Evidence map›Paper›PMID 35190453›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2022

Managing antibiotic shortages: lessons from EAHP and ECDC surveys.

Nenad Miljković, Piera Polidori, Stephanie Kohl

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Article in European journal of hospital pharmacy : science and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

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11citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Nenad MiljkovićHospital Pharmacy, Institute of Orthopaedics Banjica, Belgrade, Serbia nenad.hedren@gmail.com.ORCID 0000-0003-1282-3883
Piera PolidoriHospital Pharmacy, United Villa Solfia-Cervello Hospitals, Palermo, Sicily, Italy.ORCID 0000-0001-8496-9908
Stephanie KohlPolicy & Advocacy, European Association of Hospital Pharmacists, Brussels, Belgium.ORCID 0000-0003-0324-7976

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

objectiveTo compare antibiotic shortages in Europe between 2013 and 2020 and the views of hospital pharmacists on overcoming shortages via antimicrobial stewardship.

methodsA series of European Association of Hospital Pharmacists (EAHP) surveys on medicine shortages, including a survey on the future crisis preparedness of hospital pharmacies, conducted between 2013 and 2020 were compared for the type of antibiotic shortages and respective mitigation strategy. These were analysed taking into account hospital pharmacists' views on antibiotics provided in the European Centre for Disease Prevention and Control (ECDC) survey on healthcare professionals' knowledge, attitudes and behaviours about antibiotics, antibiotic use and antibiotic resistance from 2018.

resultsSince 2013 there has frequently been a shortage of antibiotics in European hospitals. In 2014, 67% (347/521) of hospital pharmacists experienced shortages of antimicrobials compared with 77% (1032/1348) in 2018, 63% (1158/1837) in 2019 and 37% (539/1466) in 2020. More than 80% of hospital pharmacists managed antibiotic shortages through substitution in 2014 (284/336) and 2018 (786/946), while this percentage was 40% (63/158) and 42% (620/1466) in 2019 and 2020, respectively. Although 72% (870/1204) of hospital pharmacists received information on how to avoid inappropriate antibiotic prescribing, dispensing and administration, only 37% (450/1204) changed their views and 28% (338/1204) changed their practice in steering antimicrobial treatment.

conclusionAntibiotic shortages affect proper antimicrobial stewardship because of limited appropriate alternatives, taking into account patients' clinical condition and type of infection. While substitution remains a leading mitigating tool for antibiotic shortages, it carries numerous risks and the potential for antimicrobial resistance and suboptimal health outcomes.

Indexed as

Antimicrobial StewardshipPharmacistsAnti-Bacterial AgentsDrug Resistance, MicrobialHumansSurveys and QuestionnairesAnti-Bacterial Agentsdrug-related side effects and adverse reactionsdrug substitutionhospitalmicrobiologypharmacy servicepractice guideline

Identifiers

PMID35190453
PMCPMC8899686

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.