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http://hdl.handle.net/20.500.12188/29717
Наслов: | Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey | Authors: | El-Sokkary, Rehab Erdem, Hakan Kullar, Ravina Pekok, Abdullah Umut Amer, Fatma Grgić, Svjetlana Carevic, Biljana El-Kholy, Amani Liskova, Anna Özdemir, Mehmet Khan, Ejaz Ahmed Kizmaz, Yesim Uygun Pandak, Nenad Pandya, Nirav Arapović, Jurica Karaali, Rıdvan Oztoprak, Nefise Petrov, Michael M Alabadla, Rami Alay, Handan El Kholy, Jehan Ali Landelle, Caroline Khedr, Reham Mamtora, Dhruv Dragovac, Gorana Fernandez, Ricardo Evren, Emine Unal Raka, Lul Cascio, Antonio Dauby, Nicolas Oncul, Ahsen Balin, Safak Ozer Cag, Yasemin Dirani, Natalia Dogan, Mustafa Dumitru, Irina Magdalena Gad, Maha Ali Darazam, Ilad Alavi Naghili, Behrouz Del Vecchio, Rosa Fontana Licker, Monica Marino, Andrea Akhtar, Nasim Kamal, Mostafa Angioni, Goffredo Medić, Deana Esmaoğlu, Aliye Gergely, Szabo Balint Silva-Pinto, André Santos, Lurdes Miftode, Ionela Larisa Tekin, Recep Wongsurakiat, Phunsup Khan, Mumtaz Ali Kurekci, Yesim Pilli, Hema Prakash Grozdanovski, Krsto Miftode, Egidia Baljic, Rusmir Uysal, Serhat Vahabolgu, Haluk Rello, Jordi |
Keywords: | Multidrug resistance Infection control Stewardship Low- and upper-middle and high income MDROs Pan drug resistance |
Issue Date: | сеп-2022 | Publisher: | Elsevier BV | Journal: | Journal of Infection and Public Health | Abstract: | 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 (~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. | URI: | http://hdl.handle.net/20.500.12188/29717 | DOI: | 10.1016/j.jiph.2022.07.009 |
Appears in Collections: | Faculty of Medicine: Journal Articles |
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