Legal framework of antimicrobial stewardship in hospitals (LEASH): a European Society of Clinical Microbiology and Infectious Diseases (ESCMID) cross-sectional international survey - Université de Lorraine Access content directly
Journal Articles International Journal of Antimicrobial Agents Year : 2018

Legal framework of antimicrobial stewardship in hospitals (LEASH): a European Society of Clinical Microbiology and Infectious Diseases (ESCMID) cross-sectional international survey

Franz Allerberger
  • Function : Author
Ria Benko
  • Function : Author
Dag Berild
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Robert Cunney
  • Function : Author
Martine Debacker
  • Function : Author
Aleksander Deptula
  • Function : Author
Uga Dumpis
  • Function : Author
Oliver Dyar
  • Function : Author
Onder Ergonul
  • Function : Author
Balint Gergely Szabo
  • Function : Author
Cairine Gormley
  • Function : Author
Malin Grape
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Thorolfur Gudnason
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Philip Howard
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Benedikt Huttner
Petros Ioannou
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Ramona Ionescu
  • Function : Author
Emma Keuleyan
  • Function : Author
Viviane Knepper
  • Function : Author
Diamantis Kofteridis
Tomislav Kostyanev
  • Function : Author
Vladimir Krcmery
  • Function : Author
Botond Lakatos
  • Function : Author
Roberto Luzzati
  • Function : Author
Jaap ten Oever
  • Function : Author
Leonardo Pagani
José Ramón Paño Pardo
  • Function : Author
Mihaela Popescu
  • Function : Author
Mihaela Popovici
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Mical Paul
  • Function : Author
Hege Salvesen Bix
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Jeroen Schouten
Jacqueline Sneddon
  • Function : Author
Goran Stevanović
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Agnes Wechsler-Fördös
  • Function : Author
Katja de With
  • Function : Author
Vera Vlahović-Palčevski
  • Function : Author
Peter Zarb
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Abstract

Antimicrobial stewardship (AMS) is the cornerstone activity in the combat against antimicrobial resistance. In order to ensure sustainable deployment and development of AMS, a strategic and regulatory framework needs to be provided by national healthcare authorities. Experts from 32 European countries, Israel and Turkey were invited to participate in a cross-sectional internet-based survey from October 2016 to May 2017 on the legal framework and mandatory components (structures, activities) of AMS in hospitals, i.e. components required by legislation or regulations. We collected data from 25 countries and two regions (in countries with federal health administration). Laws regulating AMS existed in seven countries and one region. Other health ministry regulations were applicable in 13 countries and one region. National strategies and/or action plans approved by ministries of health were in place in 13 countries and one region. Conversely, five countries and one region had no regulation of AMS in hospitals. Funding for AMS in hospitals was provided in five countries and one region. Eight countries and one region reported mandatory AMS structures and activities complying with the Transatlantic Taskforce on Antimicrobial Resistance (TATFAR) structure, policy and practice indicators. In 10/27 cases, however, the mandatory AMS activities were not being fully carried out. The survey showed heterogeneous legal frameworks for AMS in hospitals, and in many countries it was even lacking. The situation may be critical in countries with poor control of antimicrobial use and resistance. Recent international initiatives calling on policy-makers to address the threat of antimicrobial resistance could yield improvement.
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Dates and versions

hal-02349363 , version 1 (05-11-2019)

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Bojana Beović, Céline Pulcini, Catherine Dumartin, Guillaume Béraud, Barbara Nerat, et al.. Legal framework of antimicrobial stewardship in hospitals (LEASH): a European Society of Clinical Microbiology and Infectious Diseases (ESCMID) cross-sectional international survey. International Journal of Antimicrobial Agents, 2018, 52 (5), pp.616-621. ⟨10.1016/j.ijantimicag.2018.07.019⟩. ⟨hal-02349363⟩
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