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Antimicrobial stewardship initiatives throughout Europe: proven value for money

Edwin J.M. Oberjé, Marit A.C. Tanke, Patrick P.T. Jeurissen
  • Edwin J.M. Oberjé
    Faculty of Healthcare, Zuyd University of Applied Sciences, Heerlen, Netherlands | edwin.oberje@zuyd.nl
  • Marit A.C. Tanke
    Radboud University Medical Center, Celsus Academy for Sustainable Healthcare, Nijmegen, Netherlands
  • Patrick P.T. Jeurissen
    Radboud University Medical Center, Celsus Academy for Sustainable Healthcare, Nijmegen; Department of Macroeconomic Issues and Labor Market, Ministry of Health, Welfare and Sports, the Hague, Netherlands

Abstract

Antimicrobial stewardship is recognized as a key component to stop the current European spread of antimicrobial resistance. It has also become evident that antimicrobial resistance is a problem that cannot be tackled by single institutions or physicians. Prevention of antimicrobial resistance needs rigorous actions at ward level, institution level, national level and at supra-national levels. Countries can learn from each other and possibly transplant best practices across borders to prevent antimicrobial resistance. The aim of this study is to highlight some of the success stories of proven cost-effective interventions, and to describe the actions that have been taken, the outcomes that have been found, and the difficulties that have been met. In some cases we came across substantial scope for real-life cost savings. Although the best approach to effectively hinder the spread of antimicrobial resistance remains unclear and may vary significantly among settings, several EU-wide examples demonstrate that cost-effective antimicrobial stewardship is possible. Such examples can encourage others to implement (the most cost-effective) elements in their system.

Keywords

Antimicrobial resistance; Antimicrobial stewardship; Cost-effectiveness; Sustainable healthcare

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Submitted: 2016-07-27 16:00:29
Published: 2017-03-30 09:14:45
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Copyright (c) 2017 Edwin J.M. Oberjé, Marit A.C. Tanke, Patrick P.T. Jeurissen

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