Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey
Özet
We explored the self-reported antibiotic stewardship (AS), and infection prevention and control (IPC) activities in intensive care units (ICUs) of different income settings. A cross-sectional study was conducted using an online questionnaire to collect data about IPC and AS measures in participating ICUs. The study participants were Infectious Diseases-International Research Initiative (IDI-IR) members, committed as per their institutional agreement form. We analyzed responses from 57 ICUs in 24 countries (Lower-middle income (LMI), n = 13; Upper-middle income (UMI), n = 33; High-income (HI), n = 11). This represented (similar to 5%) of centers represented in the ID-IRI. Surveillance programs were implemented in (76.9%-90.9%) of ICUs with fewer contact precaution measures in LMI ones (p = 0.02); (LMI:69.2%, UMI:97%, HI:100%). Participation in regional antimicrobial resistance programs was more significantly applied in HI (p = 0.02) (LMI:38.4%,UMI:81.8%,HI:72.2%). AS programs are implemented in 77.2% of institutions with AS champions in 66.7%. Infectious diseases physicians and microbiologists are members of many AS teams (59%&50%) respectively. Unqualified healthcare professionals(42.1%), and deficient incentives(28.1%) are the main barriers to implementing AS. We underscore the existing differences in IPC and AS programs' implementation, team composition, and faced barriers. Continuous collaboration and sharing best practices on APM is needed. The role of regional and international organizations should be encouraged. Global support for capacity building of healthcare practitioners is warranted. (C) 2022 Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences.
Anahtar kelimeler
Sürdürülebilir Kalkınma Amaçları
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SKA 3: Sağlıklı Bireyler
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SKA 9: Sanayi, Yenilikçilik ve Altyapı
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SKA 16: Barış, Adalet ve Güçlü Kurumlar
Atıf için künye
El-Sokkary, R., Erdem, H., Kullar, R., Pekok, A. U., Amer, F., Grgic, S., Carevic, B., El-Kholy, A., Liskova, A., ÖZDEMİR, M., Khan, E. A., Kizmaz, Y. U., Pandak, N., Pandya, N., Arapovic, J., KARAALİ, R., Oztoprak, N., Petrov, M. M., Alabadla, R., … Rello, J. (2022). Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey. JOURNAL OF INFECTION AND PUBLIC HEALTH, 15(9), 950–954. https://doi.org/10.1016/j.jiph.2022.07.009
BibTeX
@article{elsokkary2022-242735,
author = {El-Sokkary, Rehab and Erdem, Hakan and Kullar, Ravina and Pekok, Abdullah Umut and Amer, Fatma and Grgic, Svjetlana and Carevic, Biljana and El-Kholy, Amani and Liskova, Anna and ÖZDEMİR, MEHMET and Khan, Ejaz Ahmed and Kizmaz, Yesim Uygun and Pandak, Nenad and Pandya, Nirav and Arapovic, Jurica and KARAALİ, RIDVAN and Oztoprak, Nefise and Petrov, Michael M. and Alabadla, Rami and Alay, Handan and El Kholy, Jehan Ali and Landelle, Caroline and Khedr, Reham and Mamtora, Dhruv and Dragovac, Gorana and Fernandez, Ricardo and Evren, Emine Unal and Raka, Lul and Cascio, Antonio and Dauby, Nicolas and Oncul, Ahsen and BALIN, ŞAFAK ÖZER and ÇAĞ, YASEMİN and Dirani, Natalia and DOĞAN, MUSTAFA and Dumitru, Irina Magdalena and Gad, Maha Ali and Darazam, Ilad Alavi and Naghili, Behrouz and Del Vecchio, Rosa Fontana and Licker, Monica and Marino, Andrea and Akhtar, Nasim and Kamal, Mostafa and Angioni, Goffredo and Medic, Deana and Esmaoglu, Aliye and Gergely, Szabo Balint and Silva-Pinto, Andre and Santos, Lurdes and Miftode, Ionela Larisa and TEKİN, RECEP and Wongsurakiat, Phunsup and Khan, Mumtaz Ali and Kurekci, Yesim and Pilli, Hema Prakash and Grozdanovski, Krsto and Miftode, Egidia and Baljic, Rusmir and Uysal, Serhat and Vahabolgu, Haluk and Rello, Jordi},
title = {Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey},
journal = {JOURNAL OF INFECTION AND PUBLIC HEALTH},
year = {2022},
volume = {15},
number = {9},
pages = {950--954},
issn = {1876-0341},
doi = {10.1016/j.jiph.2022.07.009},
url = {https://akademik.atauni.edu.tr/yayinlar/242735-self-reported-antibiotic-stewardship-and-infection-control-measures-from-57}
}