ناقشت بنجاح طالبة الماجستير نور عيسى من قسم الصيدلة السريرية اليوم الخميس الموافق 3/11/2016م أطروحة الماجستير بعنوان:
ASSESSMENT OF CORE ELEMENT OF ANTIMICROBIAL STEWARDSHIP PROGRAM IN
JORDANIAN HOSPITALS
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Background
and Aims: Antimicrobial stewardship programs (ASPs) are
evolving all over the world, their mission is to regulate antibiotic usage and
improve patients’ outcomes. These programs have several core elements required
to ensure proper implementation in hospitals. The main goal in this study is to
assess the main core elements of ASPs accordingtoCenters for Disease Control and Prevention
(CDC) in major Jordanian hospitals to provide clear vision on the missing core
elements in hospitals in order to overcome these points in the future.
Methods: This was a cross sectional study in which, face-to-face interview was
conducted with infectious disease (ID) physician or clinical pharmacist in
infectious disease unit, using a questionnaire provided by CDC.
Results: In this study 60 hospital were approached and 41
(68%) agreed to participate. Among participating hospitals, 7 (17.1%) hospitals
have an infectious disease physician responsible for improving antibiotic
usage, while no hospital had
leadership commitment applied in their settings. On the other hand, 30 (73.2%)
hospitals had a clinical pharmacist in their facility who works to improve
antibiotic usage. Regarding policies and interventions, about half of the
hospitals have policies and interventions in order to regulate antibiotic usage
action in hospitals but only 11(26.8%) hospitals have interventions to evaluate
diagnosis and ensure optimal treatment of specific infections as community
acquired pneumonia and urinary tract infections. In concern of tracking, less
than one third of hospitals track antibiotic prescriptions, while 18 (43.9%) of
hospitals track antibiotic consumption by direct expenditure. Only 7 (17.1%) of
hospitals distribute antibiogram for their staff, but about 32 (78%) of
prescribers receive advise by clinical pharmacist in order to improve antibiotic
prescriptions. Finally, 29 (70.7%) hospital have educational lectures in their
facility regarding antibiotics.
Conclusion: This is the first study in Jordan regarding hospitals’ antimicrobial
stewardship programs. While none of the hospitals have implemented all core
elements of ASP specified by CDC in their facility, many hospitals covered some
of these elements. The results of this study emphasize the need for further
efforts to implement successful ASPs in these hospitals. This study showed
missing core elements of ASP especially leadership commitment, shortage in ID
physicians, poor tracking and reporting of antibiotic usage. Support for ASPs
is required at both institutional and national levels to overcome antimicrobial
resistance crisis.
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