Antimicrobial stewardship programmes in healthcare facilities in Lagos State, Nigeria: a needs assessment
| Autor: | Philip O Oshun, Emelda E. Chukwu, Kazeem Osuolale, Vivian O. Chuka-Ebene, Folasade Ogunsola, Ifeoma Idigbe, David Oladele, A O Salako, Rosemary A. Audu |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Microbiology (medical) 030106 microbiology Immunology Pharmacist Psychological intervention Nigeria Antimicrobial resistance Microbiology 03 medical and health sciences Antimicrobial Stewardship Antimicrobial stewardship programme 0302 clinical medicine Pre-authorisation Health care Lagos State Immunology and Allergy Medicine Antimicrobial stewardship Humans 030212 general & internal medicine business.industry Information technology medicine.disease QR1-502 Needs assessment Cross-Sectional Studies Healthcare facilities Healthcare settings Private healthcare Medical emergency Health Facilities business |
| Zdroj: | Journal of Global Antimicrobial Resistance, Vol 25, Iss, Pp 162-170 (2021) |
| ISSN: | 2213-7165 |
| Popis: | Objectives Optimising antibiotic use in healthcare settings through antimicrobial stewardship programmes (ASPs) is critical to effectively treat infections, protect patients from harms caused by unnecessary antibiotic use, and combat antimicrobial resistance. This needs assessment was designed to provide the current status of ASPs in healthcare facilities in Lagos State and identify gaps for future interventions. Methods A descriptive cross-sectional survey was conducted using a self-administered questionnaire to ascertain the extent and nature of ongoing ASPs among selected healthcare facilities and identify gaps for future interventional studies. Results Of 32 questionnaires distributed, 25 (78%) were completed and returned from three tertiary, six secondary, eleven primary and five private healthcare facilities. The mean years of practice of respondents was 13.96 ± 7.8 years (2–31 years). Six facilities (24%) had a team responsible for ASP operating at varying degrees of capacity, while five (20%) had a formal ASP. All six facilities with an antimicrobial stewardship (AMS) team had a medical doctor as the team lead, and 5 (20%) also had a pharmacist involved in implementation efforts. Routine pre-authorisation for specific antibiotic was performed in six facilities (24%), four of which monitor pre-authorisation interventions. Only two facilities (8%) performed prospective audit and feedback for specific antibiotic agents. Private healthcare facilities were more likely to have information technology (IT) capability to support the needs of AMS activities. Conclusion This study revealed minimal ASP activities in healthcare facilities in Lagos State and highlighted possibilities of leveraging on available IT resources for a co-ordinated AMS strategy. |
| Databáze: | OpenAIRE |
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