Interdisciplinary approach in development and implementation of local guideline for surgical antimicrobial prophylaxis: Experience of the university hospital 'Tsaritsa Yoanna - ISUL', Sofia, Bulgaria

Petrov, Andrey D.; Gatchev, Emil; Damyanov, D.; Korukov, Boyko; Kolev, E.

doi:10.5937/hpimj1401015p

Cited by 2 publications

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The authors, regardless of the limitations of the study, support the need for longer time monitoring, in order to show the effect of reducing blood demand through transfusion indices for assessing the effectiveness of the applied modules. This saves money, time, blood volume, protects staff from BURN OUT syndrome and provides the patient with a sufficient standard and enables the care of a larger number of patients [20,21,22].…”

Section: Discussionmentioning

confidence: 99%

Effects of introducing Type&Screen system on rational use of transfusions

Stefanović¹,

Çolak²,

Stanojević³

et al. 2021

Hosp Pharm Int Multi J

View full text Add to dashboard Cite

Introduction: The number of blood donors at the global level has decreased primarily due to ethical and age-related changes in the structure of the planet's population. In addition, there is over ordering of blood for surgical patients. Accordingly, there is a need for rationalizing the testing i.e. reducing the number of cross-matchings and decrease in the use of blood. A type and screen (T&S) upon admission is sufficient for most patients. Determination of ABO blood group and Rh type, and screens for clinically significant alloantibodies is denoted as type and screen (T&S). Aim: Comparison of pharmaco-economic effect using transfusion indices on the number of performed cross-matches and the amount of packed red blood cells issued. Material and Methods: The authors present the comparison between the year 2010 before the introduction of the Type and Screen (T&S) system and the year 2019 when the T&S system and restrictive policy in transfusion practice, were introduced. Data for 2010 were collected from written transfusion protocols of the clinic, and for 2019 were obtained from the hospital information system (Heliant) and written transfusion protocols. The difference between two groups of data was examine with Chi-square test and Fisher exact test, with the reliability level set at p<0.05. Results: With the introduction of the T&S system, the number of cross-matches was reduced from 0.63 to 0.49 and the number of blood units was reduced from 0.21 to 0.11 per hospitalized patient, which at the level of one clinic represents a significant pharmacoeconomic contribution of approximately 50%. In our study, after processing T&S in ordering of blood, the indices (CTR, %T, TI) failed to improve. Despite of unsatisfactory transfusion indices, the application of restrictive indication policies in accordance with national and international guidelines has led to highly significant reduction in the consumption of total blood from 3243 to 1867 blood units. The BOQ as an overall assessment of the results after the introduction of the T&S procedure indicated improvement. Conclusions: The introduction of validation in blood transfusion indirectly draws the attention of prescribing physicians to take into account the significance of blood therapy. The effects of the introduction of the T&S method and restrictive transfusion policy are savings in blood consumption, decreased number of patients tested, a significant reduction in used blood units, and the number of performed cross-matches, despite the increased number of patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Effects of introducing Type&Screen system on rational use of transfusions

Stefanović¹,

Çolak²,

Stanojević³

et al. 2021

Hosp Pharm Int Multi J

View full text Add to dashboard Cite

show abstract

Key features of hospitals antibiotic stewardship software solutions needed for successfully optimizing patient outcomes while fighting antibiotic resistance on a global scale – a shared experience

Konova,

Petrov,

Pendicheva

et al. 2024

PHAR

View full text Add to dashboard Cite

Antimicrobial resistance threatens the very core of modern medicine and currently costs the EU more than 11.7 billion euro per year. In 2050 it is projected that 10 million people will die from infections with the so called “superbugs”. In the past few decades, no entirely new antibiotic groups are being discovered which makes of crucial importance to preserve the effectiveness of the antibiotics we have today for future generations. Antimicrobial stewardship programs worldwide aim to optimize the use of antimicrobials to improve effectiveness, safety and economic feasibility of antibiotics while fighting antibiotic resistance on a local and global scale. This article shares the experience of building a software solution from scratch for digitalisation of local antibiotic stewardship policies – what are the key features needed and the steps required for successful implementation of a digital local antibiotic stewardship policy and who are the stakeholders in a project of this nature.

show abstract

Interdisciplinary approach in development and implementation of local guideline for surgical antimicrobial prophylaxis: Experience of the university hospital 'Tsaritsa Yoanna - ISUL', Sofia, Bulgaria

Cited by 2 publications

References 19 publications

Effects of introducing Type&Screen system on rational use of transfusions

Effects of introducing Type&Screen system on rational use of transfusions

Key features of hospitals antibiotic stewardship software solutions needed for successfully optimizing patient outcomes while fighting antibiotic resistance on a global scale – a shared experience

Contact Info

Product

Resources

About