Spanish adaptation of the Start Smart-Then Focus tool for optimizing the use of antimicrobials
<p><strong>Objective:</strong> 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 s...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-03-01
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| Series: | Farmacia Hospitalaria |
| Subjects: | |
| Online Access: | http://www.aulamedica.es/fh/pdf/11535.pdf |
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| Summary: | <p><strong>Objective:</strong> 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.</p><p><strong>Method:</strong> 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.</p><p><strong>Results:</strong> 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.</p><p><strong>Conclusions:</strong> 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.</p><p> </p> |
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| ISSN: | 1130-6343 2171-8695 |