Linking antimicrobial resistance surveillance to antibiotic policy in healthcare settings: the COMBACTE-Magnet EPI-Net COACH project
| العنوان: | Linking antimicrobial resistance surveillance to antibiotic policy in healthcare settings: the COMBACTE-Magnet EPI-Net COACH project |
|---|---|
| المؤلفون: | Pezzani, Maria Diletta, Mazzaferri, Fulvia, Compri, Monica, Galia, Liliana, Mutters, Nico T, Kahlmeter, Gunnar, Zaoutis, Theoklis E, Schwaber, Mitchell J, Rodríguez-Baño, Jesús, Harbarth, Stephan, Tacconelli, Evelina, COACH working group (Collaborators): Blanca Anaya, Arieti, Fabiana, Nithya Babu Rajendran, Zaira, R Palacios Baena, Jesús, Rodríguez-Baño, Silvio, Brusaferro, Carrara, Elena, Dario, Cattaneo, Esmita, Charani, Monica, Compri, Sergey, Eremin, Daniele Roberto Giacobbe, Aina, Gomila-Grange, Stephan, Harbarth, Ramanan, Laxminarayan, LO CASCIO, Giuliana, Fulvia, Mazzaferri, Elena, Mazzolini, Michael, Mccarthy, Rafael, Canton, Nico, T Mutters, Olaf, Neth, Abdelhak, Oualim, Maria Diletta Pezzani, Adelina, Prioteasa, Katia, Saris, Mitchell, J Schwaber, Remco, Schrijver, Astrazeneca, Lp, Evelina, Tacconelli, Cuong, Vuong, Martin, Wolkewitz, Theoklis, E Zaoutis |
| المصدر: | Journal of Antimicrobial Chemotherapy Digital.CSIC. Repositorio Institucional del CSIC instname |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | 0301 basic medicine, Microbiology (medical), INFECTIOUS-DISEASES SOCIETY, IMPACT, 030106 microbiology, Psychological intervention, MEDLINE, CLINICAL-PRACTICE GUIDELINES VENTILATOR-ASSOCIATED PNEUMONIA, Drug Resistance, 03 medical and health sciences, 0302 clinical medicine, Antibiotic resistance, Drug Resistance, Bacterial, Antimicrobial stewardship, Medicine, AcademicSubjects/MED00740, Humans, Pharmacology (medical), Delivery of Health Care, Magnets, Policy, Anti-Bacterial Agents, 030212 general & internal medicine, Good practice, STAPHYLOCOCCUS-AUREUS, Pharmacology, Team composition, business.industry, PSEUDOMONAS-AERUGINOSA, Bacterial, CLINICAL-PRACTICE GUIDELINES VENTILATOR-ASSOCIATED PNEUMONIA, INFECTIOUS-DISEASES SOCIETY, PSEUDOMONAS-AERUGINOSA, ESCHERICHIA-COLI, STEWARDSHIP INTERVENTIONS, CUMULATIVE ANTIBIOGRAMS, STAPHYLOCOCCUS-AUREUS, HOSPITAL UNIT, IMPACT, CUMULATIVE ANTIBIOGRAMS, medicine.disease, Checklist, Infectious Diseases, AcademicSubjects/MED00290, ESCHERICHIA-COLI, Supplement Papers, Healthcare settings, Medical emergency, HOSPITAL UNIT, business, AcademicSubjects/MED00230, STEWARDSHIP INTERVENTIONS |
| الوصف: | COACH working group.-- The paper is based on the discussion during the annual meeting of the EPI-Net project in Verona in September 2018. [Objectives] To systematically summarize the evidence on how to collect, analyse and report antimicrobial resistance (AMR) surveillance data to inform antimicrobial stewardship (AMS) teams providing guidance on empirical antibiotic treatment in healthcare settings. [Methods] The research group identified 10 key questions about the link between AMR surveillance and AMS using a checklist of 9 elements for good practice in health research priority settings and a modified 3D combined approach matrix, and conducted a systematic review of published original studies and guidelines on the link between AMR surveillance and AMS. [Results] The questions identified focused on AMS team composition; minimum infrastructure requirements for AMR surveillance; organisms, samples and susceptibility patterns to report; data stratification strategies; reporting frequency; resistance thresholds to drive empirical therapy; surveillance in high-risk hospital units, long-term care, outpatient and veterinary settings; and surveillance data from other countries. Twenty guidelines and seven original studies on the implementation of AMR surveillance as part of an AMS programme were included in the literature review. [Conclusions] The evidence summarized in this review provides a useful basis for a more integrated process of developing procedures to report AMR surveillance data to drive AMS interventions. These procedures should be extended to settings outside the acute-care institutions, such as long-term care, outpatient and veterinary. Without proper AMR surveillance, implementation of AMS policies cannot contribute effectively to the fight against MDR pathogens and may even worsen the burden of adverse events from such interventions. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a21747ffb2f49abc477f2f10b7d13742Test https://hdl.handle.net/10668/16741Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a21747ffb2f49abc477f2f10b7d13742 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |