@article{Sartelli:2017:10.1186/s13017-017-0145-2,
author = {Sartelli, M and Labricciosa, FM and Barbadoro, P and Pagani, L and Ansaloni, L and Brink, AJ and Carlet, J and Khanna, A and Chichom-Mefire, A and Coccolini, F and Di, Saverio S and May, AK and Viale, P and Watkins, RR and Scudeller, L and Abbo, LM and Abu-Zidan, F and Adesunkanmi, AK and Al-Dahir, S and Al-Hasan, MN and Alis, H and Alves, C and Araujo, da Silva AR and Augustin, G and Bala, M and Barie, PS and Beltran, MA and Bhangu, A and Bouchra, B and Brecher, SM and Cainzos, MA and Camacho-Ortiz, A and Catani, M and Chandy, SJ and Jusoh, AC and Cherry-Bukowiec, JR and Chiara, O and Colak, E and Cornely, OA and Cui, Y and Demetrashvili, Z and De, Simone B and De, Waele JJ and Dhingra, S and Di, Marzo F and Dogjani, A and Dorj, G and Dortet, L and Duane, T and Elmangory, MM and Enani, MA and Ferrada, P and Foianini, JE and Gachabayov, M and Gandhi, C and Ghnnam, WM and Giamarellou, H and Gkiokas, G and Gomi, H and Goranovic, T and Griffiths, EA and Guerra, Gronerth RI and Haidamus, M},
doi = {10.1186/s13017-017-0145-2},
journal = {WORLD JOURNAL OF EMERGENCY SURGERY},
title = {The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey},
url = {http://dx.doi.org/10.1186/s13017-017-0145-2},
volume = {12},
year = {2017}
}

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TY  - JOUR
AB  - BackgroundAntimicrobial 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.MethodsA 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.ResultsThe 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%).ConclusionThe
AU  - Sartelli,M
AU  - Labricciosa,FM
AU  - Barbadoro,P
AU  - Pagani,L
AU  - Ansaloni,L
AU  - Brink,AJ
AU  - Carlet,J
AU  - Khanna,A
AU  - Chichom-Mefire,A
AU  - Coccolini,F
AU  - Di,Saverio S
AU  - May,AK
AU  - Viale,P
AU  - Watkins,RR
AU  - Scudeller,L
AU  - Abbo,LM
AU  - Abu-Zidan,F
AU  - Adesunkanmi,AK
AU  - Al-Dahir,S
AU  - Al-Hasan,MN
AU  - Alis,H
AU  - Alves,C
AU  - Araujo,da Silva AR
AU  - Augustin,G
AU  - Bala,M
AU  - Barie,PS
AU  - Beltran,MA
AU  - Bhangu,A
AU  - Bouchra,B
AU  - Brecher,SM
AU  - Cainzos,MA
AU  - Camacho-Ortiz,A
AU  - Catani,M
AU  - Chandy,SJ
AU  - Jusoh,AC
AU  - Cherry-Bukowiec,JR
AU  - Chiara,O
AU  - Colak,E
AU  - Cornely,OA
AU  - Cui,Y
AU  - Demetrashvili,Z
AU  - De,Simone B
AU  - De,Waele JJ
AU  - Dhingra,S
AU  - Di,Marzo F
AU  - Dogjani,A
AU  - Dorj,G
AU  - Dortet,L
AU  - Duane,T
AU  - Elmangory,MM
AU  - Enani,MA
AU  - Ferrada,P
AU  - Foianini,JE
AU  - Gachabayov,M
AU  - Gandhi,C
AU  - Ghnnam,WM
AU  - Giamarellou,H
AU  - Gkiokas,G
AU  - Gomi,H
AU  - Goranovic,T
AU  - Griffiths,EA
AU  - Guerra,Gronerth RI
AU  - Haidamus,Monteiro JC
AU  - Hardcastle,TC
AU  - Hecker,A
AU  - Hodonou,AM
AU  - Ioannidis,O
AU  - Isik,A
AU  - Iskandar,KA
AU  - Kafil,HS
AU  - Kanj,SS
AU  - Kaplan,LJ
AU  - Kapoor,G
AU  - Karamarkovic,AR
AU  - Kenig,J
AU  - Kerschaever,I
AU  - Khamis,F
AU  - Khokha,V
AU  - Kiguba,R
AU  - Kim,HB
AU  - Ko,W-C
AU  - Koike,K
AU  - Kozlovska,I
AU  - Kumar,A
AU  - Lagunes,L
AU  - Latifi,R
AU  - Lee,JG
AU  - Lee,YR
AU  - Leppaniemi,A
AU  - Li,Y
AU  - Liang,SY
AU  - Lowman,W
AU  - Machain,GM
AU  - Maegele,M
AU  - Major,P
AU  - Malama,S
AU  - Manzano-Nunez,R
AU  - Marinis,A
AU  - Martinez,Casas I
AU  - Marwah,S
AU  - Maseda,E
AU  - McFarlane,ME
AU  - Memish,Z
AU  - Mertz,D
AU  - Mesina,C
AU  - Mishra,S
AU  - Moore,EE
AU  - Munyika,A
AU  - Mylonakis,E
AU  - Napolitano,L
AU  - Negoi,I
AU  - Nestorovic,MD
AU  - Nicolau,DP
AU  - Omari,AH
AU  - Ordonez,CA
AU  - Paiva,J-A
AU  - Pant,ND
AU  - Parreira,JG
AU  - Pedziwiatr,M
AU  - Pereira,B
AU  - Ponce-de-Leon,A
AU  - Poulakou,G
AU  - Preller,J
AU  - Pulcini,C
AU  - Pupelis,G
AU  - Quiodettis,M
AU  - Rawson,TM
AU  - Reis,T
AU  - Rems,M
AU  - Rizoli,S
AU  - Roberts,J
AU  - Pereira,NR
AU  - Rodriguez-Bano,J
AU  - Sakakushev,B
AU  - Sanders,J
AU  - Santos,N
AU  - Sato,N
AU  - Sawyer,RG
AU  - Scarpelini,S
AU  - Scoccia,L
AU  - Shafiq,N
AU  - Shelat,V
AU  - Sifri,CD
AU  - Siribumrungwong,B
AU  - Soreide,K
AU  - Soto,R
AU  - de,Souza HP
AU  - Talving,P
AU  - Trung,NT
AU  - Tessier,JM
AU  - Tumbarello,M
AU  - Ulrych,J
AU  - Uranues,S
AU  - Van,Goor H
AU  - Vereczkei,A
AU  - Wagenlehner,F
AU  - Xiao,Y
AU  - Yuan,K-C
AU  - Wechsler-Foerdoes,A
AU  - Zahar,J-R
AU  - Zakrison,TL
AU  - Zuckerbraun,B
AU  - Zuidema,WP
AU  - Catena,F
DO  - 10.1186/s13017-017-0145-2
PY  - 2017///
SN  - 1749-7922
TI  - The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey
T2  - WORLD JOURNAL OF EMERGENCY SURGERY
UR  - http://dx.doi.org/10.1186/s13017-017-0145-2
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000406955300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/52007
VL  - 12
ER  - 

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