Burgmann Heinz, Janata Oskar, Allerberger Franz, Frank Annegret
Medizinische Universität Wien, and Donauspital im Soxialmedizinischen Zentrum Ost, Vienna, Austria.
Wien Klin Wochenschr. 2008;120(9-10):280-3. doi: 10.1007/s00508-008-0968-7.
The ABS International group conducted a survey to estimate the prevalence and characteristics of country-specific hospital antibiotic management programs. This paper summarizes the results for Austria.
The survey was conducted in April and May 2007. A questionnaire with various items related to hospital antibiotic management was sent to 160 Austrian hospitals.
Of 160 questionnaires sent, 80 were returned and evaluable. The mean total score for all items and all hospitals was 3.29 (median: 3.42; range 1.35-4.74). The larger the hospital the higher were the reported scores concerning diagnostics, antibiotic-related organization and antibiotic-consumption control, but the lower the scores for antibiotic-related personnel development and antibiotic-related relationships to relevant environments. The maturity figure for large hospitals (>500 beds) was 3.57, for medium hospitals 3.34, and for small hospitals (<200 beds) 3.01.
The self-reported results of our questionnaire-based survey clearly show that there is still need for improvement. In all five categories surveyed, Austrian hospitals scored their antibiotic maturity lower than the international averages. The establishment of an antibiotic officer enables the development of antibiotic stewardship tools such as antibiotic lists. Such tools can be seen as quality indicators.
ABS国际集团开展了一项调查，以估计各国特定医院抗生素管理项目的患病率和特征。本文总结了奥地利的调查结果。
调查于2007年4月和5月进行。一份包含与医院抗生素管理相关的各种项目的问卷被发送给160家奥地利医院。
在发出的160份问卷中，有80份被返回且可评估。所有项目和所有医院的平均总分是3.29（中位数：3.42；范围1.35 - 4.74）。医院规模越大，在诊断、抗生素相关组织和抗生素消费控制方面的得分越高，但在抗生素相关人员发展以及与相关环境的抗生素相关关系方面的得分越低。大型医院（>500张床位）的成熟度数字为3.57，中型医院为3.34，小型医院（<200张床位）为3.01。
我们基于问卷的调查的自我报告结果清楚地表明仍有改进的必要。在调查的所有五个类别中，奥地利医院的抗生素成熟度得分低于国际平均水平。设立抗生素官员有助于开发抗生素管理工具，如抗生素清单。这些工具可被视为质量指标。
