{"id":"https://openalex.org/W2990791003","doi":"https://doi.org/10.1093/eurpub/ckz187.079","title":"Overview of three-year trends of antimicrobial consumption and resistance in Sicilian hospitals","display_name":"Overview of three-year trends of antimicrobial consumption and resistance in Sicilian hospitals","publication_year":2019,"publication_date":"2019-11-01","ids":{"openalex":"https://openalex.org/W2990791003","doi":"https://doi.org/10.1093/eurpub/ckz187.079","mag":"2990791003"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/ckz187.079","doi":"https://doi.org/10.1093/eurpub/ckz187.079","is_oa":false,"landing_page_url":"https://doi.org/10.1093/eurpub/ckz187.079","pdf_url":null,"source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5064880363","display_name":"Martina Barchitta","orcid":"https://orcid.org/0000-0002-0905-5003","observed_orcids":["https://orcid.org/0000-0002-0905-5003"]},"institutions":[{"id":"https://openalex.org/I39063666","display_name":"University of Catania","ror":"https://ror.org/03a64bh57","country_code":"IT","type":"education","lineage":["https://openalex.org/I39063666"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"M Barchitta","raw_affiliation_strings":["Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy","institution_ids":["https://openalex.org/I39063666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007071340","display_name":"Annalisa Quattrocchi","orcid":"https://orcid.org/0000-0002-5764-6721","observed_orcids":["https://orcid.org/0000-0002-5764-6721"]},"institutions":[{"id":"https://openalex.org/I39063666","display_name":"University of Catania","ror":"https://ror.org/03a64bh57","country_code":"IT","type":"education","lineage":["https://openalex.org/I39063666"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"A Quattrocchi","raw_affiliation_strings":["Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy","institution_ids":["https://openalex.org/I39063666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048516826","display_name":"Andrea Maugeri","orcid":"https://orcid.org/0000-0003-2655-8574","observed_orcids":["https://orcid.org/0000-0003-2655-8574"]},"institutions":[{"id":"https://openalex.org/I39063666","display_name":"University of Catania","ror":"https://ror.org/03a64bh57","country_code":"IT","type":"education","lineage":["https://openalex.org/I39063666"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"A Maugeri","raw_affiliation_strings":["Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy","institution_ids":["https://openalex.org/I39063666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112486504","display_name":"M C La Rosa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39063666","display_name":"University of Catania","ror":"https://ror.org/03a64bh57","country_code":"IT","type":"education","lineage":["https://openalex.org/I39063666"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"M C La Rosa","raw_affiliation_strings":["Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy","institution_ids":["https://openalex.org/I39063666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088716891","display_name":"Claudia La Mastra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39063666","display_name":"University of Catania","ror":"https://ror.org/03a64bh57","country_code":"IT","type":"education","lineage":["https://openalex.org/I39063666"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"C La Mastra","raw_affiliation_strings":["Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy","institution_ids":["https://openalex.org/I39063666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065438152","display_name":"Laura Sessa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39063666","display_name":"University of Catania","ror":"https://ror.org/03a64bh57","country_code":"IT","type":"education","lineage":["https://openalex.org/I39063666"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"L Sessa","raw_affiliation_strings":["Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy","institution_ids":["https://openalex.org/I39063666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053389117","display_name":"Pasquale Cananzi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210114272","display_name":"Regione Siciliana","ror":"https://ror.org/025079t78","country_code":"IT","type":"government","lineage":["https://openalex.org/I4210114272"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"P Cananzi","raw_affiliation_strings":["Regional Health Authority, Sicilian Region, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regional Health Authority, Sicilian Region, Italy","institution_ids":["https://openalex.org/I4210114272"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073141799","display_name":"Alessandro Oteri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210114272","display_name":"Regione Siciliana","ror":"https://ror.org/025079t78","country_code":"IT","type":"government","lineage":["https://openalex.org/I4210114272"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"A Oteri","raw_affiliation_strings":["Regional Health Authority, Sicilian