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ESGAP inventory of target indicators assessing antibiotic prescriptions: a cross-sectional survey

2017; Oxford University Press; Volume: 72; Issue: 10 Linguagem: Inglês

10.1093/jac/dkx243

1460-2091

Philip Howard, Benedikt Huttner, Bojana Beović, Guillaume Béraud, Diamantis P. Kofteridis, José Pano Pardo, Jeroen Schouten, Celiné Pulcini, Goffredo Angioni, Kostoula Arvaniti, Aleksandra Barać, Cesare Bolla, Esther Calbo, Oliver-James Dyar, Massimo Fantoni, Hilde Fjeld, Emma Keuleyan, Sathish Kumar, Arjan Harhxi, David Jenkins, Florian P. Maurer, Peter Messiaen, M. Montejo Baranda, Patricia Muñóz, Gabriella Orlando, Léonardo Pagani, Fatmanur Pepe, Pilar Retamar, Nuno Pereira, Jesus Rodrigues-Bano, Brita Skodvin, Thomas Tängdén, Virginie Vitrat, Vera Vlahović‐Palčevski, Agnes Wechsler-Fördös, Peter Zarb,

Nosocomial Infections in ICU

A variety of indicators is commonly used to monitor antibiotic prescriptions as part of national antimicrobial stewardship (AMS) programmes.To make an inventory of indicators that assess antibiotic prescriptions and are linked to specific targets and incentives, at a national level.A cross-sectional survey (three-item questionnaire) was conducted in 2017 among all ESGAP (ESCMID Study Group for Antimicrobial stewardshiP) members, coming from 23 European countries and 16 non-European countries.Almost all (20/23, 87%) European countries belonging to the ESGAP network participated, as well as one non-European country. Computerized systems routinely linking antibiotic prescriptions to clinical diagnoses were reported for only two countries (Turkey and Croatia). Only 6/21 (29%) countries had national indicators with both clear targets and incentives (Bulgaria, Croatia, France, the Netherlands, Norway and Portugal). We identified a total of 21 different indicators used in these countries, 16 concerning inpatients (9 quality indicators and 7 quantity metrics) and 8 concerning outpatients (all quantity metrics); some indicators were used in both settings. Three types of incentives were used: financing mechanism, hospitals' accreditation and public reporting. Some respondents reported that such indicators with both clear targets and incentives were used at a regional level in their country (e.g. Andalusia in Spain and England in the UK).National indicators, with clear targets and incentives, are not commonly used in Europe and we observed wide variations between countries regarding the selected indicators, the units of measure and the chosen targets.