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Article Dans Une Revue Journal of Antimicrobial Chemotherapy Année : 2017

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

Diamantis Kofteridis
Goffredo Angioni
  • Fonction : Collaborateur
Kostoula Arvaniti
  • Fonction : Collaborateur
Aleksandra Barac
Cesare Bolla
  • Fonction : Collaborateur
Esther Calbo
  • Fonction : Collaborateur
  • PersonId : 889338
Oliver-James Dyar
  • Fonction : Collaborateur
Massimo Fantoni
  • Fonction : Collaborateur
Hilde Fjeld
  • Fonction : Collaborateur
Emma Keuleyan
  • Fonction : Collaborateur
Sathish Kumar
  • Fonction : Collaborateur
Arjan Harhxi
  • Fonction : Collaborateur
David Jenkins
  • Fonction : Collaborateur
Florian Maurer
Peter Messiaen
  • Fonction : Collaborateur
Miguel Montejo Baranda
  • Fonction : Collaborateur
Patricia Muñoz
  • Fonction : Collaborateur
Gabriella Orlando
  • Fonction : Collaborateur
Leonardo Pagani
Fatmanur Pepe
  • Fonction : Collaborateur
Pilar Retamar Gentil
  • Fonction : Collaborateur
Nuno Miguel Rocha Pereira
  • Fonction : Collaborateur
Jesus Rodrigues-Bano
  • Fonction : Collaborateur
Brita Skodvin
  • Fonction : Collaborateur
Thomas Tängden
  • Fonction : Collaborateur
Virginie Vitrat
  • Fonction : Collaborateur
Vera Vlahovic-Palcevski
  • Fonction : Collaborateur
Agnes Wechsler-Fördös
  • Fonction : Collaborateur
Peter Zarb
  • Fonction : Collaborateur

Résumé

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.

Dates et versions

hal-02338638 , version 1 (30-10-2019)

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Philip Howard, Benedikt Huttner, Bojana Beovic, Guillaume Beraud, Diamantis Kofteridis, et al.. ESGAP inventory of target indicators assessing antibiotic prescriptions: a cross-sectional survey. Journal of Antimicrobial Chemotherapy, 2017, 72 (10), pp.2910-2914. ⟨10.1093/jac/dkx243⟩. ⟨hal-02338638⟩
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