The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey

Massimo Sartelli; Francesco M. Labricciosa; Pamela Barbadoro; Leonardo Pagani; Luca Ansaloni; Adrian J. Brink; Jean Carlet; Ashish Khanna; Alain Chichom-Mefire; Federico Coccolini; Salomone Di Saverio; Addison K. May; Pierluigi Viale; Richard R. Watkins; Luigia Scudeller; Lilian M. Abbo; FikriM Abu-Zidan; Abdulrashid K. Adesunkanmi; Sara Al-Dahir; Majdi N. Al-Hasan; Halil Alis; Carlos Alves; Andre R. Araujo da Silva; Goran Augustin; Miklosh Bala; Philip S. Barie; Marcelo A. Beltran; Aneel Bhangu; Belefquih Bouchra; Stephen M. Brecher; Miguel A. Cainzos; Adrian Camacho-Ortiz; Marco Catani; Sujith J. Chandy; Asri Che Jusoh; Jill R. Cherry-Bukowiec; Osvaldo Chiara; Elif Colak; Oliver A. Cornely; Yunfeng Cui; Zaza Demetrashvili; Belinda De Simone; Jan J. De Waele; Sameer Dhingra; Francesco Di Marzo; Agron Dogjani; Gereltuya Dorj; Laurent Dortet; ThereseM Duane; Mutasim M. Elmangory; Mushira A. Enani; Paula Ferrada; J. Esteban Foianini; Mahir Gachabayov; Chinmay Gandhi; Wagih Mommtaz Ghnnam; Helen Giamarellou; Georgios Gkiokas; Harumi Gomi; Tatjana Goranovic; Ewen A. Griffiths; Rosio I. Guerra Gronerth; Julio C. Haidamus Monteiro; Timothy C. Hardcastle; Andreas Hecker; Adrien M. Hodonou; Orestis Ioannidis; Arda Isik; Katia A. Iskandar; Hossein S. Kafil; Souha S. Kanj; Lewis J. Kaplan; Garima Kapoor; Aleksandar R. Karamarkovic; Jakub Kenig; Ivan Kerschaever; Faryal Khamis; Vladimir Khokha; Ronald Kiguba; Hong B. Kim; Wen-Chien Ko; Kaoru Koike; Iryna Kozlovska; Anand Kumar; Leonel Lagunes; Rifat Latifi; Jae G. Lee; Young R. Lee; Ari Leppaniemi; Yousheng Li; Stephen Y. Liang; Warren Lowman; Gustavo M. Machain; Marc Maegele; Piotr Major; Sydney Malama; Ramiro Manzano-Nunez; Athanasios Marinis; Isidro Martinez Casas; Sanjay Marwah; Emilio Maseda; Michael E. McFarlane; Ziad Memish; Dominik Mertz; Cristian Mesina; ShyamK Mishra; Ernest E. Moore; Akutu Munyika; Eleftherios Mylonakis; Lena Napolitano; Ionut Negoi; Milica D. Nestorovic; David P. Nicolau; Abdelkarim H. Omari; Carlos A. Ordonez; Jose-Artur Paiva; Narayan D. Pant; Jose G. Parreira; Michal Pedziwiatr; BrunoM Pereira; Alfredo Ponce-de-Leon; Garyphallia Poulakou; Jacobus Preller; Celine Pulcini; Guntars Pupelis; Martha Quiodettis; Timothy M. Rawson; Tarcisio Reis; Miran Rems; Sandro Rizoli; Jason Roberts; Nuno Rocha Pereira; Jesus Rodriguez-Bano; Boris Sakakushev; James Sanders; Natalia Santos; Norio Sato; Robert G. Sawyer; Sandro Scarpelini; Loredana Scoccia; Nusrat Shafiq; Vishalkumar Shelat; Costi D. Sifri; Boonying Siribumrungwong; Kjetil Soreide; Rodolfo Soto; Hamilton P. de Souza; Peep Talving; Ngo Tat Trung; Jeffrey M. Tessier; Mario Tumbarello; Jan Ulrych; Selman Uranues; Harry Van Goor; Andras Vereczkei; Floriann Wagenlehner; Yonghong Xiao; Kuo-Ching Yuan; Agnes Wechsler-Foerdoes; Jean-Ralph Zahar; Tanya L. Zakrison; Brian Zuckerbraun; Wietse P. Zuidema; Fausto Catena

doi:10.1186/s13017-017-0145-2

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The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey

