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Antimicrobial stewardship programs in Emilia-Romagna, Italy

Introduction / objectives

To evaluate the state-of-the-art of antimicrobial stewardship programs in Emilia-Romagna we sent a questionnaire to university hospitals (UH) and Local Health Authorities hospitals (LHAH) of Emilia-Romagna.


A multiple-choice questionnaire was sent to all public UH/LHAH of the region. The survey was constituted by 18 different questions, in 7 sections. An 8 parameters antimicrobial stewardship (AMS) score was calculated (score 0-14).


All 17 UH/LHAH completed the survey. An antimicrobial stewardship group was present in 11/17 (58%) UH/LHAH. All UH/LHAH had implemented some antimicrobial control strategies. We analysed 4 areas. A) Restricted formulary: all UH/LHAH had restricted formularies, with a median of 12 antimicrobials. B) Education: courses on surgical prophylaxis had been performed in 56% of surgical specialties, courses on antimicrobial therapy in 47% of UH/LHAH over the last year. C) Guidelines: guidelines on surgical antibiotic prophylaxis and on antimicrobial therapy were available in 100% and 71% of UH/LHAH, respectively. D) Data feed back: data on antibiotic consumption and on antimicrobial resistance were periodically fed back to the wards by 100% and 88% of UH/LHAH, respectively. The AMS score varied significantly among UH/LHAH, from 2 to 13 points.


All UH/LHAH have implemented some kind of antimicrobial stewardship program, although significant differences exists between centres. To face these differences a regional project has been implemented.

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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Pan, A., Gagliotti, C., Arlotti, M. et al. Antimicrobial stewardship programs in Emilia-Romagna, Italy. BMC Proc 5 (Suppl 6), P143 (2011).

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