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Organization of antibiotic stewardship in Europe: the way to go
It is more than two decades ago that a European Union conference on “The Microbial Threat” hosted by the Danish Government in Copenhagen in September 1998 issued recommendations to encourage good practice in the use of antimicrobial agents and reduce inappropriate prescribing. Essential components o...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Vienna
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872948/ https://www.ncbi.nlm.nih.gov/pubmed/33560499 http://dx.doi.org/10.1007/s10354-020-00796-5 |
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author | Kern, Winfried V. |
author_facet | Kern, Winfried V. |
author_sort | Kern, Winfried V. |
collection | PubMed |
description | It is more than two decades ago that a European Union conference on “The Microbial Threat” hosted by the Danish Government in Copenhagen in September 1998 issued recommendations to encourage good practice in the use of antimicrobial agents and reduce inappropriate prescribing. Essential components of those recommendations were antimicrobial teams in hospitals and the use of feedback to prescribers as well as educational activities. Two decades later, important surveillance systems on both antimicrobial resistance as well as on antibiotic consumption are functioning at the European level and in most European countries; European Committee on Antimicrobial Susceptibility Testing (EUCAST) has thoroughly re-evaluated, standardized and harmonized antibiotic susceptibility testing and breakpoints; there have been educational activities in many countries; and stewardship teams are now included in many guidelines and policy papers and recommendations. Yet, antimicrobial resistance problems in Europe have shifted from methicillin-resistant Staphylococus aureus (MRSA) to vancomycin-resistent Enterococcus faecium (VRE) and to multidrug-resistant gramnegative bacteria, while antibiotic consumption volumes, trends and patterns across countries do not show major and highly significant improvements. The way to go further is to recognize that better prescribing comes at a cost and requires investment in expert personnel, practice guideline drafting, and implementation aids, and, secondly, the setting of clear goals and quantitative targets for prescribing quality. |
format | Online Article Text |
id | pubmed-7872948 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-78729482021-02-22 Organization of antibiotic stewardship in Europe: the way to go Kern, Winfried V. Wien Med Wochenschr Main Topic It is more than two decades ago that a European Union conference on “The Microbial Threat” hosted by the Danish Government in Copenhagen in September 1998 issued recommendations to encourage good practice in the use of antimicrobial agents and reduce inappropriate prescribing. Essential components of those recommendations were antimicrobial teams in hospitals and the use of feedback to prescribers as well as educational activities. Two decades later, important surveillance systems on both antimicrobial resistance as well as on antibiotic consumption are functioning at the European level and in most European countries; European Committee on Antimicrobial Susceptibility Testing (EUCAST) has thoroughly re-evaluated, standardized and harmonized antibiotic susceptibility testing and breakpoints; there have been educational activities in many countries; and stewardship teams are now included in many guidelines and policy papers and recommendations. Yet, antimicrobial resistance problems in Europe have shifted from methicillin-resistant Staphylococus aureus (MRSA) to vancomycin-resistent Enterococcus faecium (VRE) and to multidrug-resistant gramnegative bacteria, while antibiotic consumption volumes, trends and patterns across countries do not show major and highly significant improvements. The way to go further is to recognize that better prescribing comes at a cost and requires investment in expert personnel, practice guideline drafting, and implementation aids, and, secondly, the setting of clear goals and quantitative targets for prescribing quality. Springer Vienna 2021-02-09 2021 /pmc/articles/PMC7872948/ /pubmed/33560499 http://dx.doi.org/10.1007/s10354-020-00796-5 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Main Topic Kern, Winfried V. Organization of antibiotic stewardship in Europe: the way to go |
title | Organization of antibiotic stewardship in Europe: the way to go |
title_full | Organization of antibiotic stewardship in Europe: the way to go |
title_fullStr | Organization of antibiotic stewardship in Europe: the way to go |
title_full_unstemmed | Organization of antibiotic stewardship in Europe: the way to go |
title_short | Organization of antibiotic stewardship in Europe: the way to go |
title_sort | organization of antibiotic stewardship in europe: the way to go |
topic | Main Topic |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872948/ https://www.ncbi.nlm.nih.gov/pubmed/33560499 http://dx.doi.org/10.1007/s10354-020-00796-5 |
work_keys_str_mv | AT kernwinfriedv organizationofantibioticstewardshipineuropethewaytogo |