The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey

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dc.contributor.authorSartelli, Massimo
dc.contributor.authorLabricciosa, Francesco M
dc.contributor.authorBarbadoro, Pamela
dc.contributor.authorPagani, Leonardo
dc.contributor.authorAnsaloni, Luca
dc.contributor.authorBrink, Adrian J
dc.contributor.authorCarlet, Jean
dc.contributor.authorKhanna, Ashish
dc.contributor.authorChichom-Mefire, Alain
dc.contributor.authorCoccolini, Federico
dc.contributor.authorDi Saverio, Salomone
dc.contributor.authorMay, Addison K
dc.contributor.authorViale, Pierluigi
dc.contributor.authorWatkins, Richard R
dc.contributor.authorScudeller, Luigia
dc.contributor.authorAbbo, Lilian M
dc.contributor.authorAbu-Zidan, Fikri M
dc.contributor.authorAdesunkanmi, Abdulrashid K
dc.contributor.authorAl-Dahir, Sara
dc.contributor.authorAl-Hasan, Majdi N
dc.contributor.authorAlis, Halil
dc.contributor.authorAlves, Carlos
dc.contributor.authorAraujo da Silva, André R
dc.contributor.authorAugustin, Goran
dc.contributor.authorBala, Miklosh
dc.contributor.authorBarie, Philip S
dc.contributor.authorBeltrán, Marcelo A
dc.contributor.authorBhangu, Aneel
dc.contributor.authorBouchra, Belefquih
dc.contributor.authorBrecher, Stephen M
dc.contributor.authorCaínzos, Miguel A
dc.contributor.authorCamacho-Ortiz, Adrian
dc.contributor.authorCatani, Marco
dc.contributor.authorChandy, Sujith J
dc.contributor.authorJusoh, Asri C
dc.contributor.authorCherry-Bukowiec, Jill R
dc.contributor.authorChiara, Osvaldo
dc.contributor.authorColak, Elif
dc.contributor.authorCornely, Oliver A
dc.contributor.authorCui, Yunfeng
dc.contributor.authorDemetrashvili, Zaza
dc.contributor.authorDe Simone, Belinda
dc.contributor.authorDe Waele, Jan J
dc.contributor.authorDhingra, Sameer
dc.contributor.authorDi Marzo, Francesco
dc.contributor.authorDogjani, Agron
dc.contributor.authorDorj, Gereltuya
dc.contributor.authorDortet, Laurent
dc.contributor.authorDuane, Therese M
dc.contributor.authorElmangory, Mutasim M
dc.contributor.authorEnani, Mushira A
dc.contributor.authorFerrada, Paula
dc.contributor.authorEsteban Foianini, J.
dc.contributor.authorGachabayov, Mahir
dc.contributor.authorGandhi, Chinmay
dc.contributor.authorGhnnam, Wagih M
dc.contributor.authorGiamarellou, Helen
dc.contributor.authorGkiokas, Georgios
dc.contributor.authorGomi, Harumi
dc.contributor.authorGoranovic, Tatjana
dc.contributor.authorGriffiths, Ewen A
dc.contributor.authorGuerra Gronerth, Rosio I
dc.contributor.authorHaidamus Monteiro, Julio C
dc.contributor.authorHardcastle, Timothy C
dc.contributor.authorHecker, Andreas
dc.contributor.authorHodonou, Adrien M
dc.contributor.authorIoannidis, Orestis
dc.contributor.authorIsik, Arda
dc.contributor.authorIskandar, Katia A
dc.contributor.authorKafil, Hossein S
dc.contributor.authorKanj, Souha S
dc.contributor.authorKaplan, Lewis J
dc.contributor.authorKapoor, Garima
dc.contributor.authorKaramarkovic, Aleksandar R
dc.contributor.authorKenig, Jakub
dc.contributor.authorKerschaever, Ivan
dc.contributor.authorKhamis, Faryal
dc.contributor.authorKhokha, Vladimir
dc.contributor.authorKiguba, Ronald
dc.contributor.authorKim, Hong B
dc.contributor.authorKo, Wen-Chien
dc.contributor.authorKoike, Kaoru
dc.contributor.authorKozlovska, Iryna
dc.contributor.authorKumar, Anand
dc.contributor.authorLagunes, Leonel
dc.contributor.authorLatifi, Rifat
dc.contributor.authorLee, Jae G
dc.contributor.authorLee, Young R
dc.contributor.authorLeppäniemi, Ari
