Assessment of the implementation of the Italian National action plan to combact antimicrobial resistance (PNCAR) 2017–2021 through SPiNCAR-1: results for the Piedmont Region, 2022
Abstract Background The Italian National action plan to contrast antimicrobial resistance (PNCAR) was adopted in Italy with the aim of reducing antimicrobial resistance (AMR) rates through a “One Health” approach. The project “Support for the National Plan to Combat Antimicrobial Resistance (SPiNCAR...
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BMC
2025-07-01
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| Series: | Antimicrobial Resistance and Infection Control |
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| Online Access: | https://doi.org/10.1186/s13756-025-01604-8 |
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| author | Stefania Di Giacomo Luca Bresciano Lorenza Ferrara Sabina Pederiva Carla Maria Zotti Fortunato “Paolo” D’Ancona Costanza Vicentini Collaborating Group |
| author_facet | Stefania Di Giacomo Luca Bresciano Lorenza Ferrara Sabina Pederiva Carla Maria Zotti Fortunato “Paolo” D’Ancona Costanza Vicentini Collaborating Group |
| author_sort | Stefania Di Giacomo |
| collection | DOAJ |
| description | Abstract Background The Italian National action plan to contrast antimicrobial resistance (PNCAR) was adopted in Italy with the aim of reducing antimicrobial resistance (AMR) rates through a “One Health” approach. The project “Support for the National Plan to Combat Antimicrobial Resistance (SPiNCAR)” was developed to evaluate the level of implementation of actions outlined by the PNCAR, through a self-assessment tool, addressed to regional and local health authorities. This study presents the findings of the first use of the SPiNCAR tool in the Region of Piedmont, detailing the level of implementation as of 31 December 2022. Methods The self-assessment questionnaire is divided into 7 central "areas" representing the main actions against AMR: governance, surveillance and monitoring, appropriate use of antimicrobials, healthcare-associated infection (HAI) control and prevention, education and training, alliance among stakeholders, evaluation of the impact and implementation of the program. Areas are structured into two or more items called "standards", subdivided into "criteria”. Different questionnaires were developed for Regional and Local Authorities. Scores were calculated as the percentage of criteria met within each area, aggregated at both regional and local levels. Results By analysing results at the regional level, it was possible to identify domains of strength in the areas of Governance (79%), Appropriate use of antimicrobials (70%), HAI Control and Prevention (68%) and areas for improvement in Alliance among Stakeholders (18%), Training (33%) and Surveillance (41%). Local authorities showed encouraging median results in Surveillance (37%), Appropriate Use of Antimicrobials (22,5%), and HAI Control and Prevention (21,5%), whereas Implementation (10,5%), Education and Training (8%) and Alliance among Stakeholders (2,5%) need to be improved. Conclusions The first SPiNCAR assessment offered valuable insights to enhance healthcare quality; the evaluation identified stakeholder engagement and training as priority areas for improvement and targeted interventions for AMR containment. |
| format | Article |
| id | doaj-art-069eb5439b2e4bf9be255c4055a3fd11 |
| institution | Kabale University |
| issn | 2047-2994 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj-art-069eb5439b2e4bf9be255c4055a3fd112025-08-20T03:41:57ZengBMCAntimicrobial Resistance and Infection Control2047-29942025-07-011411910.1186/s13756-025-01604-8Assessment of the implementation of the Italian National action plan to combact antimicrobial resistance (PNCAR) 2017–2021 through SPiNCAR-1: results for the Piedmont Region, 2022Stefania Di Giacomo0Luca Bresciano1Lorenza Ferrara2Sabina Pederiva3Carla Maria Zotti4Fortunato “Paolo” D’Ancona5Costanza Vicentini6Collaborating GroupDepartment of Public Health and Pediatrics, University of TurinDepartment of Public Health and Pediatrics, University of TurinSettore “Prevenzione, Sanità Pubblica Veterinaria E Sicurezza Alimentare”, Regione PiemonteSettore “Prevenzione, Sanità Pubblica Veterinaria E Sicurezza Alimentare”, Regione PiemonteDepartment of Public Health and Pediatrics, University of