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dc.contributor.authorElshenawy, Rasha Abdelsalam
dc.contributor.authorUmaru, Nkiruka
dc.contributor.authorAlharbi, Amal Bandar
dc.contributor.authorAslanpour, Zoe
dc.date.accessioned2023-02-16T11:30:02Z
dc.date.available2023-02-16T11:30:02Z
dc.date.issued2023-02-10
dc.identifier.citationElshenawy , R A , Umaru , N , Alharbi , A B & Aslanpour , Z 2023 , ' Antimicrobial stewardship implementation before and during the COVID-19 pandemic in the acute care settings: a systematic review : a systematic review ' , BMC Public Health , vol. 23 , no. 1 , 309 , pp. 1-24 . https://doi.org/10.1186/s12889-023-15072-5 , https://doi.org/10.1186/s12889-023-15072-5
dc.identifier.issn1471-2458
dc.identifier.otherJisc: 897340
dc.identifier.otherpublisher-id: s12889-023-15072-5
dc.identifier.othermanuscript: 15072
dc.identifier.otherORCID: /0000-0002-2567-0540/work/129065102
dc.identifier.otherPubMedCentral: PMC9918338
dc.identifier.urihttp://hdl.handle.net/2299/26057
dc.description© The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
dc.description.abstractIntroduction: Antibiotics are widely administered for various indications, leading to increased antimicrobial resistance (AMR) in acute care hospitals. Since the onset of the COVID-19 pandemic, Antimicrobial Stewardship (AMS) effective strategies should be used to maintain the rational use of antibiotics and decrease the threat of Antimicrobial Resistance (AMR). Aim: This systematic literature review aims to investigate the AMS intervention Before-the-pandemic (BP) and During-the-pandemic (DP) from the literature. Design and setting: Systematic literature review of primary studies on AMS implementation in acute care settings. Methods: Relevant studies published between 2000 and March 2021 were obtained from Medline (via PubMed), OVID, CINAHL, International Pharmaceutical Abstracts, Psych Info, Scopus, Web of Science, Cochrane Library, OpenGrey, and Google Scholar, using a comprehensive list of search terms. Public Health England (PHE) toolkit was agreed upon as a gold standard for the AMS implementation. Results: There were 8763 articles retrieved from the databases. Out of these, 13 full-text articles met the inclusion criteria for the review. The AMS implementation was identified in the included studies into AMS strategies (Core strategies & Supplemental strategies), and AMS measures BP and DP. Conclusion: This Systematic literature review summarises AMS implementation strategies and measures all over the previous 20 years of research. There are many lessons learnt from COVID-19 pandemic. The proper selection of the AMS implementation strategies and measures appeared to be effective in maintaining the appropriate use of antibiotics and decreasing the AMR threat, especially during the COVID-19 pandemic. Further studies are required to provide empirical data to evaluate the AMS implementation and identify which of these strategies and measures were effective BP and DP. In order to be prepared for any emergency/crisis or future pandemics.en
dc.format.extent24
dc.format.extent1694576
dc.language.isoeng
dc.relation.ispartofBMC Public Health
dc.subjectStrategies
dc.subjectCOVID-19
dc.subjectPandemics
dc.subjectAntimicrobial Stewardship
dc.subjectAnti-Bacterial Agents/therapeutic use
dc.subjectCritical Care
dc.subjectMetrics
dc.subjectAcute care setting
dc.subjectSystematic literature review
dc.subjectPublic health
dc.subjectAntimicrobial resistance
dc.subjecthospitals
dc.subjectPublic Health, Environmental and Occupational Health
dc.titleAntimicrobial stewardship implementation before and during the COVID-19 pandemic in the acute care settings: a systematic review : a systematic reviewen
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionDepartment of Clinical, Pharmaceutical and Biological Science
dc.contributor.institutionCentre for Health Services and Clinical Research
dc.contributor.institutionPublic Health and Patient Safety Unit
dc.contributor.institutionCentre for Future Societies Research
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85147895632&partnerID=8YFLogxK
dc.identifier.urlhttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-15072-5
rioxxterms.versionofrecord10.1186/s12889-023-15072-5
rioxxterms.typeJournal Article/Review


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