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Implementation of a multidisciplinary infectious diseases team in a tertiary hospital within an Antimicrobial Stewardship Program

Franky Buyle (UGent) , MATTHIAS WALLAERT (UGent) , NATHALIE BECK (UGent) , Jerina Boelens (UGent) , Steven Callens (UGent) , Geert Claeys (UGent) , Sabine Deryckere (UGent) , Evelien Haegeman (UGent) , Isabel Leroux-Roels (UGent) , ERICA SERMIJN (UGent) , et al.
(2014) ACTA CLINICA BELGICA. 69(5). p.320-326
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Abstract
Background: In January 2011, as part of an antimicrobial stewardship program the Antimicrobial Management Team (AMT) at the Ghent University Hospital initiated a multidisciplinary Infectious Diseases Team (MIT) consisting of infectious diseases physicians, clinical microbiologists, and clinical pharmacists. The aim of this study is to describe the type and acceptance rate of recommendations provided by the MIT. Method: Prospective, observational study in a tertiary care, university teaching hospital with 1062 beds in non-consecutive hospitalized adult patients, excluding intensive care units and paediatrics. Results: The MIT communicated 432 recommendations in 87 days observed. Of the 293 patients for whom a recommendation was made, the median age was 57 years (range: 16–91 years) and 169 (57.7%) were male. Skin or soft tissue infections (14%), respiratory tract infections (13%), infections without known focus (11%), abdominal infections (11%), and bone infections (8%) were most common. Recommendations were made to perform additional clinical investigation(s) [N5137 (27%)], to adjust the dose of an antimicrobial drug [N542 (8%)], to stop an antimicrobial drug [N5104 (21%)], to switch from a parenteral to an oral drug [N539 (8%)] or to initiate an antimicrobial drug [N5178 (36%)], with an acceptance rate of 73.0%, 83.3%, 81.7%, 76.9%, and 84.0%, respectively. Conclusions: The MIT formulated about five recommendations a day primarily focusing on pharmacotherapy, but also on clinical investigations. In both fields, a high acceptance rate was observed.
Keywords
Antimicrobial stewardship program, Implementation, Antibiotic prescribing, Intervention strategy, HEALTH-CARE EPIDEMIOLOGY, ANTIBIOTIC MANAGEMENT, IMPACT, QUALITY, SOCIETY, GUIDELINES, THERAPY, AMERICA

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Chicago
Buyle, Franky, MATTHIAS WALLAERT, NATHALIE BECK, Jerina Boelens, Steven Callens, Geert Claeys, Sabine Deryckere, et al. 2014. “Implementation of a Multidisciplinary Infectious Diseases Team in a Tertiary Hospital Within an Antimicrobial Stewardship Program.” Acta Clinica Belgica 69 (5): 320–326.
APA
Buyle, F., WALLAERT, M., BECK, N., Boelens, J., Callens, S., Claeys, G., Deryckere, S., et al. (2014). Implementation of a multidisciplinary infectious diseases team in a tertiary hospital within an Antimicrobial Stewardship Program. ACTA CLINICA BELGICA, 69(5), 320–326.
Vancouver
1.
Buyle F, WALLAERT M, BECK N, Boelens J, Callens S, Claeys G, et al. Implementation of a multidisciplinary infectious diseases team in a tertiary hospital within an Antimicrobial Stewardship Program. ACTA CLINICA BELGICA. 2014;69(5):320–6.
MLA
Buyle, Franky, MATTHIAS WALLAERT, NATHALIE BECK, et al. “Implementation of a Multidisciplinary Infectious Diseases Team in a Tertiary Hospital Within an Antimicrobial Stewardship Program.” ACTA CLINICA BELGICA 69.5 (2014): 320–326. Print.
@article{5717231,
  abstract     = {Background: In January 2011, as part of an antimicrobial stewardship program the Antimicrobial Management Team (AMT) at the Ghent University Hospital initiated a multidisciplinary Infectious Diseases Team (MIT) consisting of infectious diseases physicians, clinical microbiologists, and clinical pharmacists. The aim of this study is to describe the type and acceptance rate of recommendations provided by the MIT.
Method: Prospective, observational study in a tertiary care, university teaching hospital with 1062 beds in non-consecutive hospitalized adult patients, excluding intensive care units and paediatrics.
Results: The MIT communicated 432 recommendations in 87 days observed. Of the 293 patients for whom a recommendation was made, the median age was 57 years (range: 16--91 years) and 169 (57.7\%) were male. Skin or soft tissue infections (14\%), respiratory tract infections (13\%), infections without known focus (11\%), abdominal infections (11\%), and bone infections (8\%) were most common. Recommendations were made to perform additional clinical investigation(s) [N5137 (27\%)], to adjust the dose of an antimicrobial drug [N542 (8\%)], to stop an antimicrobial drug [N5104 (21\%)], to switch from a parenteral to an oral drug [N539 (8\%)] or to initiate an antimicrobial drug [N5178 (36\%)], with an acceptance rate of 73.0\%, 83.3\%, 81.7\%, 76.9\%, and 84.0\%, respectively.
Conclusions: The MIT formulated about five recommendations a day primarily focusing on pharmacotherapy, but also on clinical investigations. In both fields, a high acceptance rate was observed.},
  author       = {Buyle, Franky and WALLAERT, MATTHIAS and BECK, NATHALIE and Boelens, Jerina and Callens, Steven and Claeys, Geert and Deryckere, Sabine and Haegeman, Evelien and Leroux-Roels, Isabel and SERMIJN, ERICA and STEEL, EVA and Robays, Hugo and Vandekerckhove, Linos and Vermis, Karen and Vogelaers, Dirk},
  issn         = {1784-3286},
  journal      = {ACTA CLINICA BELGICA},
  keyword      = {Antimicrobial stewardship program,Implementation,Antibiotic prescribing,Intervention strategy,HEALTH-CARE EPIDEMIOLOGY,ANTIBIOTIC MANAGEMENT,IMPACT,QUALITY,SOCIETY,GUIDELINES,THERAPY,AMERICA},
  language     = {eng},
  number       = {5},
  pages        = {320--326},
  title        = {Implementation of a multidisciplinary infectious diseases team in a tertiary hospital within an Antimicrobial Stewardship Program},
  url          = {http://dx.doi.org/10.1179/2295333714Y.0000000045},
  volume       = {69},
  year         = {2014},
}

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