Assessing antimicrobial stewardship governance in Northeast Brazilian hospitals: a survey-based analysis.

IF 3.7 Q2 INFECTIOUS DISEASES
JAC-Antimicrobial Resistance Pub Date : 2024-08-05 eCollection Date: 2024-08-01 DOI:10.1093/jacamr/dlae116
Sylvia Lemos Hinrichsen, Marcela Coelho de Lemos, Juliana Magalhães Bernardino, Juliana Andrade Lima, Genaro Carrazone, Tatiana Vilella, Gabriel Trova, Libia Moura, Reginaldo Gonçalves de Lima-Neto, Adrian John Brink
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引用次数: 0

Abstract

Background: Effective governance of antimicrobial stewardship (AMS) and infection prevention control (IPC) in healthcare facilities is crucial for safeguarding patients against healthcare-associated infections and enhancing patient outcomes by optimizing antibiotic use and curbing the spread of antimicrobial-resistant (AMR) pathogens.

Objectives: To assess the current AMS governance in two public hospitals in Northeast of Brazil, specifically focusing on identifying institutional antibiotic policies and operational practices.

Methods: A survey was conducted by team leaders of both hospitals from 2020 to 2022 using a questionnaire adapted from the Pan American Health Organization (PAHO) recommendations for implementing AMS programmes (ASP) in Latin America and the Caribbean, alongside criteria from the National Health Surveillance Agency (ANVISA) and CDC.

Results: Fifty leaders, from senior management to coordinators, answered the questionnaire. Results indicate a lack of AMS process measures, specialist support, systematic antimicrobial utilization analysis and structured IPC programmes, especially in one hospital where patient records remain in paper format.

Conclusions: The empirical use of antimicrobials without local epidemiological or susceptibility data underscores the absence of logistical support for microbiological cultures in the region. These findings emphasize the urgent need for systematic AMS processes and multiprofessional teams to drive AMS and IPC practices, essential for patient care and safety.

评估巴西东北部医院的抗菌药物管理:基于调查的分析。
背景:医疗机构中抗菌药物管理(AMS)和感染预防控制(IPC)的有效管理对于保护患者免受医疗相关感染以及通过优化抗生素使用和遏制耐抗菌药物(AMR)病原体的传播来提高患者治疗效果至关重要:评估巴西东北部两家公立医院目前的 AMS 管理情况,特别侧重于确定机构抗生素政策和操作实践:方法:从 2020 年到 2022 年,对两家医院的团队领导进行调查,调查问卷根据泛美卫生组织(PAHO)关于在拉丁美洲和加勒比地区实施 AMS 计划(ASP)的建议以及国家卫生监督局(ANVISA)和美国疾病预防控制中心(CDC)的标准进行改编:从高级管理层到协调员的 50 位领导回答了问卷。结果表明,医院缺乏抗菌药物管理流程措施、专家支持、系统的抗菌药物使用分析和结构化的 IPC 计划,尤其是在一家医院,病人记录仍然是纸质的:结论:在没有当地流行病学或药敏数据的情况下经验性地使用抗菌药物,凸显了该地区缺乏微生物培养的后勤支持。这些发现强调,迫切需要系统化的微生物培养流程和多专业团队来推动对患者护理和安全至关重要的微生物培养和 IPC 实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
0.00%
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审稿时长
16 weeks
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