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The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey
Author
Sartelli, MassimoLabricciosa, Francesco M.
Barbadoro, Pamela
Pagani, Leonardo
Ansaloni, Luca
Brink, Adrian J.
Carlet, Jean
Khanna, Ashish
Chichom-Mefire, Alain
Coccolini, Federico
Di Saverio, Salomone
May, Addison K.
Viale, Pierluigi
Watkins, Richard R.
Scudeller, Luigia
Abbo, Lilian M.
Abu-Zidan, Fikri M.
Adesunkanmi, Abdulrashid K.
Al-Dahir, Sara
Al-Hasan, Majdi N.
Alis, Halil
Alves, Carlos
Araujo da Silva, André R.
Augustin, Goran
Bala, Miklosh
Barie, Philip S.
Beltrán, Marcelo A.
Bhangu, Aneel
Bouchra, Belefquih
Brecher, Stephen M.
Caínzos, Miguel A.
Camacho-Ortiz, Adrian
Catani, Marco
Chandy, Sujith J.
Jusoh, Asri Che
Cherry-Bukowiec, Jill R.
Chiara, Osvaldo
Colak, Elif
Cornely, Oliver A.
Cui, Yunfeng
Demetrashvili, Zaza
De Simone, Belinda
De Waele, Jan J.
Dhingra, Sameer
Di Marzo, Francesco
Dogjani, Agron
Dorj, Gereltuya
Dortet, Laurent
Duane, Therese M.
Elmangory, Mutasim M.
Enani, Mushira A.
Ferrada, Paula
Esteban Foianini, J.
Gachabayov, Mahir
Gandhi, Chinmay
Ghnnam, Wagih Mommtaz
Giamarellou, Helen
Gkiokas, Georgios
Gomi, Harumi
Goranovic, Tatjana
Griffiths, Ewen A.
Guerra Gronerth, Rosio I.
Haidamus Monteiro, Julio C.
Hardcastle, Timothy C.
Hecker, Andreas
Hodonou, Adrien M.
Ioannidis, Orestis
Isik, Arda
Iskandar, Katia A.
Kafil, Hossein S.
Kanj, Souha S.
Kaplan, Lewis J.
Kapoor, Garima
Karamarkovic, Aleksandar R.
Kenig, Jakub
Kerschaever, Ivan
Khamis, Faryal
Khokha, Vladimir
Kiguba, Ronald
Kim, Hong B.
Ko, Wen-Chien
Koike, Kaoru
Kozlovska, Iryna
Kumar, Anand
Lagunes, Leonel
Latifi, Rifat
Lee, Jae G.
Lee, Young R.
Leppäniemi, Ari
Li, Yousheng
Liang, Stephen Y.
Lowman, Warren
Machain, Gustavo M.
Maegele, Marc
Major, Piotr
Malama, Sydney
Manzano-Nunez, Ramiro
Marinis, Athanasios
Martinez Casas, Isidro
Marwah, Sanjay
Maseda, Emilio
McFarlane, Michael E.
Memish, Ziad
Mertz, Dominik
Mesina, Cristian
Mishra, Shyam K.
Moore, Ernest E.
Munyika, Akutu
Mylonakis, Eleftherios
Napolitano, Lena
Negoi, Ionut
Nestorovic, Milica D.
Nicolau, David P.
Omari, Abdelkarim H.
Ordonez, Carlos A.
Paiva, José-Artur
Pant, Narayan D.
Parreira, Jose G.
Pędziwiatr, Michal
Pereira, Bruno M.
Ponce-de-Leon, Alfredo
Poulakou, Garyphallia
Preller, Jacobus
Pulcini, Céline
Pupelis, Guntars
Quiodettis, Martha
Rawson, Timothy M.
Reis, Tarcisio
Rems, Miran
Rizoli, Sandro
Roberts, Jason
Pereira, Nuno Rocha
Rodríguez-Baño, Jesús
Sakakushev, Boris
Sanders, James
Santos, Natalia
Sato, Norio
Sawyer, Robert G.
Scarpelini, Sandro
Scoccia, Loredana
Shafiq, Nusrat
Shelat, Vishalkumar
Sifri, Costi D.
Siribumrungwong, Boonying
Søreide, Kjetil
Soto, Rodolfo
de Souza, Hamilton P.
Talving, Peep
Trung, Ngo Tat
Tessier, Jeffrey M.
Tumbarello, Mario
Ulrych, Jan
Uranues, Selman
Van Goor, Harry
Vereczkei, Andras
Wagenlehner, Florian
Xiao, Yonghong
Yuan, Kuo-Ching
Wechsler-Fördös, Agnes
Zahar, Jean-Ralph
Zakrison, Tanya L.
Zuckerbraun, Brian
Zuidema, Wietse P.
Catena, Fausto
Affiliation
Univ Arizona, Dept Surg, Div TraumaIssue Date
2017-08-01
Metadata
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BIOMED CENTRAL LTDCitation
The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey 2017, 12 (1) World Journal of Emergency SurgeryRights
© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.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.Note
Open access journal.ISSN
1749-7922PubMed ID
28775763Version
Final published versionAdditional Links
http://wjes.biomedcentral.com/articles/10.1186/s13017-017-0145-2ae974a485f413a2113503eed53cd6c53
10.1186/s13017-017-0145-2
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Except where otherwise noted, this item's license is described as © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.
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