TY - JOUR
T1 - Selective reporting of antibiotic susceptibility test results in European countries
T2 - an ESCMID cross-sectional survey
AU - Pulcini, Céline
AU - Tebano, Gianpiero
AU - Mutters, Nico T.
AU - Tacconelli, Evelina
AU - Cambau, Emmanuelle
AU - Kahlmeter, Gunnar
AU - Jarlier, Vincent
AU - Presterl, Elisabeth
AU - Gurbanov, Akif
AU - Piérard, Denis
AU - Uzunovic, Selma
AU - Vatcheva-Dobrevska, Rossitza
AU - Tambic, Arjana
AU - Zemlickova, Helena
AU - Skov, Robert L.
AU - Naaber, Paul
AU - Hakanen, Antti
AU - Jarlier, Vincent
AU - Gatermann, Sören
AU - Tsakris, Athanassios
AU - Ludwig, Endre
AU - Helgason, Kristján Orri
AU - Schaffer, Kirsten
AU - Carmeli, Yehuda
AU - Sarti, Mario
AU - Raka, Lul
AU - Balode, Arta
AU - Bosevska, Golubinka
AU - Kampinga, Greetje A.
AU - Lindemann, Paul Christoffer
AU - Żabicka, Dorota
AU - Alves, Valquíria
AU - Săndulescu, Oana
AU - Sukhorukova, Marina
AU - Matic, Snezana
AU - Niks, Milan
AU - Štrumbelj, Iztok
AU - Martínez-Martínez, Luis
AU - Wistedt, Annika
AU - Sax, Hugo
AU - Gür, Deniz
AU - Bamford, Kathleen B.
AU - Liashko, Viktor
N1 - Publisher Copyright:
© 2017 Elsevier B.V. and International Society of Chemotherapy
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Selective reporting of antibiotic susceptibility test (AST) results is one possible laboratory-based antibiotic stewardship intervention. The primary aim of this study was to identify where and how selective reporting of AST results is implemented in Europe both in inpatient and in outpatient settings. An ESCMID cross-sectional, self-administered, internet-based survey was conducted among all EUCIC (European Committee on Infection Control) or EUCAST (European Committee on Antimicrobial Susceptibility Testing) national representatives in Europe and Israel. Of 38 countries, 36 chose to participate in the survey. Selective reporting of AST results was implemented in 11/36 countries (31%), was partially implemented in 4/36 (11%) and was limited to local initiatives or was not adopted in 21/36 (58%). It was endorsed as standard of care by health authorities in only three countries. The organisation of selective reporting was everywhere discretionally managed by each laboratory, with a pronounced intra- and inter-country variability. The most frequent application was in uncomplicated community-acquired infections, particularly urinary tract and skin and soft-tissue infections. The list of reported antibiotics ranged from a few first-line options, to longer reports where only last-resort antibiotics were hidden. Several barriers to implementation were reported, mainly lack of guidelines, poor system support, insufficient resources, and lack of professionals’ capability. In conclusion, selective reporting of AST results is poorly implemented in Europe and is applied with a huge heterogeneity of practices. Development of an international framework, based on existing initiatives and identified barriers, could favour its dissemination as one important element of antibiotic stewardship programmes.
AB - Selective reporting of antibiotic susceptibility test (AST) results is one possible laboratory-based antibiotic stewardship intervention. The primary aim of this study was to identify where and how selective reporting of AST results is implemented in Europe both in inpatient and in outpatient settings. An ESCMID cross-sectional, self-administered, internet-based survey was conducted among all EUCIC (European Committee on Infection Control) or EUCAST (European Committee on Antimicrobial Susceptibility Testing) national representatives in Europe and Israel. Of 38 countries, 36 chose to participate in the survey. Selective reporting of AST results was implemented in 11/36 countries (31%), was partially implemented in 4/36 (11%) and was limited to local initiatives or was not adopted in 21/36 (58%). It was endorsed as standard of care by health authorities in only three countries. The organisation of selective reporting was everywhere discretionally managed by each laboratory, with a pronounced intra- and inter-country variability. The most frequent application was in uncomplicated community-acquired infections, particularly urinary tract and skin and soft-tissue infections. The list of reported antibiotics ranged from a few first-line options, to longer reports where only last-resort antibiotics were hidden. Several barriers to implementation were reported, mainly lack of guidelines, poor system support, insufficient resources, and lack of professionals’ capability. In conclusion, selective reporting of AST results is poorly implemented in Europe and is applied with a huge heterogeneity of practices. Development of an international framework, based on existing initiatives and identified barriers, could favour its dissemination as one important element of antibiotic stewardship programmes.
KW - Antibiotic prescription
KW - Antibiotic resistance
KW - Antibiotic stewardship
KW - Antibiotic susceptibility testing
KW - Questionnaire
KW - Selective reporting
UR - http://www.scopus.com/inward/record.url?scp=85009456846&partnerID=8YFLogxK
U2 - 10.1016/j.ijantimicag.2016.11.014
DO - 10.1016/j.ijantimicag.2016.11.014
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C2 - 28093208
AN - SCOPUS:85009456846
SN - 0924-8579
VL - 49
SP - 162
EP - 166
JO - International Journal of Antimicrobial Agents
JF - International Journal of Antimicrobial Agents
IS - 2
ER -