Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-28T11:28:28.702Z Has data issue: false hasContentIssue false

Feasibility of implementing antimicrobial stewardship programs in acute-care hospitals: A nationwide survey in Thailand

Published online by Cambridge University Press:  03 May 2021

Pinyo Rattanaumpawan*
Affiliation:
Division of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand World Health Organization Collaborating Centre for Antimicrobial Resistance Prevention and Containment, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Surangkana Samanloh
Affiliation:
Division of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Visanu Thamlikitkul
Affiliation:
Division of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand World Health Organization Collaborating Centre for Antimicrobial Resistance Prevention and Containment, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
*
Author for correspondence: Pinyo Rattanaumpawan, Email [email protected]

Abstract

A nationwide survey was conducted in 399 acute-care hospitals in Thailand. Most had a designated antimicrobial stewardship program (ASP), but <20% had an infectious disease physician on the team. The most frequently cited challenges in ASP implementation were the increased workload, followed by a lack of antimicrobial stewardship knowledge and a lack of hospital administrator concern.

Type
Concise Communication
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chan, YH, Fan, MM, Fok, CM, et al. Antibiotics nonadherence and knowledge in a community with the world’s leading prevalence of antibiotics resistance: implications for public health intervention. Am J Infect Control 2012;40:113117.CrossRefGoogle Scholar
Draft global action plan on antimicrobial resistance. World Health Organization website. http://apps.who.int/gb/ebwha/pdf_files/WHA68/A6820-en.pdf. Published 2015. Accessed December 10, 2020.Google Scholar
Rattanaumpawan, P, Sutha, P, Thamlikitkul, V. Effectiveness of drug use evaluation and antibiotic authorization on patients’ clinical outcomes, antibiotic consumption, and antibiotic expenditures. Am J Infect Control 2010;38:3843.CrossRefGoogle ScholarPubMed
Schuts, EC, Hulscher, M, Mouton, JW, et al. Current evidence on hospital antimicrobial stewardship objectives: a systematic review and meta-analysis. Lancet Infect Dis 2016;16:847856.CrossRefGoogle ScholarPubMed
Van Dijck, C, Vlieghe, E, Cox, JA. Antibiotic stewardship interventions in hospitals in low-and middle-income countries: a systematic review. Bull World Health Organ 2018;96:266280.CrossRefGoogle ScholarPubMed
World Bank Country and Lending Groups. The World Bank website. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups. Published 2020. Accessed December 10, 2020.Google Scholar
Khawcharoenporn, T, Apisarnthanarak, A, Mundy, LM. National survey of antimicrobial stewardship programs in Thailand. Am J Infect Control 2013;41:8688.CrossRefGoogle ScholarPubMed
Apisarnthanarak, A, Jantarathaneewat, K, Weber, DJ. Gap analysis on antimicrobial stewardship program in central Thailand. Infect Control Hosp Epidemiol 2019;40:10771079.CrossRefGoogle ScholarPubMed
Rattanaumpawan, P, Upapan, P, Thamlikitkul, V. A noninferiority cluster-randomized controlled trial on antibiotic postprescription review and authorization by trained general pharmacists and infectious disease clinical fellows. Infect Control Hosp Epidemiol 2018;39:11541162.CrossRefGoogle ScholarPubMed
WHO model list of essential medicines, 21st list. World Health Organization website. https://www.who.int/publications/i/item/WHOMVPEMPIAU2019.06. Published 2019. Accessed February 16, 2021.Google Scholar
Supplementary material: File

Rattanaumpawan et al. supplementary material

Rattanaumpawan et al. supplementary material

Download Rattanaumpawan et al. supplementary material(File)
File 112.1 KB