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Selective reporting of antibiotic susceptibility test results in European countries: an ESCMID cross-sectional survey

التفاصيل البيبلوغرافية
العنوان: Selective reporting of antibiotic susceptibility test results in European countries: an ESCMID cross-sectional survey
المؤلفون: Arta Balode, Valquíria Alves, Gianpiero Tebano, Milan Niks, Endre Ludwig, Paul Christoffer Lindemann, Lul Raka, Robert Skov, Viktor Liashko, Luis Martínez-Martínez, Hugo Sax, Sören Gatermann, Mario Sarti, Rossitza Vatcheva-Dobrevska, Arjana Tambic, Kirsten Schaffer, Céline Pulcini, Vincent Jarlier, Evelina Tacconelli, Athanassios Tsakris, Akif Gurbanov, Kathleen B. Bamford, Denis Pierard, Kristján Orri Helgason, Annika Wistedt, Emmanuelle Cambau, Iztok Štrumbelj, Elisabeth Presterl, Marina Sukhorukova, Dorota Żabicka, Greetje A. Kampinga, Deniz Gür, Snezana Matic, Helena H. Zemlickova, Selma Uzunovic, Oana Săndulescu, Paul Naaber, Golubinka Bosevska, Antti J. Hakanen, Yehuda Carmeli, Nico T. Mutters, Gunnar Kahlmeter
المساهمون: 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), Heidelberg University Hospital [Heidelberg], University Hospital Tübingen, Service de Bactériologie [CHU Lariboisière], Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Infection, Anti-microbiens, Modélisation, Evolution (IAME (UMR_S_1137 / U1137)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris 13 (UP13)-Université Paris Diderot - Paris 7 (UPD7)-Université Sorbonne Paris Cité (USPC), Växjö University, Service de Bactériologie et d'Hygiène Hospitalière [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Centre d'Immunologie et de Maladies Infectieuses (CIMI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), ESGAP, Microbiology and Infection Control, Supporting clinical sciences, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)
المصدر: International Journal of Antimicrobial Agents
International Journal of Antimicrobial Agents, Elsevier, 2017, 49 (2), pp.162-166. ⟨10.1016/j.ijantimicag.2016.11.014⟩
بيانات النشر: HAL CCSD, 2017.
سنة النشر: 2017
مصطلحات موضوعية: 0301 basic medicine, Microbiology (medical), Drug Utilization, medicine.medical_specialty, Pediatrics, medicine.drug_class, Cross-sectional study, Antibiotic resistance, 030106 microbiology, Antibiotics, Antimicrobial susceptibility, Antibiotic susceptibility testing, Microbial Sensitivity Tests, ta3111, Antibiotic prescription, Israël, 03 medical and health sciences, 0302 clinical medicine, Selective reporting, Journal Article, medicine, Humans, Infection control, Pharmacology (medical), 030212 general & internal medicine, Israel, Antibiotic stewardship, business.industry, Questionnaire, General Medicine, Anti-Bacterial Agents, 3. Good health, Test (assessment), Europe, Cross-Sectional Studies, Infectious Diseases, Family medicine, Antibiotic Stewardship, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Guideline Adherence, business
الوصف: Selective reporting of antibiotic susceptibility test (AST) results is one possible laboratory-based antibiotic stewardship intervention. The primary aim of this study was to identify where and how selective reporting of AST results is implemented in Europe both in inpatient and in outpatient settings. An ESCMID cross-sectional, self-administered, internet-based survey was conducted among all EUCIC (European Committee on Infection Control) or EUCAST (European Committee on Antimicrobial Susceptibility Testing) national representatives in Europe and Israel. Of 38 countries, 36 chose to participate in the survey. Selective reporting of AST results was implemented in 11/36 countries (31%), was partially implemented in 4/36 (11%) and was limited to local initiatives or was not adopted in 21/36 (58%). It was endorsed as standard of care by health authorities in only three countries. The organisation of selective reporting was everywhere discretionally managed by each laboratory, with a pronounced intra-and inter-country variability. The most frequent application was in uncomplicated community-acquired infections, particularly urinary tract and skin and soft-tissue infections. The list of reported antibiotics ranged from a few first-line options, to longer reports where only last-resort antibiotics were hidden. Several barriers to implementation were reported, mainly lack of guidelines, poor system support, insufficient resources, and lack of professionals' capability. In conclusion, selective reporting of AST results is poorly implemented in Europe and is applied with a huge heterogeneity of practices. Development of an international framework, based on existing initiatives and identified barriers, could favour its dissemination as one important element of antibiotic stewardship programmes. KEYWORDS: Antibiotic prescription; Antibiotic resistance; Antibiotic stewardship; Antibiotic susceptibility testing; Questionnaire; Selective reporting PMID: 28093208 DOI: 10.1016/j.ijantimicag.2016.11.014
Selective reporting of antibiotic susceptibility test (AST) results is one possible laboratory-based antibiotic stewardship intervention. The primary aim of this study was to identify where and how selective reporting of AST results is implemented in Europe both in inpatient and in outpatient settings. An ESCMID cross-sectional, self-administered, internet-based survey was conducted among all EUCIC (European Committee on Infection Control) or EUCAST (European Committee on Antimicrobial Susceptibility Testing) national representatives in Europe and Israel. Of 38 countries, 36 chose to participate in the survey. Selective reporting of AST results was implemented in 11/36 countries (31%), was partially implemented in 4/36 (11%) and was limited to local initiatives or was not adopted in 21/36 (58%). It was endorsed as standard of care by health authorities in only three countries. The organisation of selective reporting was everywhere discretionally managed by each laboratory, with a pronounced intra- and inter-country variability. The most frequent application was in uncomplicated community-acquired infections, particularly urinary tract and skin and soft-tissue infections. The list of reported antibiotics ranged from a few first-line options, to longer reports where only last-resort antibiotics were hidden. Several barriers to implementation were reported, mainly lack of guidelines, poor system support, insufficient resources, and lack of professionals' capability. In conclusion, selective reporting of AST results is poorly implemented in Europe and is applied with a huge heterogeneity of practices. Development of an international framework, based on existing initiatives and identified barriers, could favour its dissemination as one important element of antibiotic stewardship programmes.
اللغة: English
تدمد: 2809-3208
0924-8579
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1aef5b881a382f6265a7e16326de28faTest
https://hal.univ-lorraine.fr/hal-02341189Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....1aef5b881a382f6265a7e16326de28fa
قاعدة البيانات: OpenAIRE
الوصف
تدمد:28093208
09248579