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

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 Priscilla, K. SubaramaniJacob Ebor, Balaji Veeraraghavan, Rodrigues Camilla, Nag Vijayalakshmi, Tak Vibhor, Singh Kuldeep, K. Bhatia Pradeep, Gupta Neeraj, Khera Daisy, Venkatesh Vimala, Mukhopadhyay Chiranjay, K. E. Vandana, Varma Muralidhar, Deotale Vijayshri, Attal Ruchita, Padmaja Kanne, Sudhaharan Sukanya, Wattal Chand, Goel Neeraj, Bhattacharya Sanjay, Sen Sourav, Tadepalli Karuna, Saigal Saurabh, Bijayini Behera, Singh Sanjeev, M. A. Thirunarayan, Nath Reema, Saikia Lahri, Ray Raja, J. Raj Hirak, Baveja Sujata, D'Souza Desma, Chandy Mammen, Mukherjee Sudipta, K. RoyManas, Goel Gaurav, Tripathy Swagata, Misra Satyajeet, Dey Anupam, S. Mishra Tushar, A. Fomda Bashir, Bashir Gulnaz, Nazir Shaista, Devi Sulochana, R. Devi Khuraijam, C. Singh Langpoklakpam, Das Padma, Bhargava Anudita, Gaikwad Ujjwala, Khandelwal Neeta, Vaghela Geeta, Sukharamwala Tanvi, Jain Shristi, Verma Prachi, Lamba Mamta, Bhattacharyya Prithwis, C. Phukan Anil, Lyngdoh Clarissa, Gaind Rajni, Saksena Rushika, Kapoor Lata, Ohri Vinod, Walia Kamini

Research output: Contribution to journalArticle

Abstract

Introduction: Antimicrobial-resistant HAI (Healthcare associated infection) are a global challenge due to their impact on patient outcome. Implementation of antimicrobial stewardship programmes (AMSP) is needed at institutional and national levels. Assessment of core capacities for AMSP is an important starting point to initiate nationwide AMSP. We conducted an assessment of the core capacities for AMSP in a network of Indian hospitals, which are part of the Global Health Security Agenda-funded work on capacity building for AMR-HAIs. Subjects and Methods: The Centers for Disease Control and Prevention's core assessment checklist was modified as per inputs received from the Indian network. The assessment tool was filled by twenty hospitals as a self-administered questionnaire. The results were entered into a database. The cumulative score for each question was generated as average percentage. The scores generated by the database were then used for analysis. Results and 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.

Original languageEnglish
Pages (from-to)309-317
Number of pages9
JournalIndian Journal of Medical Microbiology
Volume37
Issue number3
DOIs
Publication statusPublished - 2019

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)

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    Purva, M., Randeep, G., Rajesh, M., Misra Mahesh, C., Sunil, G., Subodh, K., Sushma, S., Naveet, W., Pramod, G., Arti, K., Surbhi, K., Omika, K., Sonal, K., Manoj, S., Arunaloke, C., Pallab, R., Manisha, B., Neelam, T., Priscilla, R., ... Kamini, W. (2019). Assessment of core capacities for antimicrobial stewardship practices in indian hospitals: Report from a multicentric initiative of global health security agenda. Indian Journal of Medical Microbiology, 37(3), 309-317. https://doi.org/10.4103/ijmm.IJMM_19_445