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: Jover-Saenz, Alfredo, Ramirez Hidalgo, Maria Fernanda, 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 Belén, Albalat Samper, José Manuel, Cano Marrón, Susana, Chacón Domínguez, Isabel, de la Rica Escuin, David, 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
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10459.1/85343
Acceso en línea:https://doi.org/10.3390/antibiotics11121776
http://hdl.handle.net/10459.1/85343
Access Level:acceso abierto
Palabra clave:Antimicrobial stewardship
Use antimicrobials
Multidrug-resistant microorganisms
Community onset
Epidemiology
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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