Impact of a Primary Care Antimicrobial Stewardship Program on Bacterial Resistance Control and Ecological Imprint in Urinary Tract Infections

Antimicrobial stewardship programs (ASPs) are a central component in reducing the overprescription of unnecessary antibiotics, with multiple studies showing benefits in the reduction of bacterial resistance. Less commonly, ASPs have been performed in outpatient settings, but there is a lack of avail...

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Detalles Bibliográficos
Autores principales: Jover-Sáenz, Alfredo, Ramírez-Hidalgo, María, Bellés Bellés, Alba, Ribes Murillo, Esther, Batlle Bosch, Meritxell, Cayado Cabanillas, José, Garrido-Calvo, Sònia, Gracia Vilas, María Isabel, Gros Navés, Laura, Javierre Caudevilla, María Jesús, Mari López, Alba, Montull Navarro, Lidia, Ortiz Valls, Mireia, Terrer Manrique, Gemma, Vaqué Castilla, Pilar, Ichart Tomás, José Javier, Justribó Sánchez, Elena, Andreu Mayor, Ester, Carrera Guiu, Joan, Martorell Solé, Roser, Pallàs Satué, Silvia, Saura Codina, Mireia, Vena Martínez, Ana, Albalat Samper, José Manuel, Cano Marrón, Susana, Chacón Domínguez, Isabel, Escuin, David de la Rica, Estadella Servalls, María José, Figueres Farreny, Ana M., Minguet Vidal, Sonia, Montaña Esteban, Luís Miguel, Otal Bareche, Josep, Pallerola Planes, Mercè, Pujol Aymerich, Francesc, Rodríguez Garrocho, Andrés, Solé Curcó, Antoni, Toribio Redondo, Francisca, Urgelés Castillón, María Cruz, Valgañon Palacios, Juan, Torres-Puig-gros, Joan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9774161/
https://www.ncbi.nlm.nih.gov/pubmed/36551433
http://dx.doi.org/10.3390/antibiotics11121776
Descripción
Sumario:Antimicrobial stewardship programs (ASPs) are a central component in reducing the overprescription of unnecessary antibiotics, with multiple studies showing benefits in the reduction of bacterial resistance. Less commonly, ASPs have been performed in outpatient settings, but there is a lack of available data in these settings. We implemented an ASP in a large regional outpatient setting to assess its feasibility and effectiveness. Over a 5-year post-implementation period, compared to the pre-intervention period, a significant reduction in antibiotic prescription occurred, with a reduction in resistance in E. coli urinary isolates. ASP activities also were found to be cost-effective, with a reduction in medication prescription.

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