Using Technology to Enhance Antimicrobial Stewardship Impact in the Acute Care Setting

Cowman, Kelsie; Chen, Victor; Guo, Yi; Nori, Priya

doi:10.1007/s40506-020-00218-5

Cited by 6 publications

(4 citation statements)

References 36 publications

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“…If pharmacists trained properly regarding prudent antibiotic use, they can be part of the solution to overcome the global challenge of antibiotic resistance (ABR) and emphasised that training can enhance CDROstaffs’ active involvement in antibiotic stewardship practices [ 68 ]. In relation to improving antimicrobial stewardship practices, data regarding antimicrobial utilisation and antimicrobial resistance is critical as it provides benchmarks and identify locations for targeted interventions, in this regards, a study revealed the importance of incorporating technology enhancements, smartphone applications and social media platforms to maximise the antimicrobial stewardship practices as it has been partly implicated to facilitate antimicrobial utilisation and antimicrobial resistance data reports [ 69 ]. One important commentary also suggested introducing IT antibiotic surveillance systems in the supply chain and monitoring pharmacy practice using mobile technologies as a strategy to reduce the non-prescription sale of antibiotics.…”

Section: Discussionmentioning

confidence: 99%

No prescription? No problem: drivers of non-prescribed sale of antibiotics among community drug retail outlets in low and middle income countries: a systematic review of qualitative studies

2021

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Background Non-prescription dispensing of antibiotics, one of the main sources of antibiotic misuse or over use, is a global challenge with detrimental public health consequences including acceleration of the development of antimicrobial resistance, and is facilitated by various intrinsic and extrinsic drivers. The current review aimed to systematically summarise and synthesise the qualitative literature regarding drivers of non-prescribed sale of antibiotics among community drug retail outlets in low and middle income countries. Methods Four electronic databases (PubMed, CINAHL, Scopus and Google Scholar) and reference lists of the relevant articles were searched. The Joanna Briggs Institute’s Critical Appraisal Checklist for qualitative studies was used to assess the quality of included studies. The enhancing transparency in reporting the synthesis of qualitative research statement was used to guide reporting of results. Data were coded using NVivo 12 software and analysed using both inductive and deductive thematic analysis. Results A total of 23 articles underwent full text review and 12 of these met the inclusion criteria. Four main themes were identified in relation to facilitators of non-prescribed sale of antibiotics among community drug retail outlets: i) the business orientation of community drug retail outlets and tension between professionalism and commercialism; ii) customers’ demand pressure and expectation; iii); absence of or a lax enforcement of regulations; and iv) community drug retail outlet staff’s lack of knowledge and poor attitudes about antibiotics use and scope of practice regarding provision. Conclusions This review identified several potentially amendable reasons in relation to over the counter dispensing of antibiotics. To contain the rise of antibiotic misuse or over use by targeting the primary drivers, this review suggests the need for strict law enforcement or enacting new strong regulation to control antibiotic dispensing, continuous and overarching refresher training for community drug retail outlet staff about antibiotic stewardship, and holding public awareness campaigns regarding rational antibiotic use.

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Section: Discussionmentioning

confidence: 99%

No prescription? No problem: drivers of non-prescribed sale of antibiotics among community drug retail outlets in low and middle income countries: a systematic review of qualitative studies

2021

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“…Adopting and implementing ASPs in hospitals is a complex endeavor, requiring financial and human resources [ 23 ] as well as technology resources [ 24 ]. Confirming our previously reported barriers [ 7 ], the surveyed hospitals reported lack of necessary knowledge, technology and human resources to adopt ASPs.…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial Stewardship Programmes in Saudi Hospitals: Evidence from a National Survey

et al. 2021

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Saudi hospitals and healthcare facilities are facing increasing rates of antimicrobial resistance and the emergence of new multi-drug resistant strains. This is placing an unprecedented threat to successful treatments and outcomes of patients accessing those facilities. The inappropriate use of antimicrobials is fueling this crisis, warranting urgent implementation of interventions to preserve antimicrobials and reduce resistance rates. Antimicrobial stewardship programmes (ASPs) can improve antimicrobial use, treatment success rates and reduce the levels of antimicrobial resistance. The Saudi Ministry of Health (MOH) devised a national antimicrobial stewardship plan to implement ASPs in hospitals, but little is known about the progress of implementation and the factors affecting it. This study aims to assess the level and the factors affecting the adoption and implementation of ASPs in Saudi hospitals at a national level. A nationwide cross-sectional survey was conducted in 2017 using an online questionnaire sent to all MOH hospitals. Overall, 147 out 247 MOH hospitals responded to the survey (54%). Only 26% of the hospitals reported the implementation of ASPs. Hospitals lack the knowledge, technological and staff resources to adopt and implement ASPs. Alternative models of ASP adoption could be explored to improve the rates of implementation of ASPs.

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“…On the other hand, the allocation of specialized grants to support the AMS program would result in positive clinical outcomes and reduce the expenses and consumption of antibiotics. Such findings have been reviewed by Cowman et al to demonstrate that using technology to enhance AMS impacts the Acute Care Setting [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial Stewardship from Health Professionals’ Perspective: Awareness, Barriers, and Level of Implementation of the Program

et al. 2022

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This study aimed to evaluate health professionals’ perceptions regarding the level of implementation of the Antimicrobials Stewardship (AMS) programs in Jordanian tertiary hospitals and to assess the perceived barriers to its implementation. During this cross-sectional study, a total of 157 healthcare providers agreed to participate (response rate 96.3%). Participants were asked to complete an electronic survey after meeting them at their working sites. Only 43.9% of the healthcare providers (n = 69) reported having an AMS committee in their hospital settings. The results suggested that private hospitals have significantly better AMS implementation compared to public hospitals among four areas (p ≤ 0.05). Moreover, the results showed that the most widely available strategies to implement AMS were infectious disease/microbiology advice (n = 112, 71.3%), and treatment guidelines (n = 111, 70.7%). Additionally, the study revealed that the main barrier to AMS implementation was the lack of information technology support (n = 125, 79.6%). These findings could draw managers’ attention to the importance of AMS and support the health care provider’s practice of AMS in Jordanian tertiary hospitals by making the right decisions and the required modifications regarding the strategies needed for the implementation of AMS programs.

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Using Technology to Enhance Antimicrobial Stewardship Impact in the Acute Care Setting

Abstract: contains supplementary material, which is available to authorized users. Keywords Antimicrobial stewardship I Electronic medical record I Clinical decision support system I Antimicrobial utilization reporting I Mobile applications

Cited by 6 publications

References 36 publications

No prescription? No problem: drivers of non-prescribed sale of antibiotics among community drug retail outlets in low and middle income countries: a systematic review of qualitative studies

No prescription? No problem: drivers of non-prescribed sale of antibiotics among community drug retail outlets in low and middle income countries: a systematic review of qualitative studies

Antimicrobial Stewardship Programmes in Saudi Hospitals: Evidence from a National Survey

Antimicrobial Stewardship from Health Professionals’ Perspective: Awareness, Barriers, and Level of Implementation of the Program

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