Assessment of Adherence to the Core Elements of Hospital Antibiotic Stewardship Programs: A Survey of the Tertiary Care Hospitals in Punjab, Pakistan
| Autor: | Che Suraya Zin, Nasira Saif-ur-Rehman, Naeem Mubarak, Khalid Mahmood, Muhammad Majid Aziz, Taheer Zahid, Asma Sarwar Khan, Rabeel Khan, Umm e Barirah Ijaz |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty 030106 microbiology Psychological intervention antibiotic stewardship Pharmacy RM1-950 Biochemistry Microbiology Article Nonprobability sampling resistance 03 medical and health sciences LMIC 0302 clinical medicine medicine Antimicrobial stewardship Pharmacology (medical) Pakistan AMR 030212 general & internal medicine General Pharmacology Toxicology and Pharmaceutics Health policy tertiary care Response rate (survey) rational drug use Descriptive statistics business.industry health policy Checklist antimicrobial stewardship Infectious Diseases Family medicine Therapeutics. Pharmacology business hospitals CDC core elements |
| Zdroj: | Antibiotics Volume 10 Issue 8 Antibiotics, Vol 10, Iss 906, p 906 (2021) |
| ISSN: | 2079-6382 |
| DOI: | 10.3390/antibiotics10080906 |
| Popis: | Background: To restrain antibiotic resistance, the Centers for Disease Control and Prevention (CDC), United States of America, urges all hospital settings to implement the Core Elements of Hospital Antibiotic Stewardship Programs (CEHASP). However, the concept of hospital-based antibiotic stewardship programs is relatively new in Low- and Middle-Income Countries. Aim: To appraise the adherence of the tertiary care hospitals to seven CEHASPs. Design and Setting: A cross-sectional study in the tertiary care hospitals in Punjab, Pakistan. Method: CEHASP assessment tool, (a checklist) was used to collect data from the eligible hospitals based on purposive sampling. The check list had 19 statements to cover seven CEHASPs: Hospital Leadership Commitment, Accountability, Pharmacy Expertise, Action (Implement Interventions to Improve Antibiotic Use), Tracking Antibiotic Use and Outcomes, Reporting Antibiotic Use and Outcomes, and Education. For each statement, a response of “YES”, “NO” or “Under Process” constituted a score of 2, 0 and 1, respectively, where the higher the scores the better the adherence. Categorical variables were described through descriptive statistics, while independent t-test computed group differences. Result: A total of 68 hospitals (n = 33 public, n = 35 private) participated with a response rate of 79.1%. No hospital demonstrated “Perfect” adherence. Roughly half private (48.6%) and more than half public (54.5%) sector hospitals were “Poor“ in adherence. Based on the mean score, there was no significant difference between the private and the public hospitals in terms of comparison of individual core elements. The two most neglected core elements emerged as top priority area were: Reporting Antibiotic Use and Outcomes and Tracking Antibiotic Use and Outcomes.Conclusion: The current response of Pakistan to implement hospital-based antibiotic stewardship programs is inadequate. This study points out significant gaps of practice both in public and private tertiary care hospitals. A majority of the core elements of antibiotic stewardship are either absent or ”Under Process”. The deficiency/priority areas mentioned require immediate attention of the concerned stakeholders in Pakistan. |
| Databáze: | OpenAIRE |
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