caa a22 4500 606158006 CHVBK 20210128100617.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s10096-015-2483-x doi (NATIONALLICENCE)springer-10.1007/s10096-015-2483-x Antimicrobial stewardship policy: time to revisit the strategy? [Elektronische Daten] [P.-M. Roger, J. Courjon, S. Léotard, C. Déchamp, N. Négrin, M. Vassallo] Recent data indicate that both the overall numbers of antibiotic prescription and the frequency of multidrug-resistant bacteria are increasing significantly. These threatening features are observed, despite national antimicrobial stewardship (AMS) policies aimed at decreasing antibiotic use. AMS should also focus on the initial steps leading to antibiotic prescription. Physicians and their patients should benefit from the structured clinical pathways, the latter being adapted to regional epidemiological data and resources. Continuous evaluation of these predefined clinical paths through a computerized medical dashboard will allow a critical review and finally the optimization of medical practices. These innovative behavioural approaches for clinicians will supply precise information on the relationship among the diagnosis, therapeutics and outcome. This changing environment will carry out the adapted therapeutic procedures, and appropriate antibiotic use will inherently improve. Springer-Verlag Berlin Heidelberg, 2015 Roger P.-M Infectiologie, Centre Hospitalier Universitaire de Nice, Université de Nice Sophia-Antipolis, Hôpital de l'Archet 1, BP 3079, 06202, Nice, France aut Courjon J. Infectiologie, Centre Hospitalier Universitaire de Nice, Université de Nice Sophia-Antipolis, Hôpital de l'Archet 1, BP 3079, 06202, Nice, France aut Léotard S. Laboratoire de Bactériologie, Centre Hospitalier de Grasse, Grasse, France aut Déchamp C. Pharmacie, Centre Hospitalier d'Antibes, Antibes, France aut Négrin N. Service d'Hygiène Hospitalière, Centre Hospitalier de Grasse, Grasse, France aut Vassallo M. Service de Médecine Interne et Infectiologie, Centre Hospitalier de Cannes, Cannes, France aut European Journal of Clinical Microbiology & Infectious Diseases Springer Berlin Heidelberg 34/11(2015-11-01), 2167-2170 0934-9723 34:11<2167 2015 34 10096 https://doi.org/10.1007/s10096-015-2483-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10096-015-2483-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Roger P.-M Infectiologie, Centre Hospitalier Universitaire de Nice, Université de Nice Sophia-Antipolis, Hôpital de l'Archet 1, BP 3079, 06202, Nice, France aut NATIONALLICENCE 700 1- Courjon J. Infectiologie, Centre Hospitalier Universitaire de Nice, Université de Nice Sophia-Antipolis, Hôpital de l'Archet 1, BP 3079, 06202, Nice, France aut NATIONALLICENCE 700 1- Léotard S. Laboratoire de Bactériologie, Centre Hospitalier de Grasse, Grasse, France aut NATIONALLICENCE 700 1- Déchamp C. Pharmacie, Centre Hospitalier d'Antibes, Antibes, France aut NATIONALLICENCE 700 1- Négrin N. Service d'Hygiène Hospitalière, Centre Hospitalier de Grasse, Grasse, France aut NATIONALLICENCE 700 1- Vassallo M. Service de Médecine Interne et Infectiologie, Centre Hospitalier de Cannes, Cannes, France aut NATIONALLICENCE 773 0- European Journal of Clinical Microbiology & Infectious Diseases Springer Berlin Heidelberg 34/11(2015-11-01), 2167-2170 0934-9723 34:11<2167 2015 34 10096