Journal article

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The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey

Massimo Sartelli, Francesco M. Labricciosa, Pamela Barbadoro, Leonardo Pagani, Luca Ansaloni, Adrian J. Brink, Jean Carlet, Ashish Khanna, Alain Chichom-Mefire, Federico Coccolini, …

World journal of emergency surgery, Vol.12(1), pp.34-34

01/08/2017

DOI: https://doi.org/10.1186/s13017-017-0145-2

PMCID: PMC5540347

PMID: 28775763

Abstract

Emergency Medicine

Life Sciences & Biomedicine

Science & Technology

Surgery

Background: Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on local culture, policy, and routine clinical practice, and probably limited resources in middle-income countries. The aim of this study is to evaluate structures and resources of antimicrobial stewardship teams (ASTs) in surgical departments from different regions of the world. Methods: A cross-sectional web-based survey was conducted in 2016 on 173 physicians who participated in the AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections) project and on 658 international experts in the fields of ASPs, infection control, and infections in surgery. Results: The response rate was 19.4%. One hundred fifty-six (98.7%) participants stated their hospital had a multidisciplinary AST. The median number of physicians working inside the team was five [interquartile range 4-6]. An infectious disease specialist, a microbiologist and an infection control specialist were, respectively, present in 80.1, 76.3, and 67.9% of the ASTs. A surgeon was a component in 59.0% of cases and was significantly more likely to be present in university hospitals (89.5%, p < 0.05) compared to community teaching (83.3%) and community hospitals (66.7%). Protocols for pre-operative prophylaxis and for antimicrobial treatment of surgical infections were respectively implemented in 96.2 and 82.3% of the hospitals. The majority of the surgical departments implemented both persuasive and restrictive interventions (72.8%). The most common types of interventions in surgical departments were dissemination of educational materials (62.5%), expert approval (61.0%), audit and feedback (55.1%), educational outreach (53.7%), and compulsory order forms (51.5%). Conclusion: The survey showed a heterogeneous organization of ASPs worldwide, demonstrating the necessity of a multidisciplinary and collaborative approach in the battle against antimicrobial resistance in surgical infections, and the importance of educational efforts towards this goal.

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Title: The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey
Creators - without role: Massimo Sartelli - University of Macerata
Francesco M. Labricciosa - Marche Polytechnic University
Pamela Barbadoro - Marche Polytechnic University
Leonardo Pagani - Ospedale di Bolzano
Luca Ansaloni - Ospedale Papa Giovanni XXIII
Adrian J. Brink - Milpark Hospital
Jean Carlet - World Alliance against Antibiotics Resistance, Rome, Italy
Ashish Khanna - Cleveland Clinic
Alain Chichom-Mefire - Limbe Provincial Hospital
Federico Coccolini - Ospedale Infermi di Rimini
Salomone Di Saverio - Department of Surgery, Maggiore Hospital, Bologna, Italy
Addison K. May - Vanderbilt University Medical Center
Pierluigi Viale - University of Bologna
Richard R. Watkins - Northeast Ohio Medical University
Luigia Scudeller - Policlinico San Matteo Fondazione
Lilian M. Abbo - University of Miami
FikriM Abu-Zidan - College Station Medical Center
Abdulrashid K. Adesunkanmi - Obafemi Awolowo Univ, Dept Surg, Coll Hlth Sci, Ife, Nigeria
Sara Al-Dahir - Xavier University of Louisiana
Majdi N. Al-Hasan - University of South Carolina
Halil Alis - Bakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi
Carlos Alves - Hospital de São João
Andre R. Araujo da Silva - Prontobaby Hosp Crianca, Infect Control Comm, Rio De Janeiro, Brazil
Goran Augustin - University Hospital Centre Zagreb
Miklosh Bala - Hadassah Medical Center
Philip S. Barie - Cornell College
Marcelo A. Beltran - Hospital la Serena
Aneel Bhangu - Queen Elizabeth Hospital Birmingham
Belefquih Bouchra - Casablanca
Stephen M. Brecher - Boston University
Miguel A. Cainzos - Complejo Hospitalario Universitario de Santiago
Adrian Camacho-Ortiz - Hospital Universitario Dr José Eleuterio Gonzalez
Marco Catani - Policlinico Umberto I
Sujith J. Chandy - Pushpagiri Medical College
Asri Che Jusoh - Hospital Kuala Lumpur
Jill R. Cherry-Bukowiec - University of Michigan–Ann Arbor
Osvaldo Chiara - Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
Elif Colak - Samsun University
Oliver A. Cornely - University of Cologne
Yunfeng Cui - Tianjin Nankai Hospital
Zaza Demetrashvili - Department General Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia
Belinda De Simone - Centre Hospitalier de Cannes
Jan J. De Waele - Ghent University Hospital
Sameer Dhingra - University of the West Indies
Francesco Di Marzo - Ospedale Versilia
Agron Dogjani - Department of Surgery, University Hospital of Trauma, Tirana, Albania
Gereltuya Dorj - Mongolian National University
Laurent Dortet - Bicêtre Hospital
ThereseM Duane - John Peter Smith Hlth Network, Dept Surg, Ft Worth, TX USA
Mutasim M. Elmangory - Federal Ministry of Health
Mushira A. Enani - King Fahd Medical City
Paula Ferrada - Virginia Commonwealth University
J. Esteban Foianini - Department of Surgery, Clinica Foianini, Santa Cruz, Bolivia
Mahir Gachabayov - City Clinical Hospital
Chinmay Gandhi - Bharati Vidyapeeth Deemed University
Wagih Mommtaz Ghnnam - Mansoura University
Helen Giamarellou - Hygeia Hospital
Georgios Gkiokas - National and Kapodistrian University of Athens
Harumi Gomi - National Hospital Organization Mito Medical Center
Tatjana Goranovic - Sisters of Charity Hospital
Ewen A. Griffiths - Queen Elizabeth Hospital Birmingham
Rosio I. Guerra Gronerth - College Station Medical Center
Julio C. Haidamus Monteiro - CASA
Timothy C. Hardcastle - University of KwaZulu-Natal
Andreas Hecker - Universitätsklinikum Gießen und Marburg
Adrien M. Hodonou - Université de Parakou
Orestis Ioannidis - G. Papanikolaou General Hospital
Arda Isik - Erzincan University
Katia A. Iskandar - Lebanese Int Univ, Dept Pharm, Beirut, Lebanon
Hossein S. Kafil - College Station Medical Center
Souha S. Kanj - American University of Beirut
Lewis J. Kaplan - Philadelphia VA Medical Center
Garima Kapoor - Gandhi Medical College
Aleksandar R. Karamarkovic - University of Belgrade
Jakub Kenig - Jagiellonian University
Ivan Kerschaever - Department of Abdominal Surgery, Regional Hospital of Tienen, Tienen, Belgium
Faryal Khamis - Royal Hospital
Vladimir Khokha - 9th City Clinical Hospital
Ronald Kiguba - Makerere University
Hong B. Kim - College Station Medical Center
Wen-Chien Ko - National Cheng Kung University Hospital
Kaoru Koike - Kyoto University
Iryna Kozlovska - Bukovinian State Medical University
Anand Kumar - University of Manitoba
Leonel Lagunes - Hospital Central Dr. Ignacio Morones Prieto
Rifat Latifi - University of Arizona
