{"id":15094,"date":"2022-02-28T13:18:48","date_gmt":"2022-02-28T13:18:48","guid":{"rendered":"https:\/\/www.global-pps.com\/?p=15094"},"modified":"2023-01-22T21:51:25","modified_gmt":"2023-01-22T21:51:25","slug":"evaluating-the-global-point-prevalence-survey-of-antimicrobial-consumption-and-resistance-in-47-canadian-hospitals","status":"publish","type":"post","link":"https:\/\/www.global-pps.com\/es\/evaluating-the-global-point-prevalence-survey-of-antimicrobial-consumption-and-resistance-in-47-canadian-hospitals\/","title":{"rendered":"Evaluaci\u00f3n de la encuesta mundial de prevalencia puntual del consumo de antimicrobianos y la resistencia a los mismos en 47 hospitales canadienses"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"15094\" class=\"elementor elementor-15094\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"ob-is-breaking-bad elementor-section elementor-top-section elementor-element elementor-element-41fe48f2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"41fe48f2\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;_ob_bbad_use_it&quot;:&quot;yes&quot;,&quot;_ob_bbad_sssic_use&quot;:&quot;no&quot;,&quot;_ob_glider_is_slider&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-32225d22\" data-id=\"32225d22\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;_ob_bbad_is_stalker&quot;:&quot;no&quot;,&quot;_ob_teleporter_use&quot;:false,&quot;_ob_column_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_column_has_pseudo&quot;:&quot;no&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4f2255 ob-harakiri-inherit ob-has-background-overlay elementor-widget elementor-widget-heading\" data-id=\"a4f2255\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_ob_use_harakiri&quot;:&quot;yes&quot;,&quot;_ob_harakiri_writing_mode&quot;:&quot;inherit&quot;,&quot;_ob_harakiri_text_clip&quot;:&quot;none&quot;,&quot;_ob_perspektive_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><br>Evaluaci\u00f3n de la encuesta mundial de prevalencia puntual del consumo de antimicrobianos y la resistencia a los mismos en 47 hospitales canadienses<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"ob-is-breaking-bad elementor-section elementor-top-section elementor-element elementor-element-282d301f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"282d301f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ob_bbad_use_it&quot;:&quot;yes&quot;,&quot;_ob_bbad_sssic_use&quot;:&quot;no&quot;,&quot;_ob_glider_is_slider&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-31906e87\" data-id=\"31906e87\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;_ob_bbad_is_stalker&quot;:&quot;no&quot;,&quot;_ob_teleporter_use&quot;:false,&quot;_ob_column_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_column_has_pseudo&quot;:&quot;no&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ec8bb51 ob-has-background-overlay elementor-widget elementor-widget-post-info\" data-id=\"ec8bb51\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_ob_perspektive_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;}\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-3602bd3 elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.global-pps.com\/es\/2022\/02\/28\/\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>28 de febrero de 2022<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39c98f38 ob-harakiri-inherit ob-has-background-overlay elementor-widget elementor-widget-text-editor\" data-id=\"39c98f38\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_ob_use_harakiri&quot;:&quot;yes&quot;,&quot;_ob_harakiri_writing_mode&quot;:&quot;inherit&quot;,&quot;_ob_postman_use&quot;:&quot;no&quot;,&quot;_ob_perspektive_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignright wp-image-15096\" src=\"https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/canada-cookies.jpg\" alt=\"\" width=\"375\" height=\"281\" srcset=\"https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/canada-cookies.jpg 1173w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/canada-cookies-300x225.jpg 300w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/canada-cookies-1024x768.jpg 1024w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/canada-cookies-768x576.jpg 768w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/canada-cookies-16x12.jpg 16w\" sizes=\"(max-width: 375px) 100vw, 375px\" \/>On December 21, 2021, a network of Canadian hospitals published a paper in CMAJ Open, reporting on their Global-PPS results. This study describes antimicrobial use (AMU) based on detailed patient-level data in Canadian hospitals in 2018 in terms of antimicrobial prevalence, indications and agent selection in adult and paediatric medical, surgical and intensive care wards. In addition, it evaluates the quality of antimicrobial prescribing using a set of key quality indicators.<\/p><p><strong>A Pan-Canadian strategy<\/strong><\/p><p>In 2017, Canada released Tackling Antimicrobial Resistance and Antimicrobial Use: <a href=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/publications\/drugs-health-products\/tackling-antimicrobial-resistance-use-pan-canadian-framework-action.html\" target=\"_blank\" rel=\"noopener\">A Pan-Canadian Framework for Action<\/a> to reinforce its strategy on antimicrobial resistance. Surveillance of AMU is a core component of Canada\u2019s framework for action and that is why Global-PPS was used to obtain this data.