TurinEpidemiology, Biostatistics and Mathematical Modeling Unit (EPI), Department of Infectious Diseases, Istituto Superiore Di Sanità (ISS)Department of Public Health and Pediatrics, University of TurinAbstract Background The Italian National action plan to contrast antimicrobial resistance (PNCAR) was adopted in Italy with the aim of reducing antimicrobial resistance (AMR) rates through a “One Health” approach. The project “Support for the National Plan to Combat Antimicrobial Resistance (SPiNCAR)” was developed to evaluate the level of implementation of actions outlined by the PNCAR, through a self-assessment tool, addressed to regional and local health authorities. This study presents the findings of the first use of the SPiNCAR tool in the Region of Piedmont, detailing the level of implementation as of 31 December 2022. Methods The self-assessment questionnaire is divided into 7 central "areas" representing the main actions against AMR: governance, surveillance and monitoring, appropriate use of antimicrobials, healthcare-associated infection (HAI) control and prevention, education and training, alliance among stakeholders, evaluation of the impact and implementation of the program. Areas are structured into two or more items called "standards", subdivided into "criteria”. Different questionnaires were developed for Regional and Local Authorities. Scores were calculated as the percentage of criteria met within each area, aggregated at both regional and local levels. Results By analysing results at the regional level, it was possible to identify domains of strength in the areas of Governance (79%), Appropriate use of antimicrobials (70%), HAI Control and Prevention (68%) and areas for improvement in Alliance among Stakeholders (18%), Training (33%) and Surveillance (41%). Local authorities showed encouraging median results in Surveillance (37%), Appropriate Use of Antimicrobials (22,5%), and HAI Control and Prevention (21,5%), whereas Implementation (10,5%), Education and Training (8%) and Alliance among Stakeholders (2,5%) need to be improved. Conclusions The first SPiNCAR assessment offered valuable insights to enhance healthcare quality; the evaluation identified stakeholder engagement and training as priority areas for improvement and targeted interventions for AMR containment.https://doi.org/10.1186/s13756-025-01604-8Antimicrobial resistanceSelf-assessmentImplementationNational plan to combat antimicrobial resistanceOne healthItaly |
| spellingShingle | Stefania Di Giacomo Luca Bresciano Lorenza Ferrara Sabina Pederiva Carla Maria Zotti Fortunato “Paolo” D’Ancona Costanza Vicentini Collaborating Group Assessment of the implementation of the Italian National action plan to combact antimicrobial resistance (PNCAR) 2017–2021 through SPiNCAR-1: results for the Piedmont Region, 2022 Antimicrobial Resistance and Infection Control Antimicrobial resistance Self-assessment Implementation National plan to combat antimicrobial resistance One health Italy |
| title | Assessment of the implementation of the Italian National action plan to combact antimicrobial resistance (PNCAR) 2017–2021 through SPiNCAR-1: results for the Piedmont Region, 2022 |
| title_full | Assessment of the implementation of the Italian National action plan to combact antimicrobial resistance (PNCAR) 2017–2021 through SPiNCAR-1: results for the Piedmont Region, 2022 |
| title_fullStr | Assessment of the implementation of the Italian National action plan to combact antimicrobial resistance (PNCAR) 2017–2021 through SPiNCAR-1: results for the Piedmont Region, 2022 |
| title_full_unstemmed | Assessment of the implementation of the Italian National action plan to combact antimicrobial resistance (PNCAR) 2017–2021 through SPiNCAR-1: results for the Piedmont Region, 2022 |
| title_short | Assessment of the implementation of the Italian National action plan to combact antimicrobial resistance (PNCAR) 2017–2021 through SPiNCAR-1: results for the Piedmont Region, 2022 |
| title_sort | assessment of the implementation of the italian national action plan to combact antimicrobial resistance pncar 2017 2021 through spincar 1 results for the piedmont region 2022 |
| topic | Antimicrobial resistance Self-assessment Implementation National plan to combat antimicrobial resistance One health Italy |
| url | https://doi.org/10.1186/s13756-025-01604-8 |
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