Antimicrobial Stewardship Programs in 13 Belgian hospitals: a survey from the french association of belgian hospital pharmacists

Background: Since 2002, the Belgian Antibiotic Policy Coordibnation Committee (BAPCOC) has supported the development of antimicrobial stewardship (AMS) teams in Belgian hospitals with policy guidance and federal funding. A Royal Decree of 12 February 2008 has consolidated the minimum composition, mandate and tasks of AMS teams. However, between 2017 and 2019, the European Centre for Disease Prevention and Control (ECDC) and the Belgian Health Care Knowledge Centre (KCE) emphasized flaws in our national strategies and policies on antimicrobial resistance. This survey evaluated if the essential and the minimum standards for AMS programs in Belgian hospitals were fulfilled after more than 10 years of activities. Materials/methods: A questionnaire survey was performed based on the international consensus approach developed by Pulcini et al. in 2019. Seven core elements and their related 29 checklist items for global hospital AMS programs were assessed. All the items are weighted identically: 1 point per hospital regardless of the type of hospital or the number of beds. The results are expressed in percentages. Results: Completed questionnaires were provided by 13 hospitals (8 primary, 3 secondary and 2 tertiary hospitals). Figure 1 showed the results of the seven core elements. The core elements number 3 (Available expertise on infection management) and 6 (Monitoring and surveillance) gained good scores. The core elements number 1 (Senior hospital management leadership towards antimicrobial stewardship) and number 7 (Reporting and feedback) have to be improved in the future. The sub-analysis of the 29 items emphasized within the core elements which questions can still be improved. Conclusions: This survey confirmed on the ground what is reflected in the ECDC and KCE reports: the effectiveness of the belgian AMS teams could be improved. This survey could help BAPCOC to easily underline which core elements need improvement