<\/p><p><strong>What were the results?<\/strong><\/p><p>In this study, 47 hospitals participated with 13,272 patients. A total of 6,525 prescriptions were reviewed. The overall AMU prevalence was 33.5% : \u00a074.1% were used for therapeutic purpose, 12.6% for medical prophylaxis and 8.9% for surgical prophylaxis. Out of all therapeutic \u00a0prescriptions, 61% were used empirically and 39% were targeted. The most frequent diagnostic categories of use were for respiratory tract infections (29.6%), urinary tract infections (11.6%) and intra-abdominal infections (11%).\u00a0 Thirty-eight percent were used for nosocomial infections. \u00a0Targeted treatment for documented MDRO was relatively infrequent as only 82 patients had documented MRSA infection, 101 with resistance to 3<sup>rd<\/sup> generation cephalosporin Enterobacteriaceae and 30 with carbapenem resistance ( 5 carbapenemase producing). <em>\u00a0<\/em>The diagnosis was documented in the patient\u2019s file at the initiation for 87.3% of antimicrobials. In addition, the study showed that 62.9% of antimicrobials had a stop or review date and 72.0% of prescriptions were guided by local guidelines.<\/p><p><strong>Conclusion<\/strong><\/p><p>This is the largest surveillance\u00a0project on antimicrobial use and resistance in Canada. The study provides valid and reliable information on antimicrobial prescribing practices, and identified areas of improvement in participating Canadian hospitals. The overall use of antimicrobials is similar to what was previously reported in Canada, and confirms that treatment for MDRO is low. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32653046\/\" target=\"_blank\" rel=\"noopener\">C. Frenette et al., Antimicrob Resist Infect Control, 2020<\/a>). Two findings suggest that antimicrobial prescribing is becoming more rational:<\/p><ul><li>The prevalence of AMU in pediatric and neonatal patients seems to be decreasing<\/li><li>Surgical prophylaxis with one dose was prioritized over surgical prophylaxis for more than a day. Adherence to surgical prophylaxis guidelines was high amongst the surveyed hospitals, although it was lower in the Atlantic Provinces. New protocols have since been developed in this region.<\/li><\/ul><p>The results serve as a broad-based benchmark for national and local stewardship programs. Through repeated surveys, the Global-PPS will also enable us to continue to measure the impact of interventions.<\/p><p>\u00a0Read the article here : <a href=\"https:\/\/www.cmajopen.ca\/content\/9\/4\/E1242\" target=\"_blank\" rel=\"noopener\">G. German, C. Frenette, et al., CMAJ Open, 2021<\/a><\/p><p><img decoding=\"async\" class=\"wp-image-15092 size-full aligncenter\" src=\"https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/Canadian-network-2019-CNISP-meeting-main-picture-to-use.jpg\" alt=\"\" width=\"566\" height=\"362\" srcset=\"https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/Canadian-network-2019-CNISP-meeting-main-picture-to-use.jpg 566w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/Canadian-network-2019-CNISP-meeting-main-picture-to-use-300x192.jpg 300w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2022\/02\/Canadian-network-2019-CNISP-meeting-main-picture-to-use-16x10.jpg 16w\" sizes=\"(max-width: 566px) 100vw, 566px\" \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>El 21 de diciembre de 2021, una red de hospitales canadienses public\u00f3 un art\u00edculo en CMAJ Open, informando sobre sus resultados Global-PPS. Este estudio describe el uso de antimicrobianos (AMU) basado en datos detallados a nivel de paciente en hospitales canadienses en 2018 en t\u00e9rminos de prevalencia de antimicrobianos, indicaciones y selecci\u00f3n de agentes en salas m\u00e9dicas, quir\u00fargicas y de cuidados intensivos para adultos y pedi\u00e1tricos. <\/p>","protected":false},"author":7,"featured_media":15092,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ocean_post_layout":"full-screen","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"on","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"off","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15094","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Evaluating the Global Point Prevalence Survey of antimicrobial consumption and resistance in 47 Canadian hospitals - Global PPS<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.global-pps.com\/es\/evaluating-the-global-point-prevalence-survey-of-antimicrobial-consumption-and-resistance-in-47-canadian-hospitals\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evaluating the Global Point Prevalence Survey of antimicrobial consumption and resistance in 47 Canadian hospitals - Global PPS\" \/>\n<meta property=\"og:description\" content=\"On December 21, 2021, a network of Canadian hospitals published a paper in CMAJ Open, reporting on their Global-PPS results. 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