Educational Antimicrobial Stewardship Strategies

Gravatt, Leigh Anne Hylton; Patterson, Julie A.; Franzese, Samone

doi:10.1007/s40506-016-0073-9

Cited by 5 publications

(2 citation statements)

References 35 publications

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“…There are many programs worldwide to explain why antibiotics should not be administrated for many illnesses, prescribing recommendations and guidelines for physicians, social media platforms, computerized decision aids, mobile applications, and courses for medical staff professionals [63].…”

Section: Step 4: Patient Education Campaignmentioning

confidence: 99%

Antimicrobial Stewardship Programs: A Review

Salah

El-Housseiny

Elleboudy

et al. 2021

Archives of Pharmaceutical Sciences Ain Shams University

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Antimicrobial resistance is a global crisis that requires urgent action to halt its spread. The rate of deaths due to antibiotic resistance from bacterial infection reached 25,000 annually. Resistance rates to Escherichia coli and Klebsiella pneumoniae have risen to reach 40% and 56% respectively, in addition to high resistance rates of Acinetobacter baumannii to fluoroquinolones and other antibiotics that reached 56%. So it has become an urgent need to establish robust programs to control antibiotic resistance and optimize the use of antibiotics in hospitals. In Egypt particularly, the rate of antibiotic resistance becomes high due to wrong traditions of dispensing and administering antibiotics in hospitals and pharmacies, all that drove us to build a program controlling all these obstacles. Antimicrobial stewardship programs (ASPs) are strategic programs to prevent the development of microbial resistance and monitor prescription patterns of clinicians inside hospitals. In addition to minimizing the toxic effects, overuse of antibiotics and improve patient health, and minimize the emergence of antibiotic resistance in the shadow of the lack of development of novel antimicrobial agents. In this review, we aimed to discuss antimicrobial stewardship programs, their core elements, clinical importance, essential requirements, and their implementation in Egypt. In conclusion, the development of national guidelines for antimicrobial stewardship programs would be a useful step to help clinicians in making evidence-based treatment choices regarding antibiotic therapy and the implementation of better antibiotics during pandemics. We hope this review helps the medical staff to perform stewardship programs to control antibiotic resistance in Egyptian healthcare settings.

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Section: Step 4: Patient Education Campaignmentioning

confidence: 99%

Antimicrobial Stewardship Programs: A Review

Salah

El-Housseiny

Elleboudy

et al. 2021

Archives of Pharmaceutical Sciences Ain Shams University

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“…In addition, regular reporting of information on antibiotic use and outcome results to multidisciplinary teams serves as a key element of successful ASPs (13). In fact, education and ongoing training opportunities should be readily available for healthcare professionals with an aim to promote effective antibiotic prescribing (14).…”

Section: Introductionmentioning

confidence: 99%

Practice implications of an antimicrobial stewardship intervention in a tertiary care teaching hospital, Qatar

Nasr¹,

Babiker²,

Elbasheer³

et al. 2019

East Mediterr Health J

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Background: Antibiotic misuse is a worldwide public health problem and has been associated with increased morbidity, length of hospital stay, mortality, healthcare costs, and most importantly antibiotic resistance. Aims: We aimed to evaluate the compliance of antibiotic prescribing with national guidelines, assess how educational interventions can best be utilized to make impact and fill gaps for optimal antibiotic utilization, and to identify facilitators and barriers to implementing ASPs in Qatar. Methods: Six cross-sectional baseline audits of antibiotic prescribing were conducted over a two-week period at a tertiary care teaching hospital. A sub-analysis of prescriptions with follow up has followed. An educational intervention utilizing the PDSA (Plan-Do-Study-Act) tool was implemented to address gaps identified. A repeated audit was done to assess the impact of change. Lastly, interviews were conducted to recognize perceived facilitators and barriers for ASP implementation, identify strategies to overcome barriers, and evaluate the effectiveness of educational interventions. Results: The most common indication for antibiotic prescribing was febrile neutropenia (20.7%). The most frequently used class of antibiotics was carbapenems (21.4%). Sixty percent of prescriptions complied with guidelines. The rationale behind choosing not to adhere to guidelines was not documented in 37.2% of cases. Suboptimal documentation in records was targeted through our intervention. The audit post intervention showed slight improvement in documentation. Facilitators and barriers included: collaboration and communication among teams, compliance with guidelines, interventions documented by clinical pharmacists, and electronic system errors. Conclusions: Effective communication, continuous documentation in records, and repetitive education promote rational antibiotic prescribing and enhance ASPs.

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