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Table 5 Implementation of protocols, monitoring systems and ASPs interventions in surgical departments related to working setting and team components

From: The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey

Variables

PAP protocol implemented n. (%), p

TIS protocol implemented n. (%), p

Monitoring system of used antimicrobials n. (%), p

Resistance data systematic reports n. (%), p

ASP implemented

n. (%), p

Structural intervention n. (%), p

Number of bed

 Less than 100, n = 6

5 (83.3) 1.00a

4 (66.7) 0.29a

4 (66.7) 0.30a

4 (66.7) 0.29a

3 (50.0) 0.58a

3 (50.0) 0.10a

 101–500, n = 38

37 (97.4) 1.00a

32 (84.2) 0.57

29 (76.3) 0.80

30 (78.9) 1.00

32 (84.2) 0.75

22 (57.9) <0.05a

 501–1000, n = 67

62 (92.5) 0.08a

53 (79.1) 0.49

53 (79.1) 0.62

56 (83.6) 0.87

56 (83.6) 0.75

58 (86.6) <0.05a

 More than 1000, n = 47

47 (100.0) 0.18a

40 (85.1) 0.71

42 (89.4) 0.16

39 (83.0) 1.00

39 (83.0) 1.00

41 (87.2) 0.16

Hospital setting

 Urban, n = 144

140 (97.2) 0.09

118 (81.9) 1.00a

119 (82.6) 0.29a

122 (84.7) <0.05a

120 (83.3) 0.40a

97 (67.4) 0.17a

 Suburban and rural, n = 14

12 (85.7) 0.09

12 (85.7) 1.00a

11 (78.6) 0.29a

9 (64.3) <0.05a

10 (71.4) 0.40a

9 (64.3) 0.17a

Type of hospital

 University hospital, n = 114

110 (96.5) 0.67a

92 (80.7) 0.55

94 (82.5) 0.84

98 (86.0) 0.08

92 (80.7) 0.84

95 (83.3) <0.05

 Community teaching hospital, n = 30

29 (96.7) 1.00a

27 (90.0) 0.33

27 (90.0) 0.60

24 (80.0) 0.92

26 (86.7) 0.77a

22 (73.3) 0.54

 Community hospital, n = 9

8 (88.9) 0.30a

8 (88.9) 1.00a

7 (77.8) 0.67a

5 (55.6) 0.05a

9 (100.0) 1.00a

3 (33.3) <0.05a

 Other, n = 5

5 (100.0) 1.00a

3 (60.0) 0.21a

3 (60.0) <0.05a

4 (80.0) 0.21a

4 (80.0) 0.52a

4 (80.0) 1.00a

Components of the team

 Epidemiologist, n = 64

62 (96.9) 1.00a

53 (82.8) 1.00

52 (81.3) 1.00

59 (92.2) <0.05

52 (81.3) 1.00

53 (82.8) 0.46

 Infection control specialist, n = 106

103 (97.2) 0.40a

90 (84.9) 0.31

91 (85.8) 0.08

89 (84.0) 0.57

89 (84.0) 1.00

82 (77.4) 0.79

 Hospital administrator, n = 73

71 (97.3) 0.69a

65 (89.0) 0.06

61 (83.6) 0.71

61 (83.6) 0.86

63 (86.3) 0.29

59 (80.8) 0.49

 Hospital pharmacologist, n = 95

94 (98.9) <0.05a

80 (84.2) 0.57

80 (84.2) 0.42

82 (86.3) 0.16

83 (87.4) 0.29

79 (83.2) 0.08

 Hospital pharmacist, n = 8

7 (87.5) 0.27a

6 (75.0) 0.43a

7 (87.5) 0.55a

5 (62.5) 0.15a

7 (87.5) 0.36a

3 (37.5) <0.05a

 Infectious diseases specialist, n = 125

120 (96.0) 1.00a

100 (80.0) v0.23

104 (83.2) 0.47

103 (82.4) 1.00

107 (85.6) 0.15a

95 (76.0) 0.50

 Intensivist, n = 76

74 (97.4) 0.68a

65 (85.5) 0.41

66 (86.8) 0.16

63 (82.9) 1.00

66 (86.8) 0.80

60 (78.9) 1.00

 Microbiologist, n = 119

119 (100.0) 0.64a

98 (82.4) 1.00

96 (80.7) 0.75

100 (84.0) 0.44

98 (82.4) 0.82

91 (76.5) 0.46

 Surgeon, n = 92

88 (95.7) 1.00a

80 (87.0) 0.11

77 (83.7) 0.56

77 (83.7) 0.73

76 (82.6) 0.70

70 (76.1) 0.61

 Other, n = 11

11 (100.0) 1.00a

9 (81.8) 1.00a

11 (100.0) 0.22a

10 (90.9) 0.69a

10 (90.9) 1.00a

8 (72.7) 0.70a

  1. All p values were calculated using two-sided chi-square test unless otherwise noted
  2. PAP pre-operative antimicrobial prophylaxis, TIS therapy for infections in surgery, ASP antimicrobial stewardship program
  3. aCalculated using two-sided Fisher’s exact test. ASP antimicrobial stewardship program