Antimicrobial Stewardship Program Implementation among Hospitals in Iloilo Province, Philippines - A Pilot Study
ABSTRACT Context: Antimicrobial resistance (AMR) presents a global health crisis, demanding urgent attention. The Philippines has responded with an action plan, including Antimicrobial Stewardship Programs (ASPs), to combat AMR. However, challenges persist in implementing effective ASPs. Aims: This...
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| Vydané v: | Asian journal of pharmaceutical research and health care Ročník 16; číslo 2; s. 160 - 171 |
|---|---|
| Hlavní autori: | , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
India
Wolters Kluwer - Medknow
01.04.2024
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| Vydanie: | 2 |
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| ISSN: | 2250-1444, 2250-1460 |
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| Abstract | ABSTRACT
Context:
Antimicrobial resistance (AMR) presents a global health crisis, demanding urgent attention. The Philippines has responded with an action plan, including Antimicrobial Stewardship Programs (ASPs), to combat AMR. However, challenges persist in implementing effective ASPs.
Aims:
This study aims to evaluate the implementation of ASP in Iloilo Province, Philippines.
Settings and Designs:
The study was a cross-sectional study performed in hospitals (n = 14) within the Iloilo Province, Philippines. Incomplete questionnaires were excluded.
Subjects and Methods:
The research employed the World Health Organization ASP toolkit to assess ASP implementation levels in these hospitals.
Statistical Analysis Used:
Implementation was measured using an overall score and individual scores for 6 core elements of ASP. Scores were presented as mean and standard deviations.
Results:
A total of 10 hospitals responded. All 10 (100%) hospitals had implemented the ASP, although the overall implementation score was an average of 31.9 (7.9) (total possible score of 45). However, there were still gaps in the implementation of all 6 core elements: Leadership Commitment (8.1 [1.2], total possible score 11), accountability and responsibility (6.3 [0.8], total possible score 8), antimicrobial stewardship action (9.8 [3.3], total possible score 14), training and education (1.2 [0.8], total possible score 2), monitor and surveillance (2.7 [1.2], total possible score 4), and reporting and feedback (3.8 [2.3], total possible score 6).
Conclusions:
There is still a need to improve ASP implementation among hospitals in Iloilo Province and possibly nationally in the Philippines. National strategies to address potential barriers that may aid in improving the use of antimicrobials are urgently required. |
|---|---|
| AbstractList | ABSTRACT
Context:
Antimicrobial resistance (AMR) presents a global health crisis, demanding urgent attention. The Philippines has responded with an action plan, including Antimicrobial Stewardship Programs (ASPs), to combat AMR. However, challenges persist in implementing effective ASPs.
Aims:
This study aims to evaluate the implementation of ASP in Iloilo Province, Philippines.
Settings and Designs:
The study was a cross-sectional study performed in hospitals (n = 14) within the Iloilo Province, Philippines. Incomplete questionnaires were excluded.
Subjects and Methods:
The research employed the World Health Organization ASP toolkit to assess ASP implementation levels in these hospitals.
Statistical Analysis Used:
Implementation was measured using an overall score and individual scores for 6 core elements of ASP. Scores were presented as mean and standard deviations.
Results:
A total of 10 hospitals responded. All 10 (100%) hospitals had implemented the ASP, although the overall implementation score was an average of 31.9 (7.9) (total possible score of 45). However, there were still gaps in the implementation of all 6 core elements: Leadership Commitment (8.1 [1.2], total possible score 11), accountability and responsibility (6.3 [0.8], total possible score 8), antimicrobial stewardship action (9.8 [3.3], total possible score 14), training and education (1.2 [0.8], total possible score 2), monitor and surveillance (2.7 [1.2], total possible score 4), and reporting and feedback (3.8 [2.3], total possible score 6).
Conclusions:
There is still a need to improve ASP implementation among hospitals in Iloilo Province and possibly nationally in the Philippines. National strategies to address potential barriers that may aid in improving the use of antimicrobials are urgently required. |
| Author | Islahudin, Farida Dueñas, Edric Ancel P. |
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| Cites_doi | 10.3947/ic.2021.0093 10.1093/cid/ciz621 10.1186/s13756-024-01369-6 10.1016/j.jhin.2020.03.028 10.1016/S0140-6736(21)02724-0 10.4065/mcp.2011.0358 10.1136/ejhpharm-2020-002540 10.18553/jmcp.2009.15.s2.18 10.2147/IDR.S290835 10.1186/s13756-020-00751-4 10.1016/j.ijid.2021.03.035 10.1017/ash.2022.355 10.1097/INF.0000000000003321 10.1186/s13690-019-0358-9 10.3390/antibiotics11050560 10.7196/SAMJ.2022.v112i10.16397 10.1179/2047773215Y.0000000030 10.1371/journal.pone.0223822 10.47102/annals-acadmedsg.V41N1p29 10.1017/ash.2021.180 |
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| References | De Vries (R28-20240901) 2022; 112 Doron (R7-20240901) 2011; 86 Basu (R9-20240901) 2022; 41 Drew (R27-20240901) 2009; 15 Teng (R26-20240901) 2012; 41 Harun (R30-20240901) 2024; 13 Nelson (R24-20240901) 2023; 37 Murray (R2-20240901) 2022; 399 Monmaturapoj (R22-20240901) 2022; 29 Ababneh (R3-20240901) 2021; 105 Hwang (R19-20240901) 2021; 53 Satterfield (R25-20240901) 2020; 105 Mitchell (R12-20240901) 2019; 77 Jeffs (R13-20240901) 2020; 15 Prestinaci (R1-20240901) 2015; 109 Barlam (R21-20240901) 2021; 1 Shallal (R4-20240901) 2022; 11 O'Hara (R23-20240901); 69 Al Omari (R11-20240901) 2020; 9 Yau (R18-20240901) 2021; 0 Scheepers (R14-20240901) 2023; 3 Beganovic (R20-20240901) 2018; 101 Majumder (R29-20240901) 2020 |
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| Title | Antimicrobial Stewardship Program Implementation among Hospitals in Iloilo Province, Philippines - A Pilot Study |
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