Antimicrobial Stewardship in Acute Care Centres: A Survey of 68 Hospitals in Quebec

Nault, Vincent; Beaudoin, Mathieu; Thirion, Daniel J. G.; Gosselin, Michel; Cossette, Benoȋt; Valiquette, Louis

doi:10.1155/2008/845651

Cited by 15 publications

(11 citation statements)

References 16 publications

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“…This rate now has increased to 73%. Our findings are consistent with other published reports, which have ranged from 55% of general hospitals in 2001 15 to 74% in 2006 16 and again in 2008, 17 and 51% of pediatric hospitals in 2009. 18 Guidelines recommend that ASPs should be customized to adapt to local antimicrobial use and resistance patterns and to accommodate institutional needs and resources.…”

Section: Support For Antimicrobial Stewardship Programssupporting

confidence: 94%

Improving Antimicrobial Stewardship The Evolution of Programmatic Strategies and Barriers

Johannsson

Beekmann

Srinivasan

et al. 2011

Infect. Control Hosp. Epidemiol.

115

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The percentage of institutions reporting ASPs has increased over the last decade, although small community hospitals were least likely to have these programs. In addition, ASP strategies have shifted dramatically. Lack of funding remains a key barrier for ASPs, and administrators need additional cost savings data in order to support ASPs. Interestingly, while guidelines and editorials regard compensated participation by an infectious diseases physician in these programs as critical, we found that more than half of the respondents reported no direct compensation for ASP activities.

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Section: Support For Antimicrobial Stewardship Programssupporting

confidence: 94%

Improving Antimicrobial Stewardship The Evolution of Programmatic Strategies and Barriers

Johannsson

Beekmann

Srinivasan

et al. 2011

Infect. Control Hosp. Epidemiol.

115

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show abstract

“…In the province of Quebec (Canada), a survey of 68 hospitals in 2008 found that clinical microbiologists participated in 89% of antimicrobial stewardship surveillance programs (59). In this province, as in some other countries, most microbiologists are also trained and certified as ID specialists.…”

Section: Drugmentioning

confidence: 99%

Antimicrobial Stewardship: How the Microbiology Laboratory Can Right the Ship

2017

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Antimicrobial stewardship is a bundle of integrated interventions employed to optimize the use of antimicrobials in health care settings. While infectious-disease-trained physicians, with clinical pharmacists, are considered the main leaders of antimicrobial stewardship programs, clinical microbiologists can play a key role in these programs. This review is intended to provide a comprehensive discussion of the different components of antimicrobial stewardship in which microbiology laboratories and clinical microbiologists can make significant contributions, including cumulative antimicrobial susceptibility reports, enhanced culture and susceptibility reports, guidance in the preanalytic phase, rapid diagnostic test availability, provider education, and alert and surveillance systems. In reviewing this material, we emphasize how the rapid, and especially the recent, evolution of clinical microbiology has reinforced the importance of clinical microbiologists' collaboration with antimicrobial stewardship programs.

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“…This figure is good also when compared with countries well organised in this setting, such as Canada, where a study identified that 22% of the hospitals in Quebec published such reports regularly [15].…”

Section: Discussionmentioning

confidence: 78%

“…In conclusion, as the presence ASPs is increasing throughout the world, this survey shows that a multimodal approach, to date the best strategy available, has been implemented in all PHTs of Emilia-Romagna [4,15]. The results of a survey like the one performed here may represent an instrument to favour a better allocation of resources, both at the peripheral and central level.…”

Section: Discussionmentioning

confidence: 79%