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Título:	Surgeon-led 7-VINCut antibiotic stewardship intervention decreases duration of treatment and carbapenem use in a general surgery service
Autor/a:	Badia, Josep M.; Batlle, Maria; Juvany, Montserrat; Ruiz-de León, Patricia; Sagalés, Maria; Pulido, M. Angeles; Molist, Gemma; Cuquet, Jordi
Notas:	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.
Materia(s):	-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 -61 -617
Derechos:	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. https://creativecommons.org/licenses/by/4.0/
Tipo de documento:	Artículo Artículo - Versión publicada
Editor:	MDPI
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