dc.contributor.authorLi, Yousheng
dc.contributor.authorLiang, Stephen Y
dc.contributor.authorLowman, Warren
dc.contributor.authorMachain, Gustavo M
dc.contributor.authorMaegele, Marc
dc.contributor.authorMajor, Piotr
dc.contributor.authorMalama, Sydney
dc.contributor.authorManzano-Nunez, Ramiro
dc.contributor.authorMarinis, Athanasios
dc.contributor.authorMartinez Casas, Isidro
dc.contributor.authorMarwah, Sanjay
dc.contributor.authorMaseda, Emilio
dc.contributor.authorMcFarlane, Michael E
dc.contributor.authorMemish, Ziad
dc.contributor.authorMertz, Dominik
dc.contributor.authorMesina, Cristian
dc.contributor.authorMishra, Shyam K
dc.contributor.authorMoore, Ernest E
dc.contributor.authorMunyika, Akutu
dc.contributor.authorMylonakis, Eleftherios
dc.contributor.authorNapolitano, Lena
dc.contributor.authorNegoi, Ionut
dc.contributor.authorNestorovic, Milica D
dc.contributor.authorNicolau, David P
dc.contributor.authorOmari, Abdelkarim H
dc.contributor.authorOrdonez, Carlos A
dc.contributor.authorPaiva, José-Artur
dc.contributor.authorPant, Narayan D
dc.contributor.authorParreira, Jose G
dc.contributor.authorPędziwiatr, Michal
dc.contributor.authorPereira, Bruno M
dc.contributor.authorPonce-de-Leon, Alfredo
dc.contributor.authorPoulakou, Garyphallia
dc.contributor.authorPreller, Jacobus
dc.contributor.authorPulcini, Céline
dc.contributor.authorPupelis, Guntars
dc.contributor.authorQuiodettis, Martha
dc.contributor.authorRawson, Timothy M
dc.contributor.authorReis, Tarcisio
dc.contributor.authorRems, Miran
dc.contributor.authorRizoli, Sandro
dc.contributor.authorRoberts, Jason
dc.contributor.authorPereira, Nuno R
dc.contributor.authorRodríguez-Baño, Jesús
dc.contributor.authorSakakushev, Boris
dc.contributor.authorSanders, James
dc.contributor.authorSantos, Natalia
dc.contributor.authorSato, Norio
dc.contributor.authorSawyer, Robert G
dc.contributor.authorScarpelini, Sandro
dc.contributor.authorScoccia, Loredana
dc.contributor.authorShafiq, Nusrat
dc.contributor.authorShelat, Vishalkumar
dc.contributor.authorSifri, Costi D
dc.contributor.authorSiribumrungwong, Boonying
dc.contributor.authorSøreide, Kjetil
dc.contributor.authorSoto, Rodolfo
dc.contributor.authorde Souza, Hamilton P
dc.contributor.authorTalving, Peep
dc.contributor.authorTrung, Ngo T
dc.contributor.authorTessier, Jeffrey M
dc.contributor.authorTumbarello, Mario
dc.contributor.authorUlrych, Jan
dc.contributor.authorUranues, Selman
dc.contributor.authorVan Goor, Harry
dc.contributor.authorVereczkei, Andras
dc.contributor.authorWagenlehner, Florian
dc.contributor.authorXiao, Yonghong
dc.contributor.authorYuan, Kuo-Ching
dc.contributor.authorWechsler-Fördös, Agnes
dc.contributor.authorZahar, Jean-Ralph
dc.contributor.authorZakrison, Tanya L
dc.contributor.authorZuckerbraun, Brian
dc.contributor.authorZuidema, Wietse P
dc.contributor.authorCatena, Fausto
dc.date.accessioned2017-08-21T07:23:13Z
dc.date.available2017-08-21T07:23:13Z
dc.date.issued2017-08-01
dc.date.updated2017-08-21T07:23:19Z
dc.description.abstractAbstract 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.
dc.identifier.citationWorld Journal of Emergency Surgery. 2017 Aug 01;12(1):34
dc.identifier.urihttp://dx.doi.org/10.1186/s13017-017-0145-2
dc.identifier.urihttps://hdl.handle.net/2139/44754
dc.language.rfc3066en
dc.rights.holderThe Author(s).
dc.titleThe Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey
dc.typeJournal Article

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