55
- Accession number :
- edsair.doi.dedup.....e09c7eab4843c172f284201beffc9388