Naslov
ESGAP inventory of target indicators assessing antibiotic prescriptions: a cross-sectional survey

Autori
Howard, Philip ; Huttner, Benedikt ; Beovic, Bojana ; Beraud, Guillaume ; Kofteridis, Diamantis P ; Pano Pardo, José ; Schouten, Jeroen ; Pulcini, Céline ; Angioni, Goffredo ; Arvaniti, Kostoula ; Barac, Aleksandra ; Bolla, Cesare ; Calbo, Esther ; Dyar, Oliver-James ; Fantoni, Massimo ; Fjeld, Hilde ; Keuleyan, Emma ; Kumar, Sathish ; Harhxi, Arjan ; Jenkins, David ; Maurer, Florian P ; Messiaen, Peter ; Montejo Baranda, Miguel ; Muñoz, Patricia ; Orlando, Gabriella ; Pagani, Leonardo ; Pepe, Fatmanur ; Gentil, Pilar Retamar ; Rocha Pereira, Nuno Miguel ; Rodrigues-Bano, Jesus ; Skodvin, Brita ; Tängden, Thomas ; Vitrat, Virginie ; Vlahovic-Palcevski, Vera ; Wechsler- Fördös, Agnes ; Zarb, Peter ; ESGAP Indicators Working Group ; Other members of the ESGAP Indicators Working Group

Kolaboracija
ESGAP Indicators Working Group

Izvornik
Journal of Antimicrobial Chemotherapy (0305-7453) 72 (2017), 10; 2910-2914

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Anti-Bacterial Agents ; Antimicrobial Stewardship ; Drug Prescriptions ; Hospitals

Sažetak
Background: A variety of indicators is commonly used to monitor antibiotic prescriptions as part of national antimicrobial stewardship (AMS) programmes. Objectives: To make an inventory of indicators that assess antibiotic prescriptions and are linked to specific targets and incentives, at a national level. Methods: A cross-sectional survey (three-item questionnaire) was conducted in 2017 among all ESGAP (ESCMID Study Group for Antimicrobial stewardshiP) members, coming from 23 European countries and 16 non-European countries. Results: Almost all (20/23, 87%) European countries belonging to the ESGAP network participated, as well as one non-European country. Computerized systems routinely linking antibiotic prescriptions to clinical diagnoses were reported for only two countries (Turkey and Croatia). Only 6/21 (29%) countries had national indicators with both clear targets and incentives (Bulgaria, Croatia, France, the Netherlands, Norway and Portugal). We identified a total of 21 different indicators used in these countries, 16 concerning inpatients (9 quality indicators and 7 quantity metrics) and 8 concerning outpatients (all quantity metrics) ; some indicators were used in both settings. Three types of incentives were used: financing mechanism, hospitals' accreditation and public reporting. Some respondents reported that such indicators with both clear targets and incentives were used at a regional level in their country (e.g. Andalusia in Spain and England in the UK). Conclusions: National indicators, with clear targets and incentives, are not commonly used in Europe and we observed wide variations between countries regarding the selected indicators, the units of measure and the chosen targets.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA