Assessment of the Plans to Optimize Antimicrobial Use in the Pediatric Population in Catalan Hospitals: The VINCat Pediatric PROA SHARP Survey
Por:
Guarch-Ibanez, B, Fernandez-Polo, A, Hernandez, S, Velasco E, Gimenez, M, Sala-Castellvi, P, Pineda, V, Melendo, S and VINCat Pediatric Proa Group
Publicada:
1 feb 2023
Ahead of Print:
26 ene 2023
Resumen:
In Spain, many programs have been introduced in recent years to optimize antimicrobial stewardship in pediatric care (known as pediatric PROA). However, information on the current situation of these programs is scarce. The present study assesses current antimicrobial use in pediatric care in the hospitals of Catalonia affiliated with the VINCat pediatric PROA group. Between December 2020 and January 2021, an electronic survey related to the design and use of PROA was administered to members of PROA teams in our hospital network. The survey was conducted at 26 hospitals. Twelve percent of the hospitals had pediatric PROA in operation, 42% were included in adult PROA, and 46% carried out pediatric PROA activities but not as part of an established program. At 81%, the pediatric PROA team included a pediatrician, in 58% a pharmacist, and in 54% a microbiologist. The main activities were monitoring the use of antimicrobials and bacterial resistance. Twenty-seven percent measured indicators regularly. The VINCat Pediatric PROA group's hospitals have implemented measures for optimizing antimicrobial stewardship, but few have a pediatric PROA program in place. Specific measures and indicators must be defined, and the resources available should be increased. The development of pediatric PROA should be monitored in the coming years.
Filiaciones:
Guarch-Ibanez, B:
Pediatric Infectious Diseases Unit ICS-IAS, Department of Pediatrics, Hospital Universitari de Girona Dr. Josep Trueta, Universitat de Girona, 17007 Girona, Spain
Univ Girona, Hosp Univ Girona Dr Josep Trueta, Dept Pediat, Pediat Infect Dis Unit ICS IAS, Girona 17007, Spain
Fernandez-Polo, A:
Department of Pharmacy, Hospital Universitari Vall d'Hebron, Vall d'Hebron Research Institute, Universidad Autónoma de Barcelona, 08035 Barcelona, Spain
Univ Autonoma Barcelona, Hosp Univ Vall Hebron, Vall Hebron Res Inst, Dept Pharm, Barcelona 08035, Spain
Hernandez, S:
VINCat Program Surveillance of Healthcare Related Infections in Catalonia, 08907 Barcelona, Spain
VINCat Program Surveillance Healthcare Related In, Barcelona 08907, Spain
Velasco E:
Antimicrobial Stewardship Program (PROA-SJD), Pediatric Infectious Diseases Unit, Department of Pediatrics, Hospital Sant Joan de Déu, 08950 Barcelona, Spain
Hosp St Joan Deu, Dept Pediat, Antimicrobial Stewardship Program PROA SJD, Pediat Infect Dis Unit, Barcelona 08950, Spain
Gimenez, M:
Department of Microbiology, Laboratori Clínic de la Metropolitana Nord, Hospital Germans Trias i Pujol, 08916 Badalona, Spain
Hosp Badalona Germans Trias & Pujol, Dept Microbiol, Lab Clin Metropolitana Nord, Badalona 08916, Spain
Sala-Castellvi, P:
Department of Paediatrics, Hospital Universitari General de Catalunya, 08915 Sant Cugat del Vallés, Spain
Hosp Univ Gen Catalunya, Dept Paediat, Sant Cugat Del Valles 08915, Spain
Pineda, V:
Pediatric Infectious Diseases Unit, Department of Pediatrics, Hospital Universitari Parc Taulí, Universidad Autónoma de Barcelona, 08208 Barcelona, Spain
Univ Autonoma Barcelona, Hosp Univ Parc Tauli, Dept Pediat, Pediat Infect Dis Unit, Barcelona 08208, Spain
Melendo, S:
Pediatric Infectious Diseases and Immunodeficiencies Unit, Hospital Infantil Vall d'Hebron, Vall d'Hebron Research Institute, 08035 Barcelona, Spain
Hosp Infantil Vall Hebron, Vall Hebron Res Inst, Pediat Infect Dis & Immunodeficiencies Unit, Barcelona 08035, Spain
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