Long-term positive effect of an educational antimicrobial stewardship program implemented in an Internal Medicine Department: a prospective analysis and a point prevalence survey on long-term effect.
Anti-Infective Agents
/ administration & dosage
Antimicrobial Stewardship
/ organization & administration
Drug Utilization
/ statistics & numerical data
Hospital Mortality
/ trends
Humans
Inservice Training
/ organization & administration
Internal Medicine
/ education
Length of Stay
/ trends
Prospective Studies
Antimicrobial stewardship
antibiotic consumption
antimicrobial resistance
appropriateness of antimicrobial therapy
infectious diseases consultation
multidrug-resistant bacteria
Journal
Journal of chemotherapy (Florence, Italy)
ISSN: 1973-9478
Titre abrégé: J Chemother
Pays: England
ID NLM: 8907348
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
pubmed:
31
12
2020
medline:
16
11
2021
entrez:
30
12
2020
Statut:
ppublish
Résumé
The study aims to evaluate antimicrobial consumption and appropriateness one year after the implementation of an antimicrobial stewardship (AMS) program in an Internal Medicine Department in Milan. AMS program structured in two phases: "AMS phase", 5 months AMS-program based on an "audit-and-feedback model"; the "follow-up phase", 5 months long point prevalence survey conducted one year later. Outcomes of the study: antimicrobial consumption and appropriateness of antimicrobial therapy. Secondary outcomes: in-hospital mortality and length of stay (LOS). During the "AMS phase", we obtained a mean decrease of -11.4% of total antibiotic consumption as compared to the previous year (67.9 defined daily dose (DDD)/100 bed-days (bd) vs. 79.4 DDD/100bd,
Identifiants
pubmed: 33375926
doi: 10.1080/1120009X.2020.1861515
doi:
Substances chimiques
Anti-Infective Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM