Krcmery Vladimir, Kalavsky Erich
St. Elizabeth University College of Health and Social Sciences, Bratislava, Slovakia.
Wien Klin Wochenschr. 2008;120(9-10):312-5. doi: 10.1007/s00508-008-0975-8.
Antibiotic stewardship (ABS) is one of the important indicators in a healthcare system. Slovakia is participating in the project "Implementing antibiotic strategies for appropriate use of antibiotics in hospitals in member states of the European Union--ABS International", the objectives of which are identification of strengths and weaknesses of antibiotic policy in participating countries. This paper summarizes the results for Slovakia.
The questionnaire survey was conducted in May 2007. The questionnaire "ABS hospital mature" analyzed the ABS-related maturities of nine hospitals in Slovakia. The mean scores (on a scale of 1-5) for the various topics were calculated and presented in the form of an "ABS hospital maturity" pentagon. The mean total score for all antibiotic-related items was also calculated.
The mean total score for all items in nine evaluated hospitals in Slovakia was 3.93. Overall the grades for the diagnostic level in Slovak hospitals (3.94) scored lower in comparison with partner countries. Control of antibiotic consumption is implemented in Slovakia and therefore scored 4.07. Antibiotic-related organization and personnel development also scored high (4.08 and 4.26, respectively) in comparison with partner countries, but antibiotic-related roles and communication and antibiotic-related relationships to relevant environments were graded as not satisfactory (3.54 and 3.28, respectively).
In general, our results are similar to those found by other countries. Antibiotic-related organization and personnel development appears better developed in Slovakia than in other countries. The better scores for antibiotic organization could be explained by the existence of a centralized healthcare system for 40 years. The existence of 'antibiotic resistance laboratories' in the Slovak republic since 1971 and a national computerized reporting system for antibiotic resistance since 1984 reflect this high standard.
抗生素管理（ABS）是医疗保健系统中的重要指标之一。斯洛伐克正在参与“在欧盟成员国医院实施抗生素合理使用策略——ABS国际”项目，其目标是识别参与国抗生素政策的优势和劣势。本文总结了斯洛伐克的相关结果。
于2007年5月进行问卷调查。“ABS医院成熟度”问卷分析了斯洛伐克九家医院与ABS相关的成熟度。计算了各个主题的平均得分（1 - 5分制），并以“ABS医院成熟度”五边形的形式呈现。还计算了所有与抗生素相关项目的平均总分。
斯洛伐克九家评估医院所有项目的平均总分是3.93。总体而言，斯洛伐克医院诊断水平的得分（3.94）与伙伴国家相比更低。斯洛伐克实施了抗生素消费控制，因此得分为4.07。与伙伴国家相比，抗生素相关的组织和人员发展得分也较高（分别为4.08和4.26），但抗生素相关的角色与沟通以及与相关环境的抗生素相关关系的评分不令人满意（分别为3.54和3.28）。
总体而言，我们的结果与其他国家的结果相似。斯洛伐克的抗生素相关组织和人员发展似乎比其他国家更为完善。抗生素组织得分较高可能是由于存在40年的集中医疗保健系统。自1971年起斯洛伐克共和国就设有“抗生素耐药性实验室”，自1984年起设有全国抗生素耐药性计算机报告系统，这体现了这一高标准。
