Title |
Monitoring, documenting and reporting the quality of antibiotic use in the Netherlands: a pilot study to establish a national antimicrobial stewardship registry
|
---|---|
Published in |
BMC Infectious Diseases, August 2017
|
DOI | 10.1186/s12879-017-2673-5 |
Pubmed ID | |
Authors |
Marvin AH Berrevoets, Jaap ten Oever, Tom Sprong, Reinier M van Hest, Ingeborg Groothuis, Inger van Heijl, Jeroen A Schouten, Marlies E Hulscher, Bart-Jan Kullberg |
Abstract |
The Dutch Working Party on Antibiotic Policy is developing a national antimicrobial stewardship registry. This registry will report both the quality of antibiotic use in hospitals in the Netherlands and the stewardship activities employed. It is currently unclear which aspects of the quality of antibiotic use are monitored by antimicrobial stewardship teams (A-teams) and can be used as indicators for the stewardship registry. In this pilot study we aimed to determine which stewardship objectives are eligible for the envisioned registry. We performed an observational pilot study among five Dutch hospitals. We assessed which of the 14 validated stewardship objectives (11 process of care recommendations and 3 structure of care recommendations) the A-teams monitored and documented in individual patients. They provided, where possible, data to compute quality indicator (QI) performance scores in line with recently developed QIs to measure appropriate antibiotic use in hospitalized adults for the period of January 2015 through December 2015 RESULTS: All hospitals had a local antibiotic guideline describing recommended antimicrobial use. All A-teams monitored the performance of bedside consultations in Staphylococcus aureus bacteremia and the prescription of restricted antimicrobials. Documentation and reporting were the best for the use of restricted antimicrobials: 80% of the A-teams could report data. Lack of time and the absence of an electronic medical record system enabling documentation during the daily work flow were the main barriers hindering documentation and reporting. Five out of 11 stewardship objectives were actively monitored by A-teams. Without extra effort, 4 A-teams could report on the quality of use of restricted antibiotics. Therefore, this aspect of antibiotic use should be the starting point of the national antimicrobial stewardship registry. Our registry is expected to become a powerful tool to evaluate progress and impact of antimicrobial stewardship programs in hospitals. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 17% |
United Kingdom | 2 | 17% |
South Africa | 1 | 8% |
Saudi Arabia | 1 | 8% |
Canada | 1 | 8% |
Spain | 1 | 8% |
Unknown | 4 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 42% |
Scientists | 5 | 42% |
Practitioners (doctors, other healthcare professionals) | 2 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 105 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 18 | 17% |
Student > Ph. D. Student | 12 | 11% |
Researcher | 10 | 10% |
Other | 9 | 9% |
Student > Bachelor | 8 | 8% |
Other | 17 | 16% |
Unknown | 31 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 27 | 26% |
Nursing and Health Professions | 11 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 9 | 9% |
Biochemistry, Genetics and Molecular Biology | 6 | 6% |
Veterinary Science and Veterinary Medicine | 4 | 4% |
Other | 14 | 13% |
Unknown | 34 | 32% |