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. 2022 Dec 22;7:309. [Version 1] doi: 10.12688/wellcomeopenres.18317.1

Table 6. Objectives, formulated outcome measures and how these were met.

Objectives Outcome Measures Result
Primary:
To develop, implement and assess a
hospital-based system for patient-centred
surveillance of Drug Resistant Infections

A protocol and guideline for
implementation of this system for
further roll-out in other sites

Feedback was collected during the pilot and on
post pilot assessment and was used to update
the protocol
Secondary:
To systematically characterize drug-resistant
infections based on important clinical
syndromes, to adequately inform treatment
guidelines

To implement clinical syndrome-guided
diagnostic stewardship of patients with
suspected infection

To determine the duration, cost of
hospitalisation and patient outcome of DRI
and non-DRI

Antimicrobial susceptibility data
with both pathogen and clinical
denominators, including predefined
subgroups

Proportion of timely and correctly
sampled patients per syndrome

Antimicrobial susceptibility data, cost
estimates, 28-day mortality data

Collection and combination of clinical and
microbiological data was feasible (all secondary
objectives), subgroup analysis showed clear
differences by antibiotic use and origin of
infection

Data were collected and used for real-time
feedback and further development of protocol

Data were collected and shown
Tertiary:
To evaluate the feasibility and acceptability
of the surveillance system and package of
tools

Results of clinician and laboratory
technician surveys

Feedback was collected using before and after
surveys and results were used to update the
protocol