1. ANTIBIOTIC MANAGEMENT TEAMS IN BELGIAN HOSPITALS :
MULTI-DISCIPLINARY
ANTIBIOTIC MANAGEMENT TEAMS
IN BELGIAN HOSPITALS :
PILOT PHASE EVALUATION,
L Sourdeau, MJ Struelens, WE Peetermans, C Suetens
and the Hospital Care Working Group
of the Belgian Antibiotic Policy Coordination Committee (BAPCOC).

2. INTRODUCTION
Belgian Antibiotic Policy Coordinating Committee (BAPCOC):
federal inter-agency advisory body (1998)
aiming at optimizing antibiotic use in Belgium
implementation of EU Council Recommendation on Prudent AB use (November 2001)
several working-groups: primary care, hospital care, veterinary practice

3. INTRODUCTION
Project: implementation of multi-disciplinary Antibiotic Management Teams (AMT) and Antibiotic Managers (AMs) in Belgian hospitals
Pilot phase: _ ,59 euro _ part-time funding of Antibiotic Manager in 36 hospitals with operational AMT.
Objective : to evaluate the activities of these pilot hospitals during the first 8 months of study

4. AMT Pilot hospitals by size

5. MAT Pilot Hospitals by Region & Affiliation

6. Antibiotic Managers (AMs)
Number of AMs by hospital :
1 (24 hospitals)
2 (5)
3 (4)
4 (2)
Training :
Internists (28)
Microbiologists (13)
Hospital pharmacists (13)

7. AB Policy Interventions during Pilot Study (PS)
New Actions completed during the PS
(Advancement Score : 3 points) 71
New Actions started
(A S : 2 pts) 41
Continued Actions completed during the PS 30
Ongoing Actions started during the PS
(A S :1 pt) 33
Total number of actions
175

8. AB Policy Interventions by Hospital Affiliation
Number of actions (mean)
Advancement Score (mean)
General Hosp.
4.1
2.0
Teaching Hosp.
6.4
2.1
Hosp. with teaching beds 7
2.3

9. Pilot study equalizing effect

10. AB Policy Interventions by Topic
Susceptibility testing
Susceptibility data
Protocols
Technical
Crossing of data
Clinical data
Antibiotic Prescribing
Guidelines
AB restrict.
Formulary
Consump-tion data 29 24 57 35 31 8 18 33 14

11. Treatment Guidelines by Topic
Urinary tract infections : 14
Pneumonia : 14
CNS infections : 10
Abdominal infections : 9
Introduction of new drugs : 9
Endocarditis :
Sepsis :

12. Data collection & Analysis
AB Consumption data 35
AB Susceptibility data 31
Clinical data 14
Crossing of C/S data 17
Crossing of C/Clin data 10
Crossing of C/Clin/S data 6

13. AB Policy Communication Methods
Passive Methods :
mailing, internal newspapers, intranet 49
Active Methods :
Infectious disease rounds, staff meetings 24
Personalized Methods :
Feed-back, Face to face, computer-assisted prescription 35
Others Methods 12

14. Conclusions
The Antibiotic Management Team Pilot Study allowed implementaion and advancement of local anti-infective therapy quality interventions
Multi-topic actions were undertaken in all hospitals independent of size and university affiliation
The AB policy advancement score and quality of communication methods were good independent of hospital size and affiliation