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Article: Optimising antimicrobial prescription in hospitals by introducing an antimicrobial stewardship programme in Hong Kong: Consensus statement

TitleOptimising antimicrobial prescription in hospitals by introducing an antimicrobial stewardship programme in Hong Kong: Consensus statement
Authors
KeywordsAnti-bacterial agents
Cross infection
Drug resistance, microbial
Hong Kong
Prescriptions, drug
Issue Date2006
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2006, v. 12 n. 2, p. 141-148 How to Cite?
AbstractObjective. To discuss the implementation of an 'antimicrobial stewardship programme' as a means to improve the quality of antimicrobial use in a hospital setting in Hong Kong. Participants. Consensus working group on 'antimicrobial stewardship programme', The Scientific Committee on Infection Control, Centre for Health Protection, Department of Health, comprised 11 experts. The remit of the working group was to discuss the rationale and requirement for optimising antimicrobial prescriptions in hospitals by the introduction of an 'antimicrobial stewardship programme'. Evidence. PubMed articles, national and international guidelines, and abstracts of international meetings published between January 2000 and December 2004 on programmes for improving the use of antimicrobials in hospitals. Only English medical literature was reviewed. Consensus process. Data search was performed independently by three members of the working group. They met on three occasions before the meeting to discuss all collected articles. A final draft was circulated to the working group before a meeting on 3 January 2005. Five commonly asked questions about an 'antimicrobial stewardship programme' were selected for discussion by the participants. Published information on the rationale, components, outcome measures, advantages, and disadvantages of the programme was reviewed. Recent unpublished data from local studies of an 'antimicrobial stewardship programme' were also discussed. The timing, potential problems, and practical issues involved in the implementation of an 'antimicrobial stewardship programme' in Hong Kong were then considered. The consensus statement was circulated to and approved by all participants. Conclusion. The continuous indiscriminate and excessive use of antimicrobial agents promotes the emergence of antibiotic-resistant organisms. Antimicrobial resistance substantially raises already-rising health care costs and increases patient morbidity and mortality. Pattern of prescriptions in hospitals can be improved through the implementation of an 'antimicrobial stewardship programme'. A 'universal' and 'continuous' 'antimicrobial stewardship programme' should now be established in Hong Kong hospitals.
Persistent Identifierhttp://hdl.handle.net/10722/45198
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorHo, PLen_HK
dc.contributor.authorCheng, JCFen_HK
dc.contributor.authorChing, PTYen_HK
dc.contributor.authorKwan, JKCen_HK
dc.contributor.authorLim, WWLen_HK
dc.contributor.authorTong, WCYen_HK
dc.contributor.authorWu, TCen_HK
dc.contributor.authorTse, CWSen_HK
dc.contributor.authorLam, Ren_HK
dc.contributor.authorYung, Ren_HK
dc.contributor.authorSeto, WHen_HK
dc.date.accessioned2007-10-30T06:19:34Z-
dc.date.available2007-10-30T06:19:34Z-
dc.date.issued2006en_HK
dc.identifier.citationHong Kong Medical Journal, 2006, v. 12 n. 2, p. 141-148en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45198-
dc.description.abstractObjective. To discuss the implementation of an 'antimicrobial stewardship programme' as a means to improve the quality of antimicrobial use in a hospital setting in Hong Kong. Participants. Consensus working group on 'antimicrobial stewardship programme', The Scientific Committee on Infection Control, Centre for Health Protection, Department of Health, comprised 11 experts. The remit of the working group was to discuss the rationale and requirement for optimising antimicrobial prescriptions in hospitals by the introduction of an 'antimicrobial stewardship programme'. Evidence. PubMed articles, national and international guidelines, and abstracts of international meetings published between January 2000 and December 2004 on programmes for improving the use of antimicrobials in hospitals. Only English medical literature was reviewed. Consensus process. Data search was performed independently by three members of the working group. They met on three occasions before the meeting to discuss all collected articles. A final draft was circulated to the working group before a meeting on 3 January 2005. Five commonly asked questions about an 'antimicrobial stewardship programme' were selected for discussion by the participants. Published information on the rationale, components, outcome measures, advantages, and disadvantages of the programme was reviewed. Recent unpublished data from local studies of an 'antimicrobial stewardship programme' were also discussed. The timing, potential problems, and practical issues involved in the implementation of an 'antimicrobial stewardship programme' in Hong Kong were then considered. The consensus statement was circulated to and approved by all participants. Conclusion. The continuous indiscriminate and excessive use of antimicrobial agents promotes the emergence of antibiotic-resistant organisms. Antimicrobial resistance substantially raises already-rising health care costs and increases patient morbidity and mortality. Pattern of prescriptions in hospitals can be improved through the implementation of an 'antimicrobial stewardship programme'. A 'universal' and 'continuous' 'antimicrobial stewardship programme' should now be established in Hong Kong hospitals.en_HK
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dc.format.mimetypetext/plain-
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dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectAnti-bacterial agentsen_HK
dc.subjectCross infectionen_HK
dc.subjectDrug resistance, microbialen_HK
dc.subjectHong Kongen_HK
dc.subjectPrescriptions, drugen_HK
dc.subject.meshAnti-Infective Agents - administration & dosageen_HK
dc.subject.meshDrug Utilization - standardsen_HK
dc.subject.meshDrug Utilization Review - organization & administrationen_HK
dc.subject.meshGuideline Adherence - organization & administrationen_HK
dc.subject.meshPharmacy Service, Hospital - standardsen_HK
dc.titleOptimising antimicrobial prescription in hospitals by introducing an antimicrobial stewardship programme in Hong Kong: Consensus statementen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=12&issue=2&spage=141&epage=148&date=2006&atitle=Optimising+antimicrobial+prescription+in+hospitals+by+introducing+an+antimicrobial+stewardship+programme+in+Hong+Kong:+consensus+statementen_HK
dc.identifier.emailHo, PL:plho@hkucc.hku.hken_HK
dc.identifier.authorityHo, PL=rp00406en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid16603782-
dc.identifier.scopuseid_2-s2.0-33646473562en_HK
dc.identifier.hkuros118619-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33646473562&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume12en_HK
dc.identifier.issue2en_HK
dc.identifier.spage141en_HK
dc.identifier.epage148en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridHo, PL=7402211363en_HK
dc.identifier.scopusauthoridCheng, JCF=13407806600en_HK
dc.identifier.scopusauthoridChing, PTY=7005847968en_HK
dc.identifier.scopusauthoridKwan, JKC=13407459200en_HK
dc.identifier.scopusauthoridLim, WWL=16205075400en_HK
dc.identifier.scopusauthoridTong, WCY=7202449348en_HK
dc.identifier.scopusauthoridWu, TC=36853987400en_HK
dc.identifier.scopusauthoridTse, CWS=7103295064en_HK
dc.identifier.scopusauthoridLam, R=7101916902en_HK
dc.identifier.scopusauthoridYung, R=7005594277en_HK
dc.identifier.scopusauthoridSeto, WH=7005799377en_HK

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