Assessment of core capacities for antimicrobial stewardship practices in indian hospitals: Report from a multicentric initiative of global health security agenda

Conclusion: The hospitals included a mix of public and private sector hospitals. The network average of positive responses for leadership support was 45%, for accountability; the score was 53% and for key support for AMSP, 58%. Policies to support optimal antibiotic use were present in 59% of respondents, policies for procurement were present in 79% and broad interventions to improve antibiotic use were scored as 33%. A score of 52% was generated for prescription-specific interventions to improve antibiotic use. Written policies for antibiotic use for hospitalised patients and outpatients were present on an average in 72% and 48% conditions, respectively. Presence of process measures and outcome measures was scored at 40% and 49%, respectively, and feedback and education got a score of 53% and 40%, respectively. Thus, Indian hospitals can start with low-hanging fruits such as developing prescription policies, restricting the usage of high antibiotics, enforcing education and ultimately providing the much-needed leadership support.

Source: Indian Journal of Medical Microbiology - January 28, 2020 Category: Microbiology Authors: Mathur Purva Guleria Randeep Malhotra Rajesh C Misra Mahesh Gupta Sunil Kumar Subodh Sagar Sushma Wig Naveet Garg Pramod Kapil Arti Khurana Surbhi Katoch Omika Katyal Sonal Sahu Manoj Chakrabarti Arunaloke Ray Pallab Biswal Manisha Taneja Neelam Rupali Pr Source Type: research