Region, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regional Health Authority, Sicilian Region, Italy","institution_ids":["https://openalex.org/I4210114272"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070878849","display_name":"Giuseppe Murolo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210114272","display_name":"Regione Siciliana","ror":"https://ror.org/025079t78","country_code":"IT","type":"government","lineage":["https://openalex.org/I4210114272"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"G Murolo","raw_affiliation_strings":["Regional Health Authority, Sicilian Region, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regional Health Authority, Sicilian Region, Italy","institution_ids":["https://openalex.org/I4210114272"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5039532395","display_name":"Antonella Agodi","orcid":"https://orcid.org/0000-0002-4405-8162","observed_orcids":["https://orcid.org/0000-0002-4405-8162"]},"institutions":[{"id":"https://openalex.org/I39063666","display_name":"University of Catania","ror":"https://ror.org/03a64bh57","country_code":"IT","type":"education","lineage":["https://openalex.org/I39063666"]},{"id":"https://openalex.org/I4210160210","display_name":"Azienda Ospedaliero Universitaria Policlinico \"G.Rodolico - San Marco\"","ror":"https://ror.org/051tt6c85","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210160210"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"A Agodi","raw_affiliation_strings":["AOU Policlinico-Vittorio Emanuele, Catania, Italy","Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AOU Policlinico-Vittorio Emanuele, Catania, Italy","institution_ids":["https://openalex.org/I4210160210"]},{"raw_affiliation_string":"Department GF Ingrassia, University of Catania - Dip GF Ingrassia, Catania, Italy","institution_ids":["https://openalex.org/I39063666"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5064880363"],"corresponding_institution_ids":["https://openalex.org/I39063666"],"apc_list":{"value":2815,"currency":"EUR","value_usd":3181},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.19480773,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"29","issue":"Supplement_4","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9883000254631042,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9883000254631042,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10147","display_name":"Antibiotic Resistance in Bacteria","score":0.01119999960064888,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antimicrobial-resistance","display_name":"antimicrobial resistance","score":0.996999979019165},{"id":"https://openalex.org/keywords/antimicrobial-use","display_name":"antimicrobial use","score":0.9480000138282776},{"id":"https://openalex.org/keywords/hospital-based-surveillance","display_name":"hospital surveillance","score":0.6179999709129333},{"id":"https://openalex.org/keywords/sicily","display_name":"Sicily","score":0.8970000147819519},{"id":"https://openalex.org/keywords/klebsiella-pneumoniae","display_name":"Klebsiella pneumoniae","score":0.871999979019165},{"id":"https://openalex.org/keywords/escherichia-coli","display_name":"Escherichia coli","score":0.9929999709129333},{"id":"https://openalex.org/keywords/carbapenem-resistance","display_name":"carbapenem resistance","score":0.9520000219345093},{"id":"https://openalex.org/keywords/third-generation-cephalosporin-resistance","display_name":"third-generation cephalosporin resistance","score":0.8960000276565552},{"id":"https://openalex.org/keywords/fluoroquinolones","display_name":"fluoroquinolones","score":0.8579999804496765},{"id":"https://openalex.org/keywords/penicillin","display_name":"penicillin","score":0.8759999871253967},{"id":"https://openalex.org/keywords/beta-lactam-antibiotics","display_name":"beta-lactam antibiotics","score":0.9660000205039978},{"id":"https://openalex.org/keywords/defined-daily-doses","display_name":"defined daily doses","score":0.703000009059906},{"id":"https://openalex.org/keywords/antimicrobial-stewardship","display_name":"antimicrobial stewardship","score":0.7080000042915344},{"id":"https://openalex.org/keywords/public-awareness-campaigns","display_name":"public awareness campaigns","score":0.5350000262260437}],"concepts":[{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.739993691444397},{"id":"https://openalex.org/C2781122314","wikidata":"https://www.wikidata.org/wiki/Q33973","display_name":"Sicilian","level":2,"score":0.6134443879127502},{"id":"https://openalex.org/C4937899","wikidata":"https://www.wikidata.org/wiki/Q68541106","display_name":"Antimicrobial","level":2,"score":0.6114712357521057},{"id":"https://openalex.org/C2776865356","wikidata":"https://www.wikidata.org/wiki/Q1182681","display_name":"Defined daily dose","level":3,"score":0.60443514585495},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.5985209941864014},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5822069048881531},{"id":"https://openalex.org/C2777058267","wikidata":"https://www.wikidata.org/wiki/Q132592","display_name":"Klebsiella