White Paper: Bridging the gap between surveillance data and antimicrobial stewardship in the outpatient sector—practical guidance from the JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks
| العنوان: | White Paper: Bridging the gap between surveillance data and antimicrobial stewardship in the outpatient sector—practical guidance from the JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks |
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| المؤلفون: | Arieti, Fabiana, Göpel, Siri, Sibani, Marcella, Carrara, Elena, Pezzani, Maria Diletta, Murri, Rita, Mutters, Nico T, Lòpez-Cerero, Lorena, Voss, Andreas, Cauda, Roberto, Tacconelli, Evelina, ARCH working group (Collaborators): Ayola Akim Adegnika, Fabiana, Arieti, Nithya Babu Rajendran, Julia, Bielicki, Steffen, Borrmann, Elena, Carrara, Roberto, Cauda, Compri, Monica, Giulia De Angelis, Raquel, Duro, Galia, Liliana, Petra, Gastmeier, Christian, Giske, Siri, Göpel, Herman, Goossens, Gunnar, Kahlmeter, Souha, S Kanj, Tomislav, Kostyanev, Leonard, Leibovici, Jean-Christophe, Lucet, Lorena, López-Cerero, Rodolphe, Mader, Mazzaferri, Fulvia, Elena, Mazzolini, Marc, Mendelson, Rita, Murri, Nico, T Mutters, Mical, Paul, Maria Diletta Pezzani, Elisabeth, Presterl, Hanna, R Enk, Oana, Sandulescu, Le Huu Song, Remco, Schrijver, Luigia, Scudeller, Mike, Sharland, Marcella, Sibani, Evelina, Tacconelli, Didem, Torumkuney, Thirumalaisamy, P Velavan, Andreas, Voss |
| المصدر: | Journal of Antimicrobial Chemotherapy |
| بيانات النشر: | Oxford University Press, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | 0301 basic medicine, Microbiology (medical), Knowledge management, ESSENTIAL MEDICINES LIST, ANTIBIOTIC STEWARDSHIP, GENERAL-PRACTICE, CARE, RESISTANCE, PRESCRIPTIONS, PRESCRIBERS, PROVISION, INVENTORY, FEEDBACK, Computer science, 030106 microbiology, Delphi method, INVENTORY, Settore MED/17 - MALATTIE INFETTIVE, 03 medical and health sciences, PRESCRIPTIONS, Antimicrobial Stewardship, 0302 clinical medicine, White paper, GENERAL-PRACTICE, Outpatients, Antimicrobial stewardship, AcademicSubjects/MED00740, Humans, Pharmacology (medical), 030212 general & internal medicine, PRESCRIBERS, Pharmacology, Team composition, Government, ESSENTIAL MEDICINES LIST, PROVISION, FEEDBACK, business.industry, CARE, ANTIBIOTIC STEWARDSHIP, Checklist, Hospitals, Anti-Bacterial Agents, Long-term care, Infectious Diseases, AcademicSubjects/MED00290, Supplement Papers, Accountability, Magnets, Antimicrobial, business, AcademicSubjects/MED00230, RESISTANCE |
| الوصف: | Background The outpatient setting is a key scenario for the implementation of antimicrobial stewardship (AMS) activities, considering that overconsumption of antibiotics occurs mainly outside hospitals. This publication is the result of a joint initiative by the JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks, which is aimed at formulating a set of target actions for linking surveillance data with AMS activities in the outpatient setting. Methods A scoping review of the literature was carried out in three research areas: AMS leadership and accountability; antimicrobial usage and AMS; antimicrobial resistance and AMS. Consensus on the actions was reached through a RAND-modified Delphi process involving over 40 experts in infectious diseases, clinical microbiology, AMS, veterinary medicine or public health, from 18 low-, middle- and high-income countries. Results Evidence was retrieved from 38 documents, and an initial 25 target actions were proposed, differentiating between essential or desirable targets according to clinical relevance, feasibility and applicability to settings and resources. In the first consultation round, preliminary agreement was reached for all targets. Further to a second review, 6 statements were re-considered and 3 were deleted, leading to a final list of 22 target actions in the form of a practical checklist. Conclusions This White Paper is a pragmatic and flexible tool to guide the development of calibrated surveillance-based AMS interventions specific to the outpatient setting, which is characterized by substantial inter- and intra-country variability in the organization of healthcare structures, maintaining a global perspective and taking into account the feasibility of the target actions in low-resource settings. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1460-2091 0305-7453 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::33f77e83f63225d3f4beaf7adc2770cd http://europepmc.org/articles/PMC7719405 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....33f77e83f63225d3f4beaf7adc2770cd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14602091 03057453 |
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