Publications by authors named "Emelie C Schuts"

Objectives: Guideline adherence is one of the most important objectives for antibiotic stewardship. The Dutch Working Party on Antibiotic Policy (SWAB) developed an online national guide (SWAB-ID) in 2006. Every Dutch hospital is offered the opportunity to customize the national version to their local context and distribute it through an independent website.

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Article Synopsis
  • The study aimed to evaluate whether restricting certain antibiotic classes in hospitals can help reduce the development of antibiotic-resistant bacterial pathogens.
  • Researchers analyzed 15 studies and found that significant reductions in resistance were only seen with fluoroquinolones and piperacillin-tazobactam among specific bacteria, indicating mixed results.
  • The conclusions suggest that restricting certain antibiotics like carbapenems and third-generation cephalosporins does not appear to effectively decrease resistance in hospitalized patients, emphasizing the complexity of managing antibiotic use.
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Background: The increase of antimicrobial resistance, mainly due to increased antibiotic use, is worrying. Preliminary evidence suggests that antibiotic use differs across ethnic groups in the Netherlands, with higher use in people of non-Dutch origin. We aimed to determine whether appropriate knowledge and use of antibiotics differ by ethnicity and whether knowledge on antibiotics is associated with antibiotic use.

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Background: Antimicrobial stewardship is advocated to improve the quality of antimicrobial use. We did a systematic review and meta-analysis to assess whether antimicrobial stewardship objectives had any effects in hospitals and long-term care facilities on four predefined patients' outcomes: clinical outcomes, adverse events, costs, and bacterial resistance rates.

Methods: We identified 14 stewardship objectives and did a separate systematic search for articles relating to each one in Embase, Ovid MEDLINE, and PubMed.

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