Evaluation of the perspective of pharmacists on antimicrobial stewardship and the barriers to its consolidation in hospitals: a cross-sectional study.

IF 2.1 4区 生物学 Q3 MICROBIOLOGY
Jéssica Daniel Martins da Silva, Lucas Borges Pereira, Fabiana Rossi Varallo, Mariana Martins Gonzaga do Nascimento, Larissa Helena Torres, Paulo Roberto Maia, Carla Speroni Ceron, Tiago Marques Dos Reis
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引用次数: 0

Abstract

Antimicrobial Stewardship Programs (ASPs) are associated with positive outcomes, but seem to be consolidated in few hospitals. This study aimed to evaluate ASPs in Brazilian hospitals and the barriers to their consolidation from the pharmacists' perspective. This is a cross-sectional study. Data were collected through an online questionnaire applied to hospital pharmacists. Data analysis was performed by descriptive statistics and Spearman's ordinal correlation test. A total of 83 pharmacists participated in the study and 45.8% stated that the hospital in which they worked had an ASP. The ASPs were predominantly implemented in public hospitals, with a greater number of beds in the intensive care unit and beds in general. The main barriers to the consolidation of ASPs were: reduced number of pharmacists, time allocated to other demands of the pharmacy, the ineffectiveness of the communication process with doctors, and lack of access to reliable information about antimicrobials in the hospital. Pharmacists that work in hospitals where ASPs were implemented were more confident (p = 0.000) and with a better perception of the barriers that prevent their consolidation (p = 0.003. The ASP was commonly adopted in public hospitals with a greater number of beds. The main obstacles to consolidation were infrastructure, economic, and educational resources.

评估药剂师对抗菌药物管理的看法及其在医院中巩固抗菌药物管理的障碍:一项横断面研究。
抗菌药物管理计划(ASP)与积极的成果相关,但似乎只有少数医院巩固了这一计划。本研究旨在从药剂师的角度评估巴西医院的抗菌药物管理计划及其巩固的障碍。这是一项横断面研究。通过向医院药剂师发放在线问卷收集数据。数据分析采用描述性统计和斯皮尔曼序相关检验。共有 83 名药剂师参与了研究,45.8% 的药剂师表示其工作的医院设有 ASP。ASP 主要在公立医院实施,这些医院的重症监护室和普通病床数量较多。巩固 ASP 的主要障碍是:药剂师人数减少、时间被分配给药房的其他需求、与医生的沟通过程效率低下,以及无法获得有关医院内抗菌药物的可靠信息。在实施了 ASP 的医院工作的药剂师更有信心(p = 0.000),对阻碍巩固 ASP 的障碍也有更好的认识(p = 0.003)。病床数量较多的公立医院普遍采用了 ASP。合并的主要障碍是基础设施、经济和教育资源。
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来源期刊
Brazilian Journal of Microbiology
Brazilian Journal of Microbiology 生物-微生物学
CiteScore
4.10
自引率
4.50%
发文量
216
审稿时长
1.0 months
期刊介绍: The Brazilian Journal of Microbiology is an international peer reviewed journal that covers a wide-range of research on fundamental and applied aspects of microbiology. The journal considers for publication original research articles, short communications, reviews, and letters to the editor, that may be submitted to the following sections: Biotechnology and Industrial Microbiology, Food Microbiology, Bacterial and Fungal Pathogenesis, Clinical Microbiology, Environmental Microbiology, Veterinary Microbiology, Fungal and Bacterial Physiology, Bacterial, Fungal and Virus Molecular Biology, Education in Microbiology. For more details on each section, please check out the instructions for authors. The journal is the official publication of the Brazilian Society of Microbiology and currently publishes 4 issues per year.
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