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This article is part of the supplement: International Conference on Prevention & Infection Control (ICPIC 2011)

Open Access Poster presentation

Antimicrobial stewardship programs in Emilia-Romagna, Italy

A Pan1*, C Gagliotti2, M Arlotti2, P Bassi2, L Bertozzi2, M Borsari2, C Cancellieri2, R Carletti2, S Giordani2, M Libanore2, G Magnani2, P Marchegiano2, E Mazzini2, S Mezzadri2, M Minghetti2, S Nola2, C Puggioli2, P Ragni2, G Ratti2, M Sisti2, C Vandelli2, P Viale2, P Vitali2 and ML Moro1

  • * Corresponding author: A Pan

Author Affiliations

1 Area Rischio Infettivo, Agenzia Sanitari e Sociale Dell’Emilia-Romagna, Bologna, Italy

2 Regione Emilia-Romagna, Bologna, Italy

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BMC Proceedings 2011, 5(Suppl 6):P143  doi:10.1186/1753-6561-5-S6-P143

The electronic version of this article is the complete one and can be found online at:

Published:29 June 2011

© 2011 Pan et al; licensee 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.

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.

Disclosure of interest

None declared.