MULTI-DISCIPLINARY ANTIBIOTIC MANAGEMENT TEAMS IN BELGIAN HOSPITALS : PILOT PHASE EVALUATION, 2002-03 L Sourdeau, MJ Struelens, WE Peetermans, C Suetens and the Hospital Care Working Group of the Belgian Antibiotic Policy Coordination Committee (BAPCOC).
Belgian Antibiotic Policy Coordinating Committee (BAPCOC): federal inter-agency advisory body(1998) aiming at optimizing antibiotic use in Belgium implementation of EU Council Recommendation on Prudent AB use (November 2001) several working-groups: primary care, hospital care, veterinary practice INTRODUCTION
Project: implementation of multi-disciplinary Antibiotic Management Teams (AMT) and Antibiotic Managers (AMs) in Belgian hospitals Pilot phase: _ 934 558,59 euro_part-time funding of Antibiotic Manager in 36 hospitals with operational AMT. Objective : to evaluate the activities of these pilot hospitals during the first 8 months of study INTRODUCTION
Number of AMs by hospital : 1 (24 hospitals) 2 (5) 3 (4) 4 (2) Training : Internists (28) Microbiologists (13) Hospital pharmacists (13) Antibiotic Managers (AMs)
Antibiotic Prescribing Susceptibility testing Crossing of data Guidelines 29 18 Technical Clinical data 14 AB restrict. 24 8 Protocols 57 Formulary Crossing of data 33 Susceptibility data 31 Consump-tion data 35 AB Policy Interventions by Topic
Urinary tract infections : 14 Pneumonia : 14 CNS infections : 10 Abdominal infections : 9 Introduction of new drugs : 9 Endocarditis : 7 Sepsis : 6 Treatment Guidelines by Topic
The Antibiotic Management Team Pilot Study allowed implementaion and advancement of local anti-infective therapy quality interventions Multi-topic actions were undertaken in all hospitals independent of size and university affiliation The AB policy advancement score and quality of communication methods were good independent of hospital size and affiliation Conclusions