Introducing an antibiotic stewardship program in a humanitarian surgical hospital.

Autor: Bhalla N; Médecins Sans Frontières, Paris, France., Hussein N; Doctors Without Borders, Amman, Jordan., Atari M; Doctors Without Borders, Amman, Jordan., Fakhri RM; Doctors Without Borders, Amman, Jordan., Lepora C; Médecins Sans Frontières, Paris, France., Walsh N; Médecins Sans Frontières, Paris, France., Cosgrove SE; Johns Hopkins University School of Medicine, Baltimore, MD., Murphy RA; Division of Infectious Diseases, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA. Electronic address: rmurphy@labiomed.org.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2016 Nov 01; Vol. 44 (11), pp. 1381-1384. Date of Electronic Publication: 2016 May 17.
DOI: 10.1016/j.ajic.2016.03.036
Abstrakt: Antibiotic stewardship program (ASP) implementation in humanitarian settings is a new endeavor. Doctors Without Borders/Médecins Sans Frontières introduced an ASP within a hospital in Amman, Jordan, where patients from Iraq, Syria, and Yemen with chronic, often multidrug-resistant, infections related to war are managed. Antibiotics were reviewed, and real-time recommendations were made to optimize choice, dose, duration, and route by a small team. Over the first year of implementation, acceptance of the ASP's recommendations improved. When compared with the year prior to implementation, antibiotic cost in 2014 declined considerably from approximately $252,077 (average, $21,006/month) to <$159,948 ($13,329/month), and a reduction in use of broad-spectrum agents was observed. An ASP in a humanitarian surgical hospital proved acceptable and effective, reducing antibiotic expenditures and use of broad-spectrum agents.
(Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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