RT Journal Article T1 The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey. A1 Sartelli, Massimo A1 Labricciosa, Francesco M A1 Barbadoro, Pamela A1 Pagani, Leonardo A1 Ansaloni, Luca A1 Brink, Adrian J A1 Carlet, Jean A1 Khanna, Ashish A1 Chichom-Mefire, Alain A1 Coccolini, Federico A1 Di Saverio, Salomone A1 May, Addison K A1 Viale, Pierluigi A1 Watkins, Richard R A1 Scudeller, Luigia A1 Abbo, Lilian M A1 Abu-Zidan, Fikri M A1 Adesunkanmi, Abdulrashid K A1 Al-Dahir, Sara A1 Al-Hasan, Majdi N A1 Alis, Halil A1 Alves, Carlos A1 Araujo da Silva, André R A1 Augustin, Goran A1 Bala, Miklosh A1 Barie, Philip S A1 Beltrán, Marcelo A A1 Bhangu, Aneel A1 Bouchra, Belefquih A1 Brecher, Stephen M A1 Caínzos, Miguel A A1 Camacho-Ortiz, Adrian A1 Catani, Marco A1 Chandy, Sujith J A1 Jusoh, Asri Che A1 Cherry-Bukowiec, Jill R A1 Chiara, Osvaldo A1 Colak, Elif A1 Cornely, Oliver A A1 Cui, Yunfeng A1 Demetrashvili, Zaza A1 De Simone, Belinda A1 De Waele, Jan J A1 Dhingra, Sameer A1 Di Marzo, Francesco A1 Dogjani, Agron A1 Dorj, Gereltuya A1 Dortet, Laurent A1 Duane, Therese M A1 Elmangory, Mutasim M A1 Enani, Mushira A A1 Ferrada, Paula A1 Esteban Foianini, J A1 Gachabayov, Mahir A1 Gandhi, Chinmay A1 Ghnnam, Wagih Mommtaz A1 Giamarellou, Helen A1 Gkiokas, Georgios A1 Gomi, Harumi A1 Goranovic, Tatjana A1 Griffiths, Ewen A A1 Guerra Gronerth, Rosio I A1 Haidamus Monteiro, Julio C A1 Hardcastle, Timothy C A1 Hecker, Andreas A1 Hodonou, Adrien M A1 Ioannidis, Orestis A1 Isik, Arda A1 Iskandar, Katia A A1 Kafil, Hossein S A1 Kanj, Souha S A1 Kaplan, Lewis J A1 Kapoor, Garima A1 Karamarkovic, Aleksandar R A1 Kenig, Jakub A1 Kerschaever, Ivan A1 Khamis, Faryal A1 Khokha, Vladimir A1 Kiguba, Ronald A1 Kim, Hong B A1 Ko, Wen-Chien A1 Koike, Kaoru A1 Kozlovska, Iryna A1 Kumar, Anand A1 Lagunes, Leonel A1 Latifi, Rifat A1 Lee, Jae G A1 Lee, Young R A1 Leppäniemi, Ari A1 Li, Yousheng A1 Liang, Stephen Y A1 Lowman, Warren A1 Machain, Gustavo M A1 Maegele, Marc A1 Major, Piotr A1 Malama, Sydney A1 Manzano-Nunez, Ramiro A1 Marinis, Athanasios A1 Martinez Casas, Isidro A1 Marwah, Sanjay A1 Maseda, Emilio A1 McFarlane, Michael E A1 Memish, Ziad A1 Mertz, Dominik A1 Mesina, Cristian A1 Mishra, Shyam K A1 Moore, Ernest E A1 Munyika, Akutu A1 Mylonakis, Eleftherios A1 Napolitano, Lena A1 Negoi, Ionut A1 Nestorovic, Milica D A1 Nicolau, David P A1 Omari, Abdelkarim H A1 Ordonez, Carlos A A1 Paiva, José-Artur A1 Pant, Narayan D A1 Parreira, Jose G A1 Pędziwiatr, Michal A1 Pereira, Bruno M A1 Ponce-de-Leon, Alfredo A1 Poulakou, Garyphallia A1 Preller, Jacobus A1 Pulcini, Céline A1 Pupelis, Guntars A1 Quiodettis, Martha A1 Rawson, Timothy M A1 Reis, Tarcisio A1 Rems, Miran A1 Rizoli, Sandro A1 Roberts, Jason A1 Pereira, Nuno Rocha A1 Rodríguez-Baño, Jesús A1 Sakakushev, Boris A1 Sanders, James A1 Santos, Natalia A1 Sato, Norio A1 Sawyer, Robert G A1 Scarpelini, Sandro A1 Scoccia, Loredana A1 Shafiq, Nusrat A1 Shelat, Vishalkumar A1 Sifri, Costi D A1 Siribumrungwong, Boonying A1 Søreide, Kjetil A1 Soto, Rodolfo A1 de Souza, Hamilton P A1 Talving, Peep A1 Trung, Ngo Tat A1 Tessier, Jeffrey M A1 Tumbarello, Mario A1 Ulrych, Jan A1 Uranues, Selman A1 Van Goor, Harry A1 Vereczkei, Andras A1 Wagenlehner, Florian A1 Xiao, Yonghong A1 Yuan, Kuo-Ching A1 Wechsler-Fördös, Agnes A1 Zahar, Jean-Ralph A1 Zakrison, Tanya L A1 Zuckerbraun, Brian A1 Zuidema, Wietse P A1 Catena, Fausto K1 Antibiotics K1 Antimicrobial stewardship K1 Infections K1 Surgery AB Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on local culture, policy, and routine clinical practice, and probably limited resources in middle-income countries. The aim of this study is to evaluate structures and resources of antimicrobial stewardship teams (ASTs) in surgical departments from different regions of the world. A cross-sectional web-based survey was conducted in 2016 on 173 physicians who participated in the AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections) project and on 658 international experts in the fields of ASPs, infection control, and infections in surgery. The response rate was 19.4%. One hundred fifty-six (98.7%) participants stated their hospital had a multidisciplinary AST. The median number of physicians working inside the team was five [interquartile range 4-6]. An infectious disease specialist, a microbiologist and an infection control specialist were, respectively, present in 80.1, 76.3, and 67.9% of the ASTs. A surgeon was a component in 59.0% of cases and was significantly more likely to be present in university hospitals (89.5%, p  The survey showed a heterogeneous organization of ASPs worldwide, demonstrating the necessity of a multidisciplinary and collaborative approach in the battle against antimicrobial resistance in surgical infections, and the importance of educational efforts towards this goal. YR 2017 FD 2017-08-01 LK http://hdl.handle.net/10668/11473 UL http://hdl.handle.net/10668/11473 LA en DS RISalud RD Apr 9, 2025