Antimicrobial stewardship in hospitals: Expert recommendation guidance document for activities in specific populations, syndromes and other aspects (PROA-2) from SEIMC, SEFH, SEMPSPGS, SEMICYUC and SEIP

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Antimicrobial stewardship in hospitals: Expert recommendation guidance document for activities in specific populations, syndromes and other aspects (PROA-2) from SEIMC, SEFH, SEMPSPGS, SEMICYUC and SEIP

Publicated to:ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA. 41 (4): 238-242 - 2023-04-03 41(4), DOI: 10.1016/j.eimc.2022.05.005

Authors: Cercenado, Emilia; Rodriguez-Bano, Jesus; Alfonso, Jose Luis; Calbo, Esther; Escosa, Luis; Fernandez-Polo, Aurora; Garcia-Rodriguez, Julio; Garnacho, Jose; Gil-Navarro, Maria Victoria; Grau, Santiago; Gudiol, Carlota; Horcajada, Juan Pablo; Larrosa, Nieves; Martinez, Carmen; Molina, Jose; Nuvials, Xavier; Oliver, Antonio; Pano-Pardo, Jose Ramon; Perez-Rodriguez, Maria Teresa; Ramirez, Paula; Rey-Biel, Pedro; Vidal, Pablo; Retamar-Gentil, Pilar

Affiliations

Centro de Investigación Biomédica en Red de Enfermedades Infecciosas , Hospital Universitario Virgen del Rocío - Author

Complejo Hosp Univ Orense, Unidad Cuidados Intens, Orense, Spain - Author

Complejo Hosp Univ Vigo, Hosp Alvaro Cunqueiro, Dept Med Interna, Unidad Enfermedades Infecciosas,Inst Invest Sani, Vigo, Pontevedra, Spain - Author

Complejo Hospitalario de Orense - Author

Complejo Hospitalario Universitario de Vigo - Author

Ctr Invest Biomed Red Enfermedades Infecciosas CI, Seville, Spain - Author

Hosp Infantil Vall Hebron, Vall Hebron Inst Recerca, RITIP Red Invest Translac Infectol Pediat, PROA NEN,Serv Farm, Barcelona, Spain - Author

Hosp Univ & Politecn La Fe, Ctr Invest Biomed Red Enfermedades Resp, Serv Med Intens, Valencia, Spain - Author

Hosp Univ Bellvitge, Inst Invest Biomed Hosp Univ Bellvitge IDIBELL, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Serv Enfermedades Infecciosas, Barcelona, Spain - Author

Hosp Univ La Paz, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Serv Pediat Hosp Enfermedades Infecciosas & Trop,, Inst Invest IdiPAZ,RITIP Redde Invest Translac In, Madrid, Spain - Author

Hosp Univ Miguel Servet, Serv Microbiol, Zaragoza, Spain - Author

Hosp Univ Son Espases, Inst Invest Sanitaria Balears IdiSBA, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Palma De Mallorca, Spain - Author

Hosp Univ Vall Hebron Barcelona Hosp Campus, Vall Hebron Inst Recerca VHIR, Serv Med Intens, Shock Organ Dysfunct & Resuscitat SODIR Res Grp, Barcelona, Spain - Author

Hosp Univ Virgen Macarena, Unidad Clin Cuidados Intens, Seville, Spain - Author

Hosp Univ Virgen Rocio, Unidad Farm, CSIC, Inst Biomed Sevilla IBiS, Seville, Spain - Author

Hospital Clinic Barcelona - Author

Hospital Clínico Universitario Lozano Blesa - Author

Hospital General Universitario de Valencia - Author

Hospital General Universitario Gregorio Marañón - Author

Hospital Materno-Infantil Vall d' Hebron - Author

Hospital Miguel Servet - Author

Hospital Universitari de Bellvitge - Author

Hospital Universitari I Politècnic la Fe - Author

Hospital Universitario Son Espases - Author

HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO - Author

Hospital Universitario Virgen Macarena - Author

Instituto de Investigación Sanitaria del Hospital Universitario La Paz - Author

Univ Autonoma Barcelona, Hosp Univ Vall Hebron, Vall Hebron Inst Recerca VHIR, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Barcelona, Spain - Author

Univ Autonoma Madrid, Hosp Univ La Paz, Dept Microbiol,CIBERINFEC, Serv Microbiol,IDIPAZ, Madrid, Spain - Author

Univ Complutense Madrid, Hosp Gen Univ Gregorio Maranon, Fac Med,Serv Microbiol Clin Enfermedades Infeccio, Ctr Invest Biomed Red Enfermedades Resp CIBERES, Madrid, Spain - Author

Univ Int Catalunya, Hosp Mutua Terrassa, Unidad Enfermedades Infecciosas, Barcelona, Spain - Author

Univ Pompeu Fabra, Hosp Mar, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Dept Farm, Barcelona, Spain - Author

Univ Pompeu Fabra, Inst Hosp Mar Invest Med IMIM,Hosp Mar, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Serv Enfermedades Infecciosas, Barcelona, Spain - Author

Univ Ramon Llull, Dept Econ Finanzas & Contabil, ESADE, Barcelona, Spain - Author

Univ Rey Juan Carlos, Dept Econ Finanzas & Contabil ESADE, Madrid, Spain - Author

Univ Seville, Hosp Univ Virgen Macarena,CSIC, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Dept Med,Unidad Clin Enfermedades Infecciosas & M, Seville, Spain - Author

Univ Seville, Hosp Univ Virgen Rocio,Inst Biomed Sevilla IBiS, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Unidad Clin Enfermedades Infecciosas Microbiol &, Seville, Spain - Author

Univ Valencia, Hosp Gen Univ Valencia, Dept Med Prevent & Salud Publ, Serv Med Prevent, Valencia, Spain - Author

Univ Zaragoza, Hosp Clin Univ Lozano Blesa, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Dept Med,Serv Enfermedades Infecciosas,Inst Inves, Zaragoza, Spain - Author

Universitat Internacional de Catalunya - Author

Universitat Pompeu Fabra Barcelona - Author

Universitat Ramon Llull, ESADE , Universidad Rey Juan Carlos - Author

Vall d'Hebron Institut de Recerca - Author

Abstract

In 2012, The Spanish Societies of Infectious Diseases and Clinical Microbiology (SEIMC), Hospital Pharmacy (SEFH), and Preventive Medicine, Public Health and Healthcare Management (SEMPSGS) lead a consensus document including recommendations for the implementation of antimicrobial stewardship (AMS) programs (AMSP; PROA in Spanish) in acute care hospitals in Spain. While these recommendations were critical for the development of these programs in many centres, there is a need for guidance in the development of AMS activities for specific patient populations, syndromes or other specific aspects which were not included in the previous document or have developed significantly since then. The objective of this expert recommendation guidance document is to review the available information about these activities in these patient populations or circumstances, and to provide guidance recommendations about them. With this objective the SEIMC, SEFH, SEMPSPGS, the Spanish Society of Intensive Care Medicine (SEMICYUC) and the Spanish Pediatric Infectious Disease Society (SEIP) selected a panel of experts who chose the different aspects to include in the document. Because of the lack of high-level evidence in the implementation of the activities, the panel opted to perform a narrative review of the literature for the different topics for which recommendations were agreed by consensus. The document was open to public consultation for the members of these societies for their comments and suggestions, which were reviewed and considered by the panel.

Keywords

antimicrobial stewardship clinical syndromesantimicrobial stewardship emergencyantimicrobial stewardship in icuantimicrobial stewardship paediatrics oncology-haematologydiagnostic stewardshipAntimicrobial stewardshipAntimicrobial stewardship clinical syndromesAntimicrobial stewardship emergencyAntimicrobial stewardship in icuAntimicrobial stewardship oncology–haematologyAntimicrobial stewardship paediatricsDiagnostic stewardship

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Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA, and although the journal is classified in the quartile Q3 (Agencia WoS (JCR)), its regional focus and specialization in Infectious Diseases, give it significant recognition in a specific niche of scientific knowledge at an international level.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 18.59, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-11, the following number of citations:

WoS: 16
Scopus: 20
OpenCitations: 16

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