Snapshot of Antimicrobial Stewardship in Australian Hospitals

Chen, Alex Wj; Khumra, Sharmila; Eaton, Vaughn; Kong, David Chee Ming

doi:10.1002/j.2055-2335.2010.tb00720.x

Cited by 9 publications

(16 citation statements)

References 25 publications

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“…Previous studies of similar interventions have found similar patterns of intervention, but on a much less intensive scale 10 . ‐ 12 Despite this, only six of 78 respondents in an Australian survey of hospital pharmacies reported implementing regular multidisciplinary antimicrobial stewardship ward rounds 13 …”

Section: Discussionmentioning

confidence: 98%

Prescribing trends before and after implementation of an antimicrobial stewardship program

Cairns

Jenney

Abbott

et al. 2013

Medical Journal of Australia

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Section: Discussionmentioning

confidence: 98%

Prescribing trends before and after implementation of an antimicrobial stewardship program

Cairns

Jenney

Abbott

et al. 2013

Medical Journal of Australia

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“…It was a multicenter cross sectional survey with focus on one response from each representative hospital. Firstly, a web based survey adopted from Chen et al (2010a) was distributed in all Makkah hospitals and selected hospitals in Jeddah and Taif city. Only tertiary care hospitals in Taif and Jeddah region were selected under the Ministry of Health and other public health sectors for generalizability.…”

Section: Methodsmentioning

confidence: 99%

“…In Kansas, United States, Poteete et al revealed in a state-wide survey that 48% of the institutions had a multidisciplinary stewardship committee to supervise stewardship programs ( Poteete and Scaletta, 2017 ). In Australia, Chen et al reported that 80 pharmacy directors had a variety of ASP strategies with different levels of success to guide rational antimicrobial use in healthcare settings ( Chen et al, 2010a ). The most common ASP strategies were the existence of a multidisciplinary drug and therapeutic committee, formulary restriction, clinical pharmacy services, infectious disease consultation and education- and training-related activities.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Antimicrobial Stewardship Programs (ASPs) and their perceived level of success at Makkah region hospitals, Kingdom of Saudi Arabia

Haseeb

Faidah

Algethamy³

et al. 2020

Saudi Pharmaceutical Journal

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Antimicrobial stewardship programs (ASPs) are collaborative efforts to optimize antimicrobial use in healthcare institutions through evidence-based quality improvement strategies. The general administration of pharmaceutical care in the Saudi ministry of health (MOH) is putting outstanding efforts in implementing antimicrobial stewardship in Saudi health care settings. Several surveys have been conducted globally and reported many types of antimicrobial stewardship strategies in health institutions and their effectiveness. This study aims to identify ASPs in Makkah region hospitals and their perceived level of success. We administered a regional survey to explore current progress and issues related to the implementation of ASPs in Makkah region hospitals at the pharmacy level (n = 25). Among responding hospitals, 19 (76%) hospitals, the most commonly reported ASP were as following: formulary restrictions (90%) for broad-spectrum antimicrobials and use of prospective feedback on antimicrobial prescribing (68%), use of clinical guidelines and pathways (100%), and use of automatic stop orders (68%) to limit inappropriate antimicrobial therapy. The study outcomes will also be of pivotal importance to devise policies and strategies for antimicrobial stewardship implementation in other non-MOH settings in the Makkah region. Based on our results, all reported institutions have at least one antimicrobial stewardship program in a process with a high success rate. A multidisciplinary ASP approach, active involvement of drug & therapeutic committee, formulary restrictions, and availability of education & training of pharmacists and physicians on ASP are the primary elements for perceived successful antimicrobial stewardship programs in the Makkah region hospitals.

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“…13 The method involved an anonymous postal survey and qualitative interviews with stakeholders. Ethics approval was granted by the Monash University Human Research Ethics Committee.…”

Section: Methodsmentioning

confidence: 99%

Snapshot of Barriers to and Indicators for Antimicrobial Stewardship in Australian Hospitals

Chen

Khumra

Eaton

et al. 2011

Pharmacy Practice and Res

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Background: Effective antimicrobial stewardship programs are vital in an environment of emerging resistance to existing antimicrobials and the limited availability of new antimicrobials. There are institutional barriers to successful implementation of these programs. Key performance indicators (KPI) are useful for determining the success of antimicrobial stewardship programs and for benchmarking purposes. Aim: To identify barriers to implementation of antimicrobial stewardship programs, KPI used to measure program outcomes and the perceived usefulness of these KPI in Australian hospitals. Method: Australian Directors of Pharmacy in private and public hospitals or their nominees (n = 281) were surveyed by mail to identify barriers to, and KPI used for antimicrobial stewardship programs at their hospitals. Hospital pharmacists, infectious diseases clinicians and infection control nurses were interviewed until saturation of themes was reached. Results: Response rate for the postal survey was 29% (n = 80). Main barriers to implementing antimicrobial stewardship programs encountered by respondents included: lack of education and training related to antimicrobial usage; prescribing culture at the hospital which was resistant to change; lack of resources to conduct stewardship activities; and lack of feedback to doctors, nurses and pharmacists on institutional antimicrobial use. Only 14 respondents used KPI to measure program outcomes. The KPI used between institutions were variable. Conclusion: Australian hospitals encounter many barriers to implementing antimicrobial stewardship programs. There were no standard national KPI to measure program outcomes. Most participants agreed that the KPI at their hospitals were useful. J Pharm Pract Res 2010; 40: x-x.

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Snapshot of Antimicrobial Stewardship in Australian Hospitals

Cited by 9 publications

References 25 publications

Prescribing trends before and after implementation of an antimicrobial stewardship program

Prescribing trends before and after implementation of an antimicrobial stewardship program

Evaluation of Antimicrobial Stewardship Programs (ASPs) and their perceived level of success at Makkah region hospitals, Kingdom of Saudi Arabia

Snapshot of Barriers to and Indicators for Antimicrobial Stewardship in Australian Hospitals

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