The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey

Massimo Sartelli; Francesco Labricciosa; Pamela Barbadoro; Leonardo Pagani; Luca Ansaloni; Adrian Brink; Jean Carlet; Ashish Khanna; Alain Chichom-Mefire; Federico Coccolini; Salomone Di Saverio; Addison May; Pierluigi Viale; Richard Watkins; Luigia Scudeller; Lilian Abbo; Fikri Abu-Zidan; Abdulrashid Adesunkanmi; Sara Al-Dahir; Majdi Al-Hasan; Halil Alis; Carlos Alves; André Araujo da Silva; Goran Augustin; Miklosh Bala; Philip S. Barie; Marcelo Beltrán; Aneel Bhangu; Belefquih Bouchra; Stephen Brecher; Miguel Caínzos; Adrian Camacho-Ortiz; Marco Catani; Sujith Chandy; Asri Che Jusoh; Jill Cherry-Bukowiec; Osvaldo Chiara; Elif Colak; Oliver Cornely; Yunfeng Cui; Zaza Demetrashvili; Belinda de Simone; Jan de Waele; Sameer Dhingra; Francesco Di Marzo; Agron Dogjani; Gereltuya Dorj; Laurent Dortet; Therese Duane; Mutasim Elmangory; Mushira Enani; Paula Ferrada; J. Esteban Foianini; Mahir Gachabayov; Chinmay Gandhi; Wagih Mommtaz Ghnnam; Helen Giamarellou; Georgios Gkiokas; Harumi Gomi; Tatjana Goranovic; Ewen Griffiths; Rosio Guerra Gronerth; Julio Haidamus Monteiro; Timothy Hardcastle; Andreas Hecker; Adrien Hodonou; Orestis Ioannidis; Arda Isik; Katia Iskandar; Hossein Kafil; Souha Kanj; Lewis Kaplan; Garima Kapoor; Aleksandar Karamarkovic; Jakub Kenig; Ivan Kerschaever; Faryal Khamis; Vladimir Khokha; Ronald Kiguba; Hong Kim; Wen-Chien Ko; Kaoru Koike; Iryna Kozlovska; Anand Kumar; Leonel Lagunes; Rifat Latifi; Jae Yeol Lee; Young Lee; Ari Leppäniemi; Yousheng Li; Stephen Liang; Warren Lowman; Gustavo Machain; Marc Maegele; Piotr Major; Sydney Malama; Ramiro Manzano-Nunez; Athanasios Marinis; Isidro Martinez Casas; Sanjay Marwah; Emilio Maseda; Michael Mcfarlane; Ziad Memish; Dominik Mertz; Cristian Mesina; Shyam Mishra; Ernest Moore; Akutu Munyika; Eleftherios Mylonakis; Lena Napolitano; Ionut Negoi; Milica Nestorovic; David Nicolau; Abdelkarim Omari; Carlos Ordonez; José-Artur Paiva; Narayan Pant; Jose Parreira; Michal Pędziwiatr; Bruno Pereira; Alfredo Ponce-De-Leon; Garyphallia Poulakou; Jacobus Preller; Céline Pulcini; Guntars Pupelis; Martha Quiodettis; Timothy Rawson; Tarcisio Reis; Miran Rems; Sandro Rizoli; Jason Roberts; Nuno Rocha Pereira; Jesús Rodríguez-Baño; Boris Sakakushev; James Sanders; Natalia Santos; Norio Sato; Robert Sawyer; Sandro Scarpelini; Loredana Scoccia; Nusrat Shafiq; Vishalkumar Shelat; Costi Sifri; Boonying Siribumrungwong; Kjetil Søreide; Rodolfo Soto; Hamilton de Souza; Peep Talving; Ngo Tat Trung; Jeffrey Tessier; Mario Tumbarello; Jan Ulrych; Selman Uranues; Harry van Goor; Andras Vereczkei; Florian Wagenlehner; Yonghong Xiao; Kuo-Ching Yuan; Agnes Wechsler-Fördös; Jean-Ralph Zahar; Tanya Zakrison; Brian Zuckerbraun; Wietse Zuidema; Fausto Catena

