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Antimicrobial stewardship programmes in Emilia-Romagna, Italy.

Angelo Pan1, Carlo Gagliotti1, Davide Resi1

  • 1Area Rischio infettivo, Agenzia sanitaria e sociale regionale dell'Emilia-Romagna, Viale Aldo Moro 21, I-40127, Bologna, Italy.

Journal of Global Antimicrobial Resistance
|November 23, 2016
PubMed
Summary
This summary is machine-generated.

Antimicrobial stewardship programmes (ASPs) are present in all Italian trusts, but quality varies. Key areas for improvement in antibiotic use include committees, education, and auditing to enhance healthcare system harmonization.

Keywords:
Antimicrobial stewardshipItalyProgrammeSurvey

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Healthcare Management

Background:

  • Antimicrobial resistance is a growing global health threat.
  • Antimicrobial stewardship programmes (ASPs) are crucial for optimizing antibiotic use.
  • Evaluating the current state of ASPs is essential for targeted improvements.

Purpose of the Study:

  • To assess the current status and quality of antimicrobial stewardship programmes (ASPs) in Emilia-Romagna, Italy.
  • To identify strengths and weaknesses in existing ASPs across Public Health Trusts (PHTs).
  • To provide data for regional initiatives aimed at harmonizing healthcare systems.

Main Methods:

  • A 23-question survey was distributed to all 17 Public Health Trusts (PHTs) in Emilia-Romagna.
  • The survey covered PHT characteristics, multidisciplinary teams, formulary restrictions, education, guidelines, auditing, and resistance surveillance.
  • The French 'composite index of good antibiotic use' (ICATB) score was calculated for each PHT.

Main Results:

  • All PHTs have antimicrobial control programmes; 65% have dedicated ASP teams.
  • 100% utilize restricted formularies, but only 47% have active antimicrobial committees.
  • Significant variations in quality scores were observed, particularly in committee organization, education, and auditing activities.

Conclusions:

  • While all PHTs have implemented ASPs, substantial inter-trust differences exist.
  • Antimicrobial committee structure, educational initiatives, and auditing practices require significant enhancement.
  • Regional programs are needed to address these critical areas and standardize ASP implementation.