@article{Charani:2019:10.1186/s13756-019-0493-7,
author = {Charani, E and Castro-Sanchez, E and Bradley, S and Nathwani, D and Holmes, A and Davey, P},
doi = {10.1186/s13756-019-0493-7},
journal = {Antimicrobial Resistance and Infection Control},
title = {Implementation of antibiotic stewardship in different settings - results of an international survey},
url = {http://dx.doi.org/10.1186/s13756-019-0493-7},
volume = {8},
year = {2019}
}

Download

TY  - JOUR
AB  - BackgroundAntibiotic stewardship interventions are being implemented across different healthcare settings. We report the findings of a global survey of healthcare professionals on the implementation of antibiotic stewardship programmes.MethodsLearners of a Massive Online Open Course (MOOC) on antibiotic stewardship were invited to complete an online survey on the core available organisational resources for stewardship. The categorical variables were analysed using chi-squared test, and Likert questions were analysed using an ordinal regression model. The p-values were considered as two-tailed. Significance was set at p-value of < 0.05.ResultsThe response rate was 55% (505/920), from 53 countries. The responders were 36% (182) doctors, 26% (130) pharmacists, 18% (89) nurses and 20% (104) other (researchers, students and members of the public). Post-graduate training in infection management and stewardship was reported by 56% of doctors compared with 43% (OR 0.59, 95%CI 0.35–1.00) nurses and 35% (OR 0.39, 95%CI 0.24–0.62) of pharmacists. Hospitals were significantly (83% in teaching hospitals, 79% in regional hospitals, p = < 0.01) more likely to have antibiotic policies, when compared to primary care. A surveillance mechanism for antibiotic consumption was reported in 58% (104/178) of teaching hospitals and 62% (98/159) of regional hospitals. Antimicrobial resistance, patient needs, policy, peer influence and specialty level culture and practices were deemed important determinants for decision-making.ConclusionPostgraduate training and support in antibiotic prescribing remains low amongst nurses and pharmacists. Whilst antibiotic policies and committees are established in most institutions, surveillance of antibiotic use is not. The impact of specialty level culture, and peer influence appears to be important factors of antibiotic prescribing.
AU  - Charani,E
AU  - Castro-Sanchez,E
AU  - Bradley,S
AU  - Nathwani,D
AU  - Holmes,A
AU  - Davey,P
DO  - 10.1186/s13756-019-0493-7
PY  - 2019///
SN  - 2047-2994
TI  - Implementation of antibiotic stewardship in different settings - results of an international survey
T2  - Antimicrobial Resistance and Infection Control
UR  - http://dx.doi.org/10.1186/s13756-019-0493-7
UR  - http://hdl.handle.net/10044/1/67404
VL  - 8
ER  - 

Download