doi:10.1186/s13017-017-0145-2

Journal Articles World Journal of Emergency Surgery Year : 2017

The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey

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Massimo Sartelli

Function : Author

Università degli Studi di Macerata = University of Macerata

Francesco Labricciosa

Function : Author

Polytechnic University of Marche / Università Politecnica delle Marche

Pamela Barbadoro

Function : Author

Polytechnic University of Marche / Università Politecnica delle Marche

Leonardo Pagani

Function : Author
PersonId : 781948
ORCID : 0000-0002-2553-9147

Bolzano Central Hospital = Ospedale Provinciale di Bolzano

Luca Ansaloni

Function : Author

Hospital Papa Giovanni XXIII

Adrian Brink

Function : Author

Milpark Hospital

University of Cape Town

Jean Carlet

Function : Author
PersonId : 919042

World Alliance against Antibiotics Resistance

Ashish Khanna

Function : Author

Cleveland Clinic

Alain Chichom-Mefire

Function : Author

Regional Hospital, Limbe

Federico Coccolini

Function : Author

Rimini Infermi Hospital

Salomone Di Saverio

Function : Author

Maggiore Hospital

Addison May

Function : Author

Vanderbilt University Medical Center [Nashville]

Pierluigi Viale

Function : Author

Alma Mater Studiorum Università di Bologna = University of Bologna

Richard Watkins

Function : Author

Cleveland Clinic

Northeastern Ohio Medical University

Luigia Scudeller

Function : Author

Foundation IRCCS Policlinico San Matteo

Lilian Abbo

Function : Author

University of Miami Leonard M. Miller School of Medicine

Fikri Abu-Zidan

Function : Author

United Arab Emirates University

Abdulrashid Adesunkanmi

Function : Author

Obafemi Awolowo University

Sara Al-Dahir

Function : Author

Xavier University of Louisiana

Majdi Al-Hasan

Function : Author

School of Medicine [University of South Carolina]

Halil Alis

Function : Author

Training Hospital Istanbul

Carlos Alves

Function : Author

Hospital de São João [Porto]

André Araujo da Silva

Function : Author

Centro de Investigação em Estudos da Criança

Goran Augustin

Function : Author

University Hospital Center Zagreb

Miklosh Bala

Function : Author

Hadassah Hebrew University Medical Center [Jerusalem]

Philip S. Barie

Function : Author

Weill Cornell Medicine [Cornell University]

Marcelo Beltrán

Function : Author

Universidad de La Serena

Aneel Bhangu

Function : Author

Queens Elizabeth Hospital [Birmingham]

Belefquih Bouchra

Function : Author

Université Internationale de Casablanca

Stephen Brecher

Function : Author

VA Boston Healthcare System

Boston University School of Medicine

Miguel Caínzos

Function : Author

Adrian Camacho-Ortiz

Function : Author

Marco Catani

Function : Author

Natbrainlab, Department of Forensic and Neurodevelopmental Sciences

Sujith Chandy

Function : Author

Asri Che Jusoh

Function : Author

Jill Cherry-Bukowiec

Function : Author

Osvaldo Chiara

Function : Author

Elif Colak

Function : Author

Oliver Cornely

Function : Author
PersonId : 797225
ORCID : 0000-0001-9599-3137

University Hospital of Cologne [Cologne]

Yunfeng Cui

Function : Author

Zaza Demetrashvili

Function : Author

Belinda de Simone

Function : Author

Jan de Waele

Function : Author

Sameer Dhingra

Function : Author

Francesco Di Marzo

Function : Author

Agron Dogjani

Function : Author

Gereltuya Dorj

Function : Author

Laurent Dortet

Function : Author
PersonId : 763356
ORCID : 0000-0001-6596-7384
IdRef : 131835459

