Assessing antimicrobial stewardship governance in Northeast Brazilian hospitals: a survey-based analysis.

Autor:	Hinrichsen SL; Centro de Ciências Médicas-Departamento Medicina Tropical, Universidade Federal de Pernambuco (UFPE), Pernambuco, Brazil.; Instituto Social Medianeiras da Paz (ISMEP), Infectious Disease Department-PSA Nordeste, Pernambuco, Brazil., de Lemos MC; Instituto Social Medianeiras da Paz (ISMEP), Infectious Disease Department-PSA Nordeste, Pernambuco, Brazil., Bernardino JM; Instituto Social Medianeiras da Paz (ISMEP), Infectious Disease Department-PSA Nordeste, Pernambuco, Brazil., Lima JA; Instituto Social Medianeiras da Paz (ISMEP), Infectious Disease Department-PSA Nordeste, Pernambuco, Brazil., Carrazone G; Instituto Social Medianeiras da Paz (ISMEP), Infectious Disease Department-PSA Nordeste, Pernambuco, Brazil., Vilella T; Instituto Social Medianeiras da Paz (ISMEP), Infectious Disease Department-PSA Nordeste, Pernambuco, Brazil., Trova G; Laboratório Especial de Microbiologia Clínica (LEMC), Universidade Federal de São Paulo-UNIFESP, São Paulo, Brazil., Moura L; Centro de Ciências Médicas-Departamento Medicina Tropical, Universidade Federal de Pernambuco (UFPE), Pernambuco, Brazil., de Lima-Neto RG; Centro de Ciências Médicas-Departamento Medicina Tropical, Universidade Federal de Pernambuco (UFPE), Pernambuco, Brazil., Brink AJ; Division of Medical Microbiology, Department of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.; National Health Laboratory Services, Groote Schuur Hospital, Cape Town, South Africa.; Faculty of Health Sciences, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.
Jazyk:	angličtina
Zdroj:	JAC-antimicrobial resistance [JAC Antimicrob Resist] 2024 Aug 05; Vol. 6 (4), pp. dlae116. Date of Electronic Publication: 2024 Aug 05 (Print Publication: 2024).
DOI:	10.1093/jacamr/dlae116
Abstrakt:	Background: Effective governance of antimicrobial stewardship (AMS) and infection prevention control (IPC) in healthcare facilities is crucial for safeguarding patients against healthcare-associated infections and enhancing patient outcomes by optimizing antibiotic use and curbing the spread of antimicrobial-resistant (AMR) pathogens. Objectives: To assess the current AMS governance in two public hospitals in Northeast of Brazil, specifically focusing on identifying institutional antibiotic policies and operational practices. Methods: A survey was conducted by team leaders of both hospitals from 2020 to 2022 using a questionnaire adapted from the Pan American Health Organization (PAHO) recommendations for implementing AMS programmes (ASP) in Latin America and the Caribbean, alongside criteria from the National Health Surveillance Agency (ANVISA) and CDC. Results: Fifty leaders, from senior management to coordinators, answered the questionnaire. Results indicate a lack of AMS process measures, specialist support, systematic antimicrobial utilization analysis and structured IPC programmes, especially in one hospital where patient records remain in paper format. Conclusions: The empirical use of antimicrobials without local epidemiological or susceptibility data underscores the absence of logistical support for microbiological cultures in the region. These findings emphasize the urgent need for systematic AMS processes and multiprofessional teams to drive AMS and IPC practices, essential for patient care and safety. (© The Author(s) 2024. Published by Oxford University Press on behalf of British Society for Antimicrobial Chemotherapy.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu