Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers
OBJECTIVES: To describe the current organization and implementation of formalized, multi-disciplinary hospital-based antimicrobial stewardship (AMS) structures in Denmark, the Faroe Islands and Greenland. METHODS: A structured electronic questionnaire was sent to all trainees and specialists in clin...
Published in: | Journal of Hospital Infection |
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Main Authors: | , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
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2024
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Online Access: | https://vbn.aau.dk/da/publications/0704e57d-d4b5-478a-9d3b-4063b0ab8cbc https://doi.org/10.1016/j.jhin.2024.01.018 https://vbn.aau.dk/ws/files/687386604/Kraef_et_al._2024_._Hospital-based_antimicrobial_stewardship_in_Denmark_Greenland_and_the_Faroe_Islands_-_current_landscape_and_barriers.pdf |
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ftalborgunivpubl:oai:pure.atira.dk:publications/0704e57d-d4b5-478a-9d3b-4063b0ab8cbc 2024-10-13T14:07:04+00:00 Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers Kraef, C. Öbrink-Hansen, K. Hertz, M. Hagen, T. L. Deutch, S. Holler, J. G. Olesen, B. R. Holm, M. Gaini, S. Koch, A. Benfield, T. Rosenvinge, F. S. Johansen, I. S. 2024-04 application/pdf https://vbn.aau.dk/da/publications/0704e57d-d4b5-478a-9d3b-4063b0ab8cbc https://doi.org/10.1016/j.jhin.2024.01.018 https://vbn.aau.dk/ws/files/687386604/Kraef_et_al._2024_._Hospital-based_antimicrobial_stewardship_in_Denmark_Greenland_and_the_Faroe_Islands_-_current_landscape_and_barriers.pdf eng eng https://vbn.aau.dk/da/publications/0704e57d-d4b5-478a-9d3b-4063b0ab8cbc info:eu-repo/semantics/openAccess Kraef , C , Öbrink-Hansen , K , Hertz , M , Hagen , T L , Deutch , S , Holler , J G , Olesen , B R , Holm , M , Gaini , S , Koch , A , Benfield , T , Rosenvinge , F S & Johansen , I S 2024 , ' Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers ' , Journal of Hospital Infection , vol. 146 , pp. 66-75 . https://doi.org/10.1016/j.jhin.2024.01.018 Antimicrobial resistance Antimicrobial stewardship Denmark Faroe Islands Greenland Hospital article 2024 ftalborgunivpubl https://doi.org/10.1016/j.jhin.2024.01.018 2024-09-19T00:52:43Z OBJECTIVES: To describe the current organization and implementation of formalized, multi-disciplinary hospital-based antimicrobial stewardship (AMS) structures in Denmark, the Faroe Islands and Greenland. METHODS: A structured electronic questionnaire was sent to all trainees and specialists in clinical microbiology (N=207) and infectious diseases (N=260), as well as clinical pharmacists (N=20) and paediatricians (N=10) with expertise in infectious diseases. The survey had 30 multiple-choice, rating-scale, and open-ended questions based on an international consensus checklist for hospital AMS, adapted to a Danish context. RESULTS: Overall, 145 individual responses representing 20 hospitals were received. Nine hospitals (45%) reported a formal AMS strategy, eight (40%) a formal organizational multi-disciplinary structure and a multi-disciplinary AMS team, and six (30%) a designated professional as a leader of the AMS team. A majority of hospitals reported access to updated guidelines (80%) and regularly monitored and reported the quantity of antibiotics prescribed (70% and 65%, respectively). Only one hospital (5%) reported a dedicated, sustainable and sufficient AMS budget, three hospitals (15%) audited courses of therapy for specific agents/clinical conditions and four hospitals (20%) had a document clearly defining roles, procedures of collaboration and responsibilities for AMS. A total of 42% of all individual respondents had received formal AMS training. Main barriers were a lack of financial resources (52%), a lack of mandate from the hospital management (30%) and AMS not being a priority (18%). CONCLUSIONS: Core elements important for multi-disciplinary hospital-based AMS can be strengthened in Danish hospitals. Funding, clear mandates, prioritization from the hospital management and the implementation of multi-disciplinary AMS structures may help close the identified gaps. Article in Journal/Newspaper Faroe Islands Greenland Aalborg University's Research Portal Faroe Islands Greenland Journal of Hospital Infection 146 66 75 |
institution |
Open Polar |
collection |
Aalborg University's Research Portal |
op_collection_id |
ftalborgunivpubl |
language |
English |
topic |
Antimicrobial resistance Antimicrobial stewardship Denmark Faroe Islands Greenland Hospital |
spellingShingle |
Antimicrobial resistance Antimicrobial stewardship Denmark Faroe Islands Greenland Hospital Kraef, C. Öbrink-Hansen, K. Hertz, M. Hagen, T. L. Deutch, S. Holler, J. G. Olesen, B. R. Holm, M. Gaini, S. Koch, A. Benfield, T. Rosenvinge, F. S. Johansen, I. S. Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers |
topic_facet |
Antimicrobial resistance Antimicrobial stewardship Denmark Faroe Islands Greenland Hospital |
description |
OBJECTIVES: To describe the current organization and implementation of formalized, multi-disciplinary hospital-based antimicrobial stewardship (AMS) structures in Denmark, the Faroe Islands and Greenland. METHODS: A structured electronic questionnaire was sent to all trainees and specialists in clinical microbiology (N=207) and infectious diseases (N=260), as well as clinical pharmacists (N=20) and paediatricians (N=10) with expertise in infectious diseases. The survey had 30 multiple-choice, rating-scale, and open-ended questions based on an international consensus checklist for hospital AMS, adapted to a Danish context. RESULTS: Overall, 145 individual responses representing 20 hospitals were received. Nine hospitals (45%) reported a formal AMS strategy, eight (40%) a formal organizational multi-disciplinary structure and a multi-disciplinary AMS team, and six (30%) a designated professional as a leader of the AMS team. A majority of hospitals reported access to updated guidelines (80%) and regularly monitored and reported the quantity of antibiotics prescribed (70% and 65%, respectively). Only one hospital (5%) reported a dedicated, sustainable and sufficient AMS budget, three hospitals (15%) audited courses of therapy for specific agents/clinical conditions and four hospitals (20%) had a document clearly defining roles, procedures of collaboration and responsibilities for AMS. A total of 42% of all individual respondents had received formal AMS training. Main barriers were a lack of financial resources (52%), a lack of mandate from the hospital management (30%) and AMS not being a priority (18%). CONCLUSIONS: Core elements important for multi-disciplinary hospital-based AMS can be strengthened in Danish hospitals. Funding, clear mandates, prioritization from the hospital management and the implementation of multi-disciplinary AMS structures may help close the identified gaps. |
format |
Article in Journal/Newspaper |
author |
Kraef, C. Öbrink-Hansen, K. Hertz, M. Hagen, T. L. Deutch, S. Holler, J. G. Olesen, B. R. Holm, M. Gaini, S. Koch, A. Benfield, T. Rosenvinge, F. S. Johansen, I. S. |
author_facet |
Kraef, C. Öbrink-Hansen, K. Hertz, M. Hagen, T. L. Deutch, S. Holler, J. G. Olesen, B. R. Holm, M. Gaini, S. Koch, A. Benfield, T. Rosenvinge, F. S. Johansen, I. S. |
author_sort |
Kraef, C. |
title |
Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers |
title_short |
Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers |
title_full |
Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers |
title_fullStr |
Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers |
title_full_unstemmed |
Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers |
title_sort |
hospital-based antimicrobial stewardship in denmark, greenland and the faroe islands - current landscape and barriers |
publishDate |
2024 |
url |
https://vbn.aau.dk/da/publications/0704e57d-d4b5-478a-9d3b-4063b0ab8cbc https://doi.org/10.1016/j.jhin.2024.01.018 https://vbn.aau.dk/ws/files/687386604/Kraef_et_al._2024_._Hospital-based_antimicrobial_stewardship_in_Denmark_Greenland_and_the_Faroe_Islands_-_current_landscape_and_barriers.pdf |
geographic |
Faroe Islands Greenland |
geographic_facet |
Faroe Islands Greenland |
genre |
Faroe Islands Greenland |
genre_facet |
Faroe Islands Greenland |
op_source |
Kraef , C , Öbrink-Hansen , K , Hertz , M , Hagen , T L , Deutch , S , Holler , J G , Olesen , B R , Holm , M , Gaini , S , Koch , A , Benfield , T , Rosenvinge , F S & Johansen , I S 2024 , ' Hospital-based antimicrobial stewardship in Denmark, Greenland and the Faroe Islands - current landscape and barriers ' , Journal of Hospital Infection , vol. 146 , pp. 66-75 . https://doi.org/10.1016/j.jhin.2024.01.018 |
op_relation |
https://vbn.aau.dk/da/publications/0704e57d-d4b5-478a-9d3b-4063b0ab8cbc |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1016/j.jhin.2024.01.018 |
container_title |
Journal of Hospital Infection |
container_volume |
146 |
container_start_page |
66 |
op_container_end_page |
75 |
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1812813352958689280 |