Therese Duane

Function : Author

Mutasim Elmangory

Function : Author

Mushira Enani

Function : Author

Paula Ferrada

Function : Author

J. Esteban Foianini

Function : Author

Mahir Gachabayov

Function : Author

Chinmay Gandhi

Function : Author

Wagih Mommtaz Ghnnam

Function : Author

Helen Giamarellou

Function : Author

4th Department of Internal Medicine

Georgios Gkiokas

Function : Author

Harumi Gomi

Function : Author

Tatjana Goranovic

Function : Author

Ewen Griffiths

Function : Author

Rosio Guerra Gronerth

Function : Author

Julio Haidamus Monteiro

Function : Author

Timothy Hardcastle

Function : Author

Andreas Hecker

Function : Author

Adrien Hodonou

Function : Author

Orestis Ioannidis

Function : Author

Arda Isik

Function : Author

Katia Iskandar

Function : Author

Hossein Kafil

Function : Author

Souha Kanj

Function : Author

Lewis Kaplan

Function : Author

Garima Kapoor

Function : Author

Aleksandar Karamarkovic

Function : Author

Jakub Kenig

Function : Author

Ivan Kerschaever

Function : Author

Faryal Khamis

Function : Author

Vladimir Khokha

Function : Author

Ronald Kiguba

Function : Author

Hong Kim

Function : Author

Wen-Chien Ko

Function : Author

Kaoru Koike

Function : Author

Iryna Kozlovska

Function : Author

Anand Kumar

Function : Author
PersonId : 757179
ORCID : 0000-0002-2997-9959

Center for Visual Information Technology [Hyderabad]

Leonel Lagunes

Function : Author

Rifat Latifi

Function : Author

Jae Yeol Lee

Function : Author
PersonId : 1050385

Chonnam National University [Gwangju]

Young Lee

Function : Author

Ari Leppäniemi

Function : Author

Yousheng Li

Function : Author

Shangaï Jiao Tong University [Shangaï]

Stephen Liang

Function : Author

Warren Lowman

Function : Author

Gustavo Machain

Function : Author

Marc Maegele

Function : Author

Piotr Major

Function : Author

Sydney Malama

Function : Author

Ramiro Manzano-Nunez

Function : Author

Athanasios Marinis

Function : Author

Isidro Martinez Casas

Function : Author

Sanjay Marwah

Function : Author

Emilio Maseda

Function : Author

Michael Mcfarlane

Function : Author

Ziad Memish

Function : Author

Dominik Mertz

Function : Author

Cristian Mesina

Function : Author

Shyam Mishra

Function : Author

Ernest Moore

Function : Author

Akutu Munyika

Function : Author

Eleftherios Mylonakis

Function : Author

Lena Napolitano

Function : Author

Ionut Negoi

Function : Author

Milica Nestorovic

Function : Author

David Nicolau

Function : Author

Abdelkarim Omari

Function : Author

Carlos Ordonez

Function : Author

University of Houston

José-Artur Paiva

Function : Author

Universidade do Porto = University of Porto

Narayan Pant

Function : Author

Jose Parreira

Function : Author

Michal Pędziwiatr

Function : Author

Bruno Pereira

Function : Author

Service Biostatistiques, Télématiques, Traitement de l’image [CHU Clermont-Ferrand]

Alfredo Ponce-De-Leon

Function : Author

Garyphallia Poulakou

Function : Author

4th Department of Internal Medicine

Jacobus Preller

Function : Author

Céline Pulcini

Function : Author

Maladies chroniques, santé perçue, et processus d'adaptation

Guntars Pupelis

Function : Author

Martha Quiodettis

Function : Author

Timothy Rawson

Function : Author

Tarcisio Reis

Function : Author

Miran Rems

Function : Author

Sandro Rizoli

Function : Author

Jason Roberts

Function : Author
PersonId : 774282
ORCID : 0000-0001-6218-435X
IdRef : 224700251

