Quality, availability and suitability of antimicrobial stewardship guidance: a multinational qualitative study

被引：0

作者：

Linde-Ozola, Zane ^{[1
]}

Classen, Annika Y. ^{[2
,3
,4
]}

Giske, Christian G. ^{[5
,6
]}

Goepel, Siri ^{[7
,8
]}

Eliakim-Raz, Noa ^{[9
,10
]}

Semret, Makeda ^{[11
]}

Simonsen, Gunnar Skov ^{[12
,13
]}

Vehreschild, Joerg Janne ^{[2
,3
,4
,14
]}

Jorgensen, Silje Bakken ^{[15
,16
]}

Kessel, Johanna ^{[17
]}

Kleppe, Lars Kare Selland ^{[18
]}

Oma, Dorthea Hagen ^{[19
]}

Vehreschild, Maria J. G. T. ^{[2
,3
,4
,17
]}

Vilde, Aija ^{[1
,20
]}

Dumpis, Uga ^{[1
,20
]}

机构：

[1] Univ Latvia, Fac Med, Riga, Latvia

[2] Univ Cologne, Fac Med, Cologne, Germany

[3] Univ Hosp Cologne, Dept Internal Med 1, Cologne, Germany

[4] German Ctr Infect Res DZIF, Partner Site Bonn Cologne, Cologne, Germany

[5] Karolinska Inst, Dept Lab Med, Stockholm, Sweden

[6] Karolinska Univ Hosp, Dept Clin Microbiol, Stockholm, Sweden

[7] Univ Hosp Tubingen, Dept Internal Med 1, Div Infect Dis, Tubingen, Germany

[8] German Ctr Infect Res DZIF, Clin Res Unit Healthcare Associated & Antibiot Re, Tubingen, Germany

[9] Rabin Med Ctr Beilinson Campus, Internal Med E, Petah Tiqwa, Israel

[10] Tel Aviv Univ, Fac Med, Tel Aviv, Israel

[11] McGill Univ Hlth Ctr, Infect Dis & Med Microbiol, Montreal, PQ, Canada

[12] Univ Hosp North Norway, Dept Microbiol & Infect Control, Tromso, Norway

[13] UiT Arctic Univ Norway, Tromso, Norway

[14] Goethe Univ Frankfurt, Dept Internal Med 2, Haematol Oncol, Frankfurt, Germany

[15] Akershus Univ Hosp, Dept Med Microbiol & Infect Control, Lorenskog, Norway

[16] Akershus Univ Hosp, Dept Emergency Care, Lorenskog, Norway

[17] Goethe Univ Frankfurt, Dept Internal Med, Infect Dis, Frankfurt, Germany

[18] Stavanger Univ Hosp, Dept Infect Prevent & Control, Stavanger, Norway

[19] Haukeland Hosp, Sect Patient Safety, Bergen, Norway

[20] Pauls Stradins Clin Univ Hosp, Riga, Latvia

来源：

JAC-ANTIMICROBIAL RESISTANCE | 2024年 / 6卷 / 02期

关键词：

DISEASE; GUIDELINES; RESISTANCE; FRAMEWORK; PATIENT; IMPACT; CARE;

D O I：

10.1093/jacamr/dlae039

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Background Antimicrobial stewardship (AMS) programmes are established across the world to treat infections efficiently, prioritize patient safety, and reduce the emergence of antimicrobial resistance. One of the core elements of AMS programmes is guidance to support and direct physicians in making efficient, safe and optimal decisions when prescribing antibiotics. To optimize and tailor AMS, we need a better understanding of prescribing physicians' experience with AMS guidance.Objectives To explore the prescribing physicians' user experience, needs and targeted improvements of AMS guidance in hospital settings.Methods Semi-structured interviews were conducted with 36 prescribing physicians/AMS guidance users from hospital settings in Canada, Germany, Israel, Latvia, Norway and Sweden as a part of the international PILGRIM trial. A socioecological model was applied as an overarching conceptual framework for the study.Results Research participants were seeking more AMS guidance than is currently available to them. The most important aspects and targets for improvement of AMS guidance were: (i) quality of guidelines; (ii) availability of infectious diseases specialists; and (iii) suitability of AMS guidance to department context.Conclusions Achieving prudent antibiotic use not only depends on individual and collective levels of commitment to follow AMS guidance but also on the quality, availability and suitability of the guidance itself. More substantial commitment from stakeholders is needed to allocate the required resources for delivering high-quality, available and relevant AMS guidance to make sure that the prescribers' AMS needs are met.

引用

页数：7

共 39 条

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