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Title: | Quality indicators for responsible antibiotic use in the inpatient setting: a systematic review followed by an international multidisciplinary consensus procedure | Authors: | MONNIER, Annelie Schouten, Jeroen Le Marechal, Marion Tebano, Gianpiero Pulcini, Celine Benic, Mirjana Stanic Vlahovic-Palcevski, Vera Milanic, Romina Adriaenssens, Niels Versporten, Ann Huttner, Benedikt Zanichelli, Veronica Hulscher, Marlies E. GYSSENS, Inge |
Issue Date: | 2018 | Publisher: | OXFORD UNIV PRESS | Source: | JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 73(S6), p. 30-39 | Abstract: | Background: This study was conducted as part of the Driving Reinvestment in Research and Development and Responsible Antibiotic Use (DRIVE-AB) project and aimed to develop generic quality indicators (QIs) for responsible antibiotic use in the inpatient setting. Methods: A RAND-modified Delphimethodwas applied. First, QIswere identified by a systematic review. A complementary search was performed on web sites of relevant organizations. Duplicates were removed and disease and patient-specific QIs were combined into generic indicators. The relevance of these QIs was appraised by a multidisciplinary international stakeholder panel through two questionnaires and an in-between consensus meeting. Results: The systematic review retrieved 70 potential generic QIs. The QIs were appraised by 25 international stakeholders with diverse backgrounds (medical community, public health, patients, antibiotic research and development, regulators, governments). Ultimately, 51 QIs were selected in consensus. QIs with the highest relevance score included: (i) an antibiotic plan should be documented in the medical record at the start of the antibiotic treatment; (ii) the results of bacteriological susceptibility testing should be documented in the medical record; (iii) the local guidelines should correspond to the national guidelines but should be adapted based on local resistance patterns; (iv) an antibiotic stewardship programme should be in place at the healthcare facility; and (v) allergy status should be taken into account when antibiotics are prescribed. Conclusions: This systematic and stepwise method combining evidence from literature and stakeholder opinion led to multidisciplinary international consensus on generic inpatient QIs that can be used globally to assess the quality of antibiotic use. | Notes: | [Monnier, Annelie A.; Gyssens, Inge C.] Radboud Univ Nijmegen, Med Ctr, Dept Internal Med, Nijmegen, Netherlands. [Monnier, Annelie A.; Schouten, Jeroen; Hulscher, Marlies E.] Radboud Univ Nijmegen, Med Ctr, Radboud Inst Hlth Sci, Sci Ctr Qual Healthcare IQ Healthcare, Nijmegen, Netherlands. [Monnier, Annelie A.; Gyssens, Inge C.] Hasselt Univ, Res Grp Immunol & Biochem, Fac Med, Hasselt, Belgium. [Le Marechal, Marion; Tebano, Gianpiero; Pulcini, Celine] Univ Lorraine, APEMAC, F-54000 Nancy, France. [Pulcini, Celine] Univ Lorraine, CHRU Nancy, Infect Dis Dept, F-54000 Nancy, France. [Benic, Mirjana Stanic; Vlahovic-Palcevski, Vera; Milanic, Romina] Univ Rijeka, Univ Hosp Rijeka, Dept Clin Pharmacol, Rijeka, Croatia. [Benic, Mirjana Stanic; Vlahovic-Palcevski, Vera; Milanic, Romina] Univ Rijeka, Med Fac, Rijeka, Croatia. [Adriaenssens, Niels; Versporten, Ann] Univ Antwerp, Lab Med Microbiol, Vaccine & Infect Dis Inst VAXINFECTIO, Antwerp, Belgium. [Huttner, Benedikt; Zanichelli, Veronica] Geneva Univ Hosp & Fac Med, Infect Control Program, Geneva, Switzerland. [Huttner, Benedikt] Geneva Univ Hosp & Fac Med, Div Infect Dis, Geneva, Switzerland. | Document URI: | http://hdl.handle.net/1942/27361 | ISSN: | 0305-7453 | e-ISSN: | 1460-2091 | DOI: | 10.1093/jac/dky116 | ISI #: | 000434940500005 | Rights: | Copyright The Author(s) 2018. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
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