pneumoniae","level":4,"score":0.5244470238685608},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.45400261878967285},{"id":"https://openalex.org/C64778159","wikidata":"https://www.wikidata.org/wiki/Q271021","display_name":"Cephalosporin","level":3,"score":0.43336570262908936},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.3388496935367584},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.21700125932693481},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.19400084018707275},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.09645497798919678},{"id":"https://openalex.org/C547475151","wikidata":"https://www.wikidata.org/wiki/Q25419","display_name":"Escherichia coli","level":3,"score":0.07318690419197083},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0},{"id":"https://openalex.org/C104317684","wikidata":"https://www.wikidata.org/wiki/Q7187","display_name":"Gene","level":2,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/eurpub/ckz187.079","doi":"https://doi.org/10.1093/eurpub/ckz187.079","is_oa":false,"landing_page_url":"https://doi.org/10.1093/eurpub/ckz187.079","pdf_url":null,"source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9907000064849854,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2955154917","https://openalex.org/W7160489092","https://openalex.org/W2282889285","https://openalex.org/W7128914265","https://openalex.org/W7120529552","https://openalex.org/W2950290840","https://openalex.org/W2972757552","https://openalex.org/W4413638725","https://openalex.org/W2137007126","https://openalex.org/W4315619808"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Antimicrobial":[2,33],"resistance":[3,60,133],"(AMR)":[4],"is":[5,71],"one":[6],"of":[7,27,46,58,67,76,93,141,149,176,193,212,233,238,262,265,292,296,308],"the":[8,13,25,28,37,50,55,62,68,74,139,146,213,231,239,268,288],"ten":[9],"threats":[10],"identified":[11],"by":[12,145,152],"WHO":[14],"in":[15,24,49,54,61,103,160,165,168,172,267,272,275,283],"2019.":[16],"In":[17],"order":[18],"to":[19,72,82,197,221,259,287],"face":[20],"this":[21],"issue":[22],"and":[23,53,57,105,170,200,224,227,257,271,290,299],"framework":[26],"National":[29],"Action":[30],"Plan":[31],"on":[32,85,98],"Resistance":[34],"(PNCAR)":[35],"2017-2020,":[36],"Sicilian":[38,63,214,218,284],"Health":[39],"Authority":[40],"has":[41],"implemented":[42],"a":[43],"surveillance":[44,215,245],"system":[45,216,295],"antibiotic":[47,59,86],"consumption":[48,87,121,281,298],"hospital":[51,112],"sector":[52],"community":[56],"hospitals.":[64,95],"The":[65,155,210],"aim":[66],"present":[69],"work":[70],"report":[73],"results":[75],"three-year":[77],"surveillance.":[78],"Methods":[79],"From":[80],"2015":[81],"2017,":[83,173],"data":[84,97,220],"have":[88,108],"been":[89,109],"collected":[90,110],"from":[91,111],"pharmacies":[92],"participating":[94,161],"AMR":[96,300],"seven":[99],"bacterial":[100],"pathogens":[101],"isolated":[102],"blood":[104],"cerebrospinal":[106],"fluid":[107],"laboratories,":[113],"using":[114,236],"routine":[115],"clinical":[116],"antimicrobial":[117,183,280,297],"susceptibility":[118],"tests.":[119],"Antibiotic":[120,132],"was":[122,255],"expressed":[123],"as":[124,138],"Defined":[125],"Daily":[126],"Dose":[127],"(DDD)":[128],"per":[129],"100":[130],"patient-days.":[131],"rates":[134],"(RRs)":[135],"were":[136,163],"calculated":[137],"number":[140,148],"non-susceptible":[142],"isolates":[143,150],"divided":[144],"total":[147],"multiplied":[151],"100.":[153],"Results":[154],"most":[156],"commonly":[157],"consumed":[158],"antibiotics":[159,266],"hospitals":[162,285],"fluoroquinolones":[164],"2015,":[166],"penicillins":[167],"2016,":[169],"beta-lactams":[171],"respectively.":[174],"RRs":[175,192],"Klebsiella":[177],"pneumoniae":[178],"significantly":[179],"increased":[180],"for":[181,229,305],"all":[182],"classes":[184],"(p":[185,206],"<":[186,207],"0.001),":[187],"but":[188],"carbapenems.":[189],"By":[190],"contrast,":[191],"Escherichia":[194],"coli":[195],"resistant":[196,310],"third-generation":[198],"cephalosporins":[199],"carbapenems":[201],"showed":[202],"significant":[203],"decreasing":[204],"trends":[205,223],"0.001).":[208],"Conclusions":[209],"implementation":[211],"provides":[217],"reference":[219],"monitor":[222],"target":[225],"interventions":[226],"policies":[228],"reducing":[230],"threat":[232],"AMR.":[234,293],"Recently,":[235],"toolkits":[237],"ECDC-EAAD":[240],"initiative":[241],"adapted":[242],"with":[243],"regional":[244],"data,":[246],"an":[247],"educational":[248],"campaign":[249],"\u201cObiettivo":[250],"Antibiotico\u201d":[251],"-":[252,254],"https://www.obiettivoantibiotico.it/":[253],"designed":[256],"launched":[258],"raise":[260],"awareness":[261],"prudent":[263],"use":[264],"general":[269],"public":[270],"healthcare":[273],"professionals":[274],"Sicily.":[276],"Key":[277],"messages":[278],"Inappropriate":[279],"observed":[282],"contributes":[286],"emergence":[289],"selection":[291],"Surveillance":[294],"can":[301],"help":[302],"identify":[303],"strategies":[304],"preventing":[306],"spread":[307],"multi-drug":[309],"microorganisms.":[311]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2019-12-05T00:00:00"}