Jae G. Lee - Yonsei University
Young R. Lee - Texas Tech Univ, Hlth Sci Ctr, Sch Pharm, Abilene, TX USA
Ari Leppaniemi - Herttoniemi Hospital
Yousheng Li - Nanjing University
Stephen Y. Liang - Washington University in St. Louis
Warren Lowman - University of the Witwatersrand
Gustavo M. Machain - Universidad Nacional de Asunción
Marc Maegele - Witten/Herdecke University
Piotr Major - Jagiellonian University
Sydney Malama - University of Zambia
Ramiro Manzano-Nunez - Fundación Valle del Lili
Athanasios Marinis - Tzaneion General Hospital
Isidro Martinez Casas - Hosp Complex Jaen, Serv Gen Surg, Jaen, Spain
Sanjay Marwah - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences
Emilio Maseda - Hosp Univ La Paz Madrid, Serv Anestesia Reanimac, Madrid, Spain
Michael E. McFarlane - Univ Hosp West Indies, Dept Surg Radiol, Kingston, Jamaica
Ziad Memish - College Station Medical Center
Dominik Mertz - McMaster University
Cristian Mesina - EMERGENCY
ShyamK Mishra - Tribhuvan University
Ernest E. Moore - College Station Medical Center
Akutu Munyika - Onandjokwe Hosp, Dept Surg, Ondangwa, Namibia
Eleftherios Mylonakis - Brown University
Lena Napolitano - Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USA
Ionut Negoi - EMERGENCY
Milica D. Nestorovic - Clin Ctr, Clin Gen Surg, Nish, Serbia
David P. Nicolau - Ctr Anti Infect Res & Dev, Hartford, CT USA
Abdelkarim H. Omari - King Abdullah Univ Hosp, Dept Surg, Irbid, Jordan
Carlos A. Ordonez - University of Valle
Jose-Artur Paiva - Universidade do Porto
Narayan D. Pant - Grande Int Hosp, Dept Microbiol, Kathmandu, Nepal
Jose G. Parreira - Supreme Council Of Health
Michal Pedziwiatr - EMERGENCY
BrunoM Pereira - Univ Estadual Campinas, Dept Surg, Campinas, Brazil
Alfredo Ponce-de-Leon - College Station Medical Center
Garyphallia Poulakou - Supreme Council Of Health
Jacobus Preller - Intens
Celine Pulcini - Univ Hosp Nancy, Infect & Trop Dis Dept, Nancy, France
Guntars Pupelis - Riga
Martha Quiodettis - Hosp Santo Tomas, Dept Trauma, Panama City, Panama
Timothy M. Rawson - Imperial Coll London, Nat Inst Hlth Res, Hlth Protect Res Unit Hlthcare Associated Infect, Hammersmith Campus, London, England
Tarcisio Reis - EMERGENCY
Miran Rems - Jesenice Gen Hosp, Dept Gen Surg, Jesenice, Slovenia
Sandro Rizoli - University of Toronto
Jason Roberts - University of Queensland
Nuno Rocha Pereira - Sao Joao Hosp Ctr, Ctr Hosp Epidemiol, Unit Prevent & Infect Control, Porto, Portugal
Jesus Rodriguez-Bano - Instituto de Biomedicina de Sevilla
Boris Sakakushev - College Station Medical Center
James Sanders - JPS Hlth Network, Texas, TX USA
Natalia Santos - Hosp Ctr Tondela Viseu, Tondela, Portugal
Norio Sato - Ehime University
Robert G. Sawyer - University of Virginia
Sandro Scarpelini - Univ Sao Paulo, Dept Surg, Ribeirao Preto, Brazil
Loredana Scoccia - Macerata Hosp, Unit Hosp Pharm, Macerata, Italy
Nusrat Shafiq - College Station Medical Center
Vishalkumar Shelat - Tan Tock Seng Hosp, Dept Gen Surg, Singapore, Singapore
Costi D. Sifri - University of Virginia
Boonying Siribumrungwong - Thammasat University
Kjetil Soreide - Stavanger Univ Hosp, Dept Gastrointestinal Surg, Stavanger, Norway
Rodolfo Soto - College Station Medical Center
Hamilton P. de Souza - Supreme Council Of Health
Peep Talving - College Station Medical Center
Ngo Tat Trung - Tran Hung Dao Hosp, Dept Mol Biol, 1 Tran Hung Dao St, Hanoi, Vietnam
Jeffrey M. Tessier - John Peter Smith Hlth Network, Dept Infect Dis, Ft Worth, TX USA
Mario Tumbarello - Pontifícia Universidade Católica de São Paulo
Jan Ulrych - Gen Univ Hosp, Dept Surg 1, Dept Abdominal Thorac Surg & Traumatol, Prague, Czech Republic
Selman Uranues - University of Graz
Harry Van Goor - Radboud University Nijmegen
Andras Vereczkei - University of Pecs
Floriann Wagenlehner - University of Giessen
Yonghong Xiao - Zhejiang University
Kuo-Ching Yuan - Chang Gung Memorial Hospital
Agnes Wechsler-Foerdoes - Rudolfstiftung Hosp, Dept Antibiot & Infect Control, Vienna, Austria
Jean-Ralph Zahar - Centre Hospitalier Universitaire d'Angers
Tanya L. Zakrison - University of Miami
Brian Zuckerbraun - University of Pittsburgh
Wietse P. Zuidema - University of Amsterdam
Fausto Catena - Maggiore Hosp, Dept Gen Surg, Parma, Italy
Publication Details: World journal of emergency surgery, Vol.12(1), pp.34-34
Publisher: Springer Nature
Number of pages: 11
Identifiers: 9913736608331
Academic Unit: Alfaisal University
Language: English
Resource Type: Journal article