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

Résumé

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.

Dates et versions

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

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Citer

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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