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228828

Status of Antimicrobial Stewardship Implementation in Selected Egyptian Hospitals: A Cross-sectional Study

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Antimicrobial agents

Abstract

Background: Antimicrobial stewardship aims to stop or slow the emergence of antimicrobial-resistant strains. Following the launch of Egypt's National Action Plan on Antimicrobial Resistance, numerous hospitals took steps to adopt ASP, but no formal assessments were conducted. Objectives: The goal of this study is to determine the extent to which ASP is used, as well as stewardship understanding and implementation, in several Egyptian hospitals. Methodology: A cross-sectional study was carried out to measure stewardship knowledge and execution, from June to July 2020, in various Egyptian hospitals. The hospital description, ASP committee, ASP activities, reporting antibiotic use, antibiogram, information technology support, ASP restriction techniques, and future ASP application were all covered in the survey. Results: The study covered a variety of hospitals, the majority of which (61.8%) adopted an ASP program while others (38.2%) did not; at the time of the study, 71.4 % of the latter were planning to implement an ASP program in the future. Twenty-two institutions (48.5 %) said they routinely use facility-specific antibiograms. Antimicrobial reports were received on a regular basis by thirteen hospitals (37.1%). Fifteen hospitals (42.9%) said they were already using one or more computer applications. Resistance trends, infection rates, duration of stay, mortality rate, and reported adverse drug reactions were all monitored at the hospitals. Only 20% of the hospitals in this study had an ASP training program. Conclusion: Egyptian hospitals have a good ASP implementation; however, IT support programs, cooperation between healthcare members, monitoring outcomes, and infectious disease consultations are still needed.

DOI

10.21608/ejmm.2022.228828

Keywords

antimicrobial stewardship, Antibiogram, Antimicrobial resistance, antibiotics, microbial culture

Authors

First Name

Noha

Last Name

Hamdy

MiddleName

-

Affiliation

Department of Pharmacy Practice, Faculty of Pharmacy Alexandria University, Alexandria, Egypt

Email

noha.alaaeldine@alexu.edu.eg

City

Alexandria

Orcid

0000-0002-4606-8567

First Name

Nahla

Last Name

Kandil

MiddleName

Hesham

Affiliation

Novel Applied Pharmacy & Healthcare Services (NAPHS) Consultancy, CEO, Alexandria, EGYPT

Email

nahlahkandil@hotmail.com

City

Alexandria

Orcid

0000-0002-5361-7026

First Name

Ahmed

Last Name

Amer

MiddleName

Noby

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy, Pharos university in Alexandria, Alexandria, EGYPT

Email

ahmed.amer@pua.edu.eg

City

Alexandria

Orcid

0000-0003-3610-4592

Volume

31

Article Issue

2

Related Issue

32749

Issue Date

2022-04-01

Receive Date

2022-03-04

Publish Date

2022-04-03

Page Start

77

Page End

83

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_228828.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=228828

Order

13

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Status of Antimicrobial Stewardship Implementation in Selected Egyptian Hospitals: A Cross-sectional Study

Details

Type

Article

Created At

23 Jan 2023