Unidad Clínica de Farmacia, Instituto de Biomedicina de Sevilla (IBIS)/Hospital Universitario Virgen del Rocío, Sevilla. Spain..
Servicio de Farmacia, Complejo Hospitalario Universitario La Coruña, La Coruña. Spain..
Farm Hosp. 2021 Feb 22;45(2):82-88. doi: 10.7399/fh.11535.
The Start Smart-Then Focus tool of the United Kingdom's National Health System is a tool to be implemented in antimicrobial stewardship programs. The objective of this work is the adaptation of Start Smart-Then Focus tool to the Spanish health system.
Delphi methodology was used. Two rounds were conducted by email. In the first, a questionnaire was sent out that included the criteria of the tool. These criteria were independently assessed by 16 experts. They rated the suitability and applicability of each criterion on a scale from 1 to 9 and made free comments on each one. The tool was modified and sent out again to all the experts. They re-scored the questionnaire individually, while aware of the anonymized results of the first round.
The first questionnaire was made up of 19 indicators. Of these, 16 indicators had a median of more than 7 in suitability and applicability. However, regarding applicability, 3 indicators had a median of less than 7 and 10 had a minimum of less than 5. From the initial 19 indicators, we obtained 8 final indicators and 8 options were added to the sixth indicator.
It would be very useful to implement the Spanish adaptation of the Start Smart-Then Focus tool in antimicrobial stewardship programs at a national level. It would also contribute to improving the use of antimicrobials.
英国国民保健署的“明智起始-重点关注”工具是在抗菌药物管理项目中实施的一项工具。本工作的目的是将“明智起始-重点关注”工具改编为西班牙卫生系统使用。
采用德尔菲法。通过电子邮件进行了两轮。第一轮包括工具的标准的调查问卷。这些标准由 16 名专家独立评估。他们对每个标准的适宜性和适用性进行了 1 到 9 的评分，并对每个标准进行了自由评论。对工具进行了修改并再次发送给所有专家。他们在了解第一轮匿名结果的情况下，分别重新对问卷进行评分。
第一轮问卷包括 19 个指标。其中，16 个指标的适宜性和适用性中位数均大于 7。然而，在适用性方面，有 3 个指标的中位数小于 7，有 10 个指标的最小值小于 5。从最初的 19 个指标中，我们得到了 8 个最终指标，并为第六个指标添加了 8 个选项。
在国家层面上实施抗菌药物管理项目中西班牙改编的“明智起始-重点关注”工具将非常有用。它还有助于改善抗菌药物的使用。
