Hospital antibiotic management in north-eastern Italy--results of the ABS maturity survey of the ABS International group.
BACKGROUND
The ABS International group conducted a survey to estimate the prevalence and characteristics of country-specific hospital antibiotic management programs. This paper summarizes the results for the north-eastern area of Italy.


METHODS
The survey was conducted in January and February 2008. A questionnaire with items related to hospital antibiotic management was sent to the medical administrators of two regions, namely Veneto and Trentino Alto Adige, which are further subdivided into smaller administrative areas.


RESULTS
Ten out of 82 questionnaires were returned and nine were evaluable. The mean total score for all items in the areas under consideration was 3.69 (median: 3.58; range 2.58-4.50). Top values and high mean scores were achieved for diagnostics and control of antibiotic consumption. Organizational structures such as well defined antibiotic-related roles and communication tools are missing to a large degree.


CONCLUSIONS
The findings of this questionnaire-based survey underline the considerable potential for further improvement of antibiotic stewardship in north-eastern Italy.
Koncan
Raffaella
R
Dipartimento di Patologia, Università degli Studi di Verona, and Laboratorio di Microbiologia, Azienda Ospedaliera di Verona, Verona, Italy. raffaellak@yahoo.it
Lo Cascio
Giuliana
G
Cornaglia
Giuseppe
G
D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D000890:Anti-Infective Agents; D001424:Bacterial Infections / Q000188:drug therapy* / Q000453:epidemiology*; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control*; D004196:Disease Outbreaks / Q000517:prevention & control / Q000706:statistics & numerical data*; D004352:Drug Resistance, Microbial; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods*; D011795:Surveys and Questionnaires
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents