Surgeon-led 7-VINCut antibiotic stewardship intervention decreases duration of treatment and carbapenem use in a general surgery service
Author
Badia, Josep M.
Batlle, Maria
Juvany, Montserrat
Ruiz-de León, Patricia
Sagalés, Maria
Pulido, M. Angeles
Molist, Gemma
Cuquet, Jordi
Publication date
2021ISSN
2079-6382
Abstract
Antibiotic stewardship programs optimize the use of antimicrobials to prevent the development of resistance and improve patient outcomes. In this prospective interventional study, a multidisciplinary team led by surgeons implemented a program aimed at shortening the duration of antibiotic treatment <7 days. The impact of the intervention on antibiotic consumption adjusted to bed-days and discharges, and the isolation of multiresistant bacteria (MRB) was also studied. Furthermore, the surgeons were surveyed regarding their beliefs and feelings about the program. Out of 1409 patients, 40.7% received antibiotic therapy. Treatment continued for over 7 days in 21.5% of cases, and, as can be expected, source control was achieved in only 48.8% of these cases. The recommendations were followed in 90.2% of cases, the most frequent being to withdraw the treatment (55.6%). During the first 16 months of the intervention, a sharp decrease in the percentage of extended treatments, with R2 = 0.111 was observed. The program was very well accepted by surgeons, and achieved a decrease in both the consumption of carbapenems and in the number of MRB isolations. Multidisciplinary stewardship teams led by surgeons seem to be well received and able to better manage antibiotic prescription in surgery.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
617 - Surgery. Orthopaedics. Ophthalmology
Keywords
Agents antibacterians
Ús terapèutic
Organització i administració d'antimicrobians
Gestió antimicrobiana
Resistència als medicaments
Efectes bacterians
Medicaments
Organització i administració d'infeccions
Infecció
Prevenció i control de ferides quirúrgiques
Agentes antibacterianos
Uso terapéutico
Organización y administración de antimicrobianos
Gestión antimicrobiana
Resistencia a los medicamentos
Efectos bacterianos
Medicamentos
Organización y administración de infecciones
Infección
Prevención y control de heridas quirúrgicas
Antibacterial agents
Therapeutic use
Organization and administration of antimicrobials
Antimicrobial management
Drug resistance
Bacterial effects
Medications
Organization and administration of infections
Infection
Prevention and control of surgical wounds
Pages
14
Publisher
MDPI
Collection
10; 1
Is part of
Antibiotics
Citation
Badia, Josep M.; Batlle, Maria; Juvany, Montserrat [et al.]. Surgeon-led 7-VINCut antibiotic stewardship intervention decreases duration of treatment and carbapenem use in a general surgery service. Antibiotics, 2021, 10(1), 11. Disponible en: <https://www.mdpi.com/2079-6382/10/1/11>. Fecha de acceso: 14 ene. 2021. DOI: 10.3390/antibiotics10010011
This item appears in the following Collection(s)
- Ciències de la Salut [740]
Rights
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/