Antibiotic Stewardship: How It Is Implemented in Primary Healthcare Facility

Abstract

Antibiotic stewardship plays an important role in controlling antibiotic resistance. The problem of antibiotic resistance in primary healthcare has not been given much attention, so far, the focus has been on the hospital. Antibiotic resistance control needs to start from primary healthcare facilities such as community health centers, clinics, and independent doctor practices because patients who enter the hospital are often already resistant. Therefore, it is necessary to identify things that can be done to control antibiotic resistance in primary health care facilities. Things that can be done include making policies or regulations that support antibiotic stewardship in primary healthcare, optimizing available facilities and infrastructure, improving facilities that support antibiotic stewardship, increasing capable human resources, monitoring and evaluating antibiotic prescribing, and building system information on antibiotic resistance that is easily accessible to health workers in primary health care facilities.