An international cross-sectional survey of antimicrobial stewardship programmes in hospitals

Abstract

The worldwide development and implementation of AMS programmes varies considerably. Our results should inform and encourage the further evaluation of this with a view to promoting a worldwide stewardship framework. The prospective measurement of well-defined outcomes of the impact of these programmes remains a significant challenge.

Antimicrobial stewardship across 47 South African hospitals: an implementation study

“…4 A study 15 from an academic teaching hospital in South Africa introduced an antibiotic prescription chart and a weekly stewardship ward round that led to a 19·6% reduction in consumption. This programme required intensive infectious diseases resource input and is not representative of present infectious diseases resourcing in South African hospitals.…”

“…However, few studies provide data about the key interventional components and the effectiveness of antimicrobial stewardship programmes in resourcelimited settings. 2 ; 3 A global survey 4 of stewardship activities revealed that only 14% of respondents in Africa and 53% in Asia had any form of antimicrobial stewardship programme in place. 4 Although many methods of improving prescribing practice have been studied, one of the core strategies is the use of prospective audits and feedback.…”

“…2 ; 3 A global survey 4 of stewardship activities revealed that only 14% of respondents in Africa and 53% in Asia had any form of antimicrobial stewardship programme in place. 4 Although many methods of improving prescribing practice have been studied, one of the core strategies is the use of prospective audits and feedback. 2; 3; 5 ; 6 In this approach, investigators review current antimicrobial use and make recommendations with regard to appropriateness in terms of several predefined measurements, all of which can be implemented in health-care facilities irrespective of size.…”

the impact of antimicrobial stewardship strategies on antibiotic appropriateness and prescribing behaviours in selected countries in the Middle East: a systematic review

“…While this approach is a core component of antimicrobial stewardship programmes in North America and Europe, there may be cultural considerations in the Middle East (physician attitudes, acceptance of collaborative practices, acceptance of pharmacist recommendations, etc.) that could limit effectiveness (8,33). These cultural differences should be further explored and any associated impact on effectiveness of programmes should be assessed.…”

Antifungal Stewardship

“…Klinisyenlerin yanı sıra AFY ekibinde yer almayan infeksiyon hastalıkları uzmanlarının da karar verme yetkilerini kaybetme kaygısı olabilir. Bu nedenle yapıcı davranılma-lı ve ekibe mümkün olduğunca fazla kişi dahil edilmelidir [17,18] . AFY programı başladıktan sonra hızla etki gösterip uygunsuz antifungal kullanımın-da düşme görülebilir.…”