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Journal Articles International Journal of Antimicrobial Agents Year : 2017

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

Elisabeth Presterl
  • Function : Author
Akif Gurbanov
  • Function : Author
Denis Piérard
  • Function : Author
Selma Uzunovic
  • Function : Author
Rossitza Vatcheva-Dobrevska
  • Function : Author
Arjana Tambic
  • Function : Author
Helena Zemlickova
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Robert Skov
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Paul Naaber
  • Function : Author
Antti Hakanen
  • Function : Author
Sören Gatermann
  • Function : Author
Athanassios Tsakris
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  • PersonId : 886614
Endre Ludwig
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Kristján Orri Helgason
  • Function : Author
Kirsten Schaffer
  • Function : Author
Yehuda Carmeli
  • Function : Author
Mario Sarti
  • Function : Author
Lul Raka
  • Function : Author
Arta Balode
  • Function : Author
Golubinka Bosevska
  • Function : Author
Greetje Kampinga
  • Function : Author
Paul Christoffer Lindemann
  • Function : Author
Dorota Żabicka
  • Function : Author
Valquíria Alves
  • Function : Author
Oana Săndulescu
  • Function : Author
Marina Sukhorukova
  • Function : Author
Snezana Matic
  • Function : Author
Milan Niks
  • Function : Author
Iztok Štrumbelj
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Luis Martínez-Martínez
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Annika Wistedt
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Hugo Sax
  • Function : Author
Deniz Gür
  • Function : Author
Kathleen Bamford
  • Function : Author
Viktor Liashko
  • Function : Author

Abstract

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.
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Dates and versions

hal-02341189 , version 1 (31-10-2019)

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Céline Pulcini, Gianpiero Tebano, Nico Mutters, Evelina Tacconelli, Emmanuelle Cambau, et al.. Selective reporting of antibiotic susceptibility test results in European countries: an ESCMID cross-sectional survey. International Journal of Antimicrobial Agents, 2017, 49 (2), pp.162-166. ⟨10.1016/j.ijantimicag.2016.11.014⟩. ⟨hal-02341189⟩
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