Duke University Marine Laboratory

Nuno Rocha Pereira

Function : Author

Jesús Rodríguez-Baño

Function : Author

University Hospital Virgen Macarena

Boris Sakakushev

Function : Author

James Sanders

Function : Author

Natalia Santos

Function : Author

Norio Sato

Function : Author

Robert Sawyer

Function : Author

Sandro Scarpelini

Function : Author

Loredana Scoccia

Function : Author

Nusrat Shafiq

Function : Author

Vishalkumar Shelat

Function : Author

Costi Sifri

Function : Author

Boonying Siribumrungwong

Function : Author

Kjetil Søreide

Function : Author

Rodolfo Soto

Function : Author

Hamilton de Souza

Function : Author

Peep Talving

Function : Author

Ngo Tat Trung

Function : Author

Jeffrey Tessier

Function : Author

Mario Tumbarello

Function : Author

Jan Ulrych

Function : Author

Selman Uranues

Function : Author

Harry van Goor

Function : Author

Andras Vereczkei

Function : Author

Florian Wagenlehner

Function : Author

Yonghong Xiao

Function : Author

Kuo-Ching Yuan

Function : Author

Agnes Wechsler-Fördös

Function : Author

Jean-Ralph Zahar

Function : Author
PersonId : 1221715
ORCID : 0000-0002-4228-3868
IdRef : 143778358

Service de bactériologie, virologie, parasitologie et hygiène [CHU Necker]

Tanya Zakrison

Function : Author

Brian Zuckerbraun

Function : Author

Wietse Zuidema

Function : Author

Fausto Catena

Function : Author

Abstract

Background: Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on local culture, policy, and routine clinical practice, and probably limited resources in middle-income countries. The aim of this study is to evaluate structures and resources of antimicrobial stewardship teams (ASTs) in surgical departments from different regions of the world. Methods: A cross-sectional web-based survey was conducted in 2016 on 173 physicians who participated in the AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections) project and on 658 international experts in the fields of ASPs, infection control, and infections in surgery. Results: The response rate was 19.4%. One hundred fifty-six (98.7%) participants stated their hospital had a multidisciplinary AST. The median number of physicians working inside the team was five [interquartile range 4-6]. An infectious disease specialist, a microbiologist and an infection control specialist were, respectively, present in 80.1, 76.3, and 67.9% of the ASTs. A surgeon was a component in 59.0% of cases and was significantly more likely to be present in university hospitals (89.5%, p < 0.05) compared to community teaching (83.3%) and community hospitals (66.7%). Protocols for pre-operative prophylaxis and for antimicrobial treatment of surgical infections were respectively implemented in 96.2 and 82.3% of the hospitals. The majority of the surgical departments implemented both persuasive and restrictive interventions (72.8%). The most common types of interventions in surgical departments were dissemination of educational materials (62.5%), expert approval (61.0%), audit and feedback (55.1%), educational outreach (53.7%), and compulsory order forms (51.5%). Conclusion: The survey showed a heterogeneous organization of ASPs worldwide, demonstrating the necessity of a multidisciplinary and collaborative approach in the battle against antimicrobial resistance in surgical infections, and the importance of educational efforts towards this goal.

Keywords

Antibiotics Antimicrobial stewardship Infections Surgery

Domains

Santé publique et épidémiologie

Sylvie Vialaron : Connect in order to contact the contributor

https://hal.univ-lorraine.fr/hal-02341331

Submitted on : Thursday, October 31, 2019-12:33:10 PM

Last modification on : Wednesday, November 20, 2024-2:00:03 PM

Dates and versions

hal-02341331 , version 1 (31-10-2019)

Identifiers

HAL Id : hal-02341331 , version 1
DOI : 10.1186/s13017-017-0145-2
PUBMED : 28775763
PUBMEDCENTRAL : PMC5540347

Cite

Massimo Sartelli, Francesco Labricciosa, Pamela Barbadoro, Leonardo Pagani, Luca Ansaloni, et al.. The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey. World Journal of Emergency Surgery, 2017, 12, pp.34. ⟨10.1186/s13017-017-0145-2⟩. ⟨hal-02341331⟩

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The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey

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