Subject: Multidrug resistance
Subject: Infection control
Subject: Stewardship
Subject: Low- and upper-middle and high income
Subject: MDROs
Subject: Pan drug resistance
Year: 2022
Type: Article
Title: Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey
Author: El-Sokkary, Rehab
Author: Erdem, Hakan
Author: Kullar, Ravina
Author: Pekok, Abdullah Umut
Author: Amer, Fatma
Author: Grgić, Svjetlana
Author: Carevic, Biljana
Author: El-Kholy, Amani
Author: Liskova, Anna
Author: Özdemir, Mehmet
Author: Khan, Ejaz Ahmed
Author: Kizmaz, Yesim Uygun
Author: Pandak, Nenad
Author: Pandya, Nirav
Author: Arapović, Jurica
Author: Karaali, Rıdvan
Author: Oztoprak, Nefise
Author: Petrov, Michael M
Author: Alabadla, Rami
Author: Alay, Handan
Author: El Kholy, Jehan Ali
Author: Landelle, Caroline
Author: Khedr, Reham
Author: Mamtora, Dhruv
Author: Dragovac, Gorana
Author: Fernandez, Ricardo
Author: Evren, Emine Unal
Author: Raka, Lul
Author: Cascio, Antonio
Author: Dauby, Nicolas
Author: Oncul, Ahsen
Author: Balin, Safak Ozer
Author: Cag, Yasemin
Author: Dirani, Natalia
Author: Dogan, Mustafa
Author: Dumitru, Irina Magdalena
Author: Gad, Maha Ali
Author: Darazam, Ilad Alavi
Author: Naghili, Behrouz
Author: Del Vecchio, Rosa Fontana
Author: Licker, Monica
Author: Marino, Andrea
Author: Akhtar, Nasim
Author: Kamal, Mostafa
Author: Angioni, Goffredo
Author: Medić, Deana
Author: Esmaoğlu, Aliye
Author: Gergely, Szabo Balint
Author: Silva-Pinto, André
Author: Santos, Lurdes
Author: Miftode, Ionela Larisa
Author: Tekin, Recep
Author: Wongsurakiat, Phunsup
Author: Khan, Mumtaz Ali
Author: Kurekci, Yesim
Author: Pilli, Hema Prakash
Author: Grozdanovski, Krsto
Author: Miftode, Egidia
Author: Baljic, Rusmir
Author: Uysal, Serhat
Author: Vahabolgu, Haluk
Author: Rello, Jordi
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.
Publisher: Elsevier BV
Relation: Journal of Infection and Public Health
Identifier: oai:repository.ukim.mk:20.500.12188/29717
Identifier: http://hdl.handle.net/20.500.12188/29717Identifier: 10.1016/j.jiph.2022.07.009
Identifier: https://api.elsevier.com/content/article/PII:S1876034122001873?httpAccept=text/xml
