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dc.contributor.authorMarch López, Pablo
dc.contributor.authorArancibia Freixa, Inés
dc.contributor.authorMartinez Gil, Mireia
dc.contributor.authorAraujo Espinoza, Gastón
dc.contributor.authorOrtega Polonio, Lidia
dc.contributor.authorParedes, Elisabeth Cecilia
dc.contributor.authorCarrasco Sanchez, Montserrat
dc.contributor.authorSangrador, Cristina
dc.contributor.authorPardo, Júlia
dc.contributor.authorNicolás Picó, Jordi
dc.contributor.authorCalbo Sebastián, Esther
dc.date.accessioned2021-11-15T14:58:43Z
dc.date.available2021-11-15T14:58:43Z
dc.date.issued2021
dc.identifier.citationMarch-López, Pablo; Arancibia Freixa, Inés; Martinez Gil, Mireia [et al.]. Applicability of quality indicators for appropriate antibiotic use in outpatient parenteral antimicrobial therapy (OPAT): a point prevalence survey. Frontiers in Pharmacology, 2021, 12, 713882. Disponible en: <https://www.frontiersin.org/articles/10.3389/fphar.2021.713882/full>. Fecha de acceso: 15 nov. 2021. DOI: 10.3389/fphar.2021.713882ca
dc.identifier.issn1663-9812ca
dc.identifier.urihttp://hdl.handle.net/20.500.12328/2944
dc.description.abstractThe ability to measure the quality of antibiotic prescription is a critical element in any antimicrobial stewardship programme. The aim of this study was to evaluate the clinimetric properties of 33 quality indicators (QIs) developed to assess Outpatient Parenteral Antimicrobial Therapy (OPAT) and to identify potential room for improvement in a hospital-at-home (HaH) unit. Study performed in a healthcare district in Barcelona, Spain with 260,657 inhabitants, nine primary healthcare centres, a 400-bed acute care teaching hospital, and an HaH unit. We studied 33 QIs on appropriate antibiotic use and classified them as qualitative or quantitative. Quantitative QIs were further categorized as measurable or non-measurable depending on the availability of data in the patients’ medical records. Data from 202 OPAT episodes in 192 patients were assessed. Adherence was found for 22 of the 24 qualitative QIs analyzed; the other two showed room for improvement. Four of the nine quantitative indicators were non-measurable. High adherence rates were achieved for QI-17 “The OPAT plan should be documented” (84.65%), QI-26 “The OPAT treatment plan should include choice, dose, frequency, duration and follow-up plan” (79.70%), and QI-33 “The team should document clinical response” (94.55%). Adverse events were documented in just 1.98% of cases (QI-32) and 92.57% patients were classified as alive on discharge (QI-24). The QIs evaluated were applicable to clinical practice and proved useful for identifying areas with room for improvement in our setting and for guiding the design of future interventions with specific objectives.en
dc.format.extent7ca
dc.language.isoengca
dc.publisherFrontiers Mediaca
dc.relation.ispartofFrontiers in Pharmacologyca
dc.relation.ispartofseries12;
dc.rights© 2021 March-López, Freixa, Gil, Espinoza, Polonio, Paredes, Sanchez, Sangrador, Pardo, Nicolás and Calbo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subject.otherHospital a casaca
dc.subject.otherResistència antimicrobianaca
dc.subject.otherAntibiòticsca
dc.subject.otherIndicador de qualitatca
dc.subject.otherTeràpia antibiòtica parenteral ambulatòriaca
dc.subject.otherHospital en casaes
dc.subject.otherResistencia antimicrobianaes
dc.subject.otherAntibióticoses
dc.subject.otherIndicador de calidades
dc.subject.otherTerapia antibiótica parenteral ambulatoriaes
dc.subject.otherHospital at homeen
dc.subject.otherAntimicrobial resistanceen
dc.subject.otherAntibioticsen
dc.subject.otherQuality indicatoren
dc.subject.otherOutpatient parenteral antibiotic therapyen
dc.titleApplicability of quality indicators for appropriate antibiotic use in outpatient parenteral antimicrobial therapy (OPAT): a point prevalence surveyen
dc.typeinfo:eu-repo/semantics/articleca
dc.description.versioninfo:eu-repo/semantics/publishedVersionca
dc.rights.accessLevelinfo:eu-repo/semantics/openAccess
dc.embargo.termscapca
dc.subject.udc61ca
dc.subject.udc616.9ca
dc.identifier.doihttps://dx.doi.org/10.3389/fphar.2021.713882ca


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© 2021 March-López, Freixa, Gil, Espinoza, Polonio, Paredes, Sanchez, Sangrador, Pardo, Nicolás and Calbo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/
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