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        Antimicrobial Stewardship Program Implementation in a Saudi Medical City: An Exploratory Case Study.

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        antibiotics_10_00280.pdf (PDF, 938Kb)
        Author
        Alghamdi, Saleh
        Berrou, Ilhem
        Aslanpour, Zoe
        Bajnaid, Eshtyag
        Hammad, Mohamed
        Haseeb, Abdul
        Shebl, Nada Atef
        Attention
        2299/24083
        Abstract
        Antimicrobial stewardship programs (ASPs) in hospitals have long been shown to improve antimicrobials’ use and reduce the rates of antimicrobial resistance. However, their implementation in hospitals, especially in developing countries such as Saudi Arabia, remains low. One of the main barriers to implementation is the lack of knowledge of how to implement them. This study aims to explore how an antimicrobial stewardship programme was implemented in a Saudi hospital, the challenges faced and how they were overcome, and the program outcomes. A key stakeholder case study design was used, involving in-depth semi-structured interviews with the core members of the ASP team and analysis of 35 ASP hospital documents. ASP implementation followed a top-down approach and involved an initial preparatory phase and an implementation phase, requiring substantial infectious diseases and clinical pharmacy input throughout. Top management support was key to the successful implementation. ASP implementation reduced rates of multi-drug resistance and prescription of broad-spectrum antimicrobials. The implementation of ASPs in hospital is administrator rather than clinician driven. Outsourcing expertise and resources may help hospitals address the initial implementation challenges
        Publication date
        2021-03-09
        Published in
        Antibiotics
        Published version
        https://doi.org/10.3390/antibiotics10030280
        Other links
        http://hdl.handle.net/2299/24083
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