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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Developing core elements and checklist items for global hospital antimicrobial stewardship programmes: a consensus

C Pulcini1, F Binda2, A S Lamkang3

  • 1Université de Lorraine, APEMAC, Nancy, France; Université de Lorraine, CHRU-Nancy, Infectious Diseases Department, Nancy, France.

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
|April 7, 2018
PubMed
Summary
This summary is machine-generated.

This study defined core elements for hospital antimicrobial stewardship (AMS) programs globally. The consensus includes 7 core elements and 29 checklist items, applicable worldwide to improve AMS effectiveness and affordability.

Keywords:
Antimicrobial resistanceAntimicrobial stewardshipHospitalLow-income countryMiddle-income country

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Area of Science:

  • Global Health
  • Infectious Diseases
  • Healthcare Management

Background:

  • Growing global interest in hospital antimicrobial stewardship (AMS) programs.
  • Need for clearly defined, effective, and affordable core AMS elements.
  • Previous efforts limited to high-resource regions.

Purpose of the Study:

  • Develop globally relevant core elements and checklist items for hospital AMS programs.
  • Ensure applicability across all resource settings worldwide.
  • Establish a foundation for international AMS guidelines.

Main Methods:

  • Comprehensive literature review of Medline and relevant websites.
  • Modified Delphi consensus procedure with international AMS experts.
  • Two-phased online questionnaires for expert evaluation.

Main Results:

  • Identified 7 core elements and 29 checklist items from literature.
  • International expert consensus achieved on 7 core elements and 28/29 initial items.
  • One new checklist item was suggested, and 20 items were rephrased with ≥80% agreement.

Conclusions:

  • Established a consensus on core elements for hospital AMS programs.
  • Findings are relevant for both high- and low-to-middle-income countries.
  • Facilitates development and adoption of national AMS stewardship guidelines globally.