Effect of discontinuation of an antimicrobial stewardship programme on the antibiotic usage pattern

Abstract

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

Effect of discontinuing ongoing education and postprescription feedback on antimicrobial prescriptions at discharge from the emergency department

“…The impact of discontinuing the intervention was felt immediately in the primary care and inpatient settings, 3,4 suggesting that the same may hold true in the ED, in line with previous reports. 6 A possible reason for the increase in the proportion of inappropriate APDs may be a decline in the use of the evidenced-based treatment pocket guide and order sets in the EMRs (the guide and order sets).…”

“…Discontinuing antimicrobial stewardship in other settings, including the primary care and inpatient settings, reportedly has had various outcomes. [2][3][4] The effect of discontinuing core interventions, such as educational sessions and PPRF in the ED, is not well understood. In the present study, I examined changes in the average proportion of monthly APDs after infectious disease physicians discontinued multifaceted intervention in the ED.…”

The Impact of the SARS-Cov2 Pandemic on a Persuasive Educational Antimicrobial Stewardship Program in a University Hospital in Southern Italy: A Pre-Post Study

“…In fact, in the wards where the program had been active for more than 30 months, there was no increase in the overall or broadspectrum antibiotic consumption, while in those where the program had been active for less time, the interruption was associated with an increase in the overall antibiotic consumption. In a recently published paper, Jang et al [18] evaluated the effect of the discontinuation of a restrictive antimicrobial stewardship program on antibiotic consumption in a secondary care hospital in South Korea; after the interruption, an immediate increase in the use of restricted antibiotics both in general wards and in ICUs was observed. However, compared with the present study, Jang's study included a shorter period of intervention (18 months versus more than 30 months) and the type of strategy used.…”

Welchen Anteil hat die Infektiologie am Fachgebiet Urologie?

“…Die ABS-Programme sind dabei in der Urologie wichtiger als je zuvor, da sie die Verbreitung von Infektionen mit multi-resistenten Erregern reduzieren können [13,[15][16][17][18] [23]. Laut Wathne et al sind die fünf wesentlichen Angriffspunkte für ABS-Interventionen dabei: 1.…”

“…Interessanterweise müssen die ABS-Interventionen und Ausbildung kontinuierlich aufrechterhalten werden, so konnten Jang et al. zeigen, dass nach Beendigung eines ABS-Programms die antibiotische Verschreibungspraxis sehr schnell auf das Ausgangsniveau zurück geht [ 23 ]. Laut Wathne et al.…”