Evaluation of existing and desired antimicrobial stewardship activities and strategies in Swiss hospitals
Antimicrobial stewardship (AMS) is an important component in the fight against antimicrobial resistance. Currently, few hospitals have an ongoing institutional AMS programme. Swissnoso – the national centre for infection prevention – has launched a national Swiss AMS initiative supported by the of...
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| Format: | Article |
| Language: | English |
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SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2017-10-01
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| Series: | Swiss Medical Weekly |
| Subjects: | |
| Online Access: | https://www.smw.ch/index.php/smw/article/view/2381 |
| _version_ | 1811289218541944832 |
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| author | Michael Osthoff Julia Bielicki Andreas F. Widmer Swiss Medical Weekly |
| author_facet | Michael Osthoff Julia Bielicki Andreas F. Widmer Swiss Medical Weekly |
| author_sort | Michael Osthoff |
| collection | DOAJ |
| description |
Antimicrobial stewardship (AMS) is an important component in the fight against antimicrobial resistance. Currently, few hospitals have an ongoing institutional AMS programme. Swissnoso – the national centre for infection prevention – has launched a national Swiss AMS initiative supported by the office of public health. To guide AMS priorities and resources, current AMS activities in Switzerland were assessed. We distributed an internet-based questionnaire directed mainly to board-certified infectious diseases specialists and, if not available, senior internal medicine staff. Responses were received from 63/134 hospitals surveyed. More than 90% were in favour of national treatment guidelines currently in development under the umbrella of the Swiss society for infectious diseases. Many AMS activities – such as antimicrobial formulary restrictions and approval systems, review of antimicrobial prescriptions with point of care intervention, and direct feedback or therapeutic drug monitoring – are currently lacking in the majority of Swiss hospitals surveyed. Development of a modular formal AMS standard for Swiss hospitals may aid in advancing current AMS strategies and in introducing AMS programmes in Switzerland. In combination with the surveillance of antimicrobial use and resistance by ANRESIS, the national antimicrobial resistance surveillance system, this approach may reduce the use of antimicrobial agents and consequently the risk of emergence of multi-resistant pathogens.
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| first_indexed | 2024-04-13T03:51:01Z |
| format | Article |
| id | doaj.art-3d1970e98a524b9197dcb83b13aff31a |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2024-04-13T03:51:01Z |
| publishDate | 2017-10-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-3d1970e98a524b9197dcb83b13aff31a2022-12-22T03:03:50ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972017-10-01147414210.4414/smw.2017.14512Evaluation of existing and desired antimicrobial stewardship activities and strategies in Swiss hospitalsMichael Osthoff0Julia Bielicki1Andreas F. Widmer2Swiss Medical WeeklyUniversity of Basel Hospitals, University of Basel, SwitzerlandDepartment for Paediatric Infectious Diseases and Paediatric Pharmacology Group, University of Basel Children’s Hospital, Basel, SwitzerlandUniversity of Basel Hospitals, University of Basel, Switzerland Antimicrobial stewardship (AMS) is an important component in the fight against antimicrobial resistance. Currently, few hospitals have an ongoing institutional AMS programme. Swissnoso – the national centre for infection prevention – has launched a national Swiss AMS initiative supported by the office of public health. To guide AMS priorities and resources, current AMS activities in Switzerland were assessed. We distributed an internet-based questionnaire directed mainly to board-certified infectious diseases specialists and, if not available, senior internal medicine staff. Responses were received from 63/134 hospitals surveyed. More than 90% were in favour of national treatment guidelines currently in development under the umbrella of the Swiss society for infectious diseases. Many AMS activities – such as antimicrobial formulary restrictions and approval systems, review of antimicrobial prescriptions with point of care intervention, and direct feedback or therapeutic drug monitoring – are currently lacking in the majority of Swiss hospitals surveyed. Development of a modular formal AMS standard for Swiss hospitals may aid in advancing current AMS strategies and in introducing AMS programmes in Switzerland. In combination with the surveillance of antimicrobial use and resistance by ANRESIS, the national antimicrobial resistance surveillance system, this approach may reduce the use of antimicrobial agents and consequently the risk of emergence of multi-resistant pathogens. https://www.smw.ch/index.php/smw/article/view/2381antibiotic resistanceantibiotic useantimicrobial stewardshipemergence of multi-drug resistancehospital epidemiologyinfectious diseases |
| spellingShingle | Michael Osthoff Julia Bielicki Andreas F. Widmer Swiss Medical Weekly Evaluation of existing and desired antimicrobial stewardship activities and strategies in Swiss hospitals Swiss Medical Weekly antibiotic resistance antibiotic use antimicrobial stewardship emergence of multi-drug resistance hospital epidemiology infectious diseases |
| title | Evaluation of existing and desired antimicrobial stewardship activities and strategies in Swiss hospitals |
| title_full | Evaluation of existing and desired antimicrobial stewardship activities and strategies in Swiss hospitals |
| title_fullStr | Evaluation of existing and desired antimicrobial stewardship activities and strategies in Swiss hospitals |
| title_full_unstemmed | Evaluation of existing and desired antimicrobial stewardship activities and strategies in Swiss hospitals |
| title_short | Evaluation of existing and desired antimicrobial stewardship activities and strategies in Swiss hospitals |
| title_sort | evaluation of existing and desired antimicrobial stewardship activities and strategies in swiss hospitals |
| topic | antibiotic resistance antibiotic use antimicrobial stewardship emergence of multi-drug resistance hospital epidemiology infectious diseases |
| url | https://www.smw.ch/index.php/smw/article/view/2381 |
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