Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey

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dc.contributor.authorEl-Sokkary, Rehab
dc.contributor.authorErdem, Hakan
dc.contributor.authorKullar, Ravina
dc.contributor.authorPekok, Abdullah Umut
dc.contributor.authorAmer, Fatma
dc.contributor.authorGrgic, Svjetlana
dc.contributor.authorCarevic, Biljana
dc.date.accessioned2024-04-24T16:15:08Z
dc.date.available2024-04-24T16:15:08Z
dc.date.issued2022
dc.departmentDicle Üniversitesien_US
dc.description.abstractWe 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 (similar to 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. (C) 2022 Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences.en_US
dc.identifier.doi10.1016/j.jiph.2022.07.009
dc.identifier.endpage954en_US
dc.identifier.issn1876-0341
dc.identifier.issn1876-035X
dc.identifier.issue9en_US
dc.identifier.pmid35917656
dc.identifier.scopus2-s2.0-85135500779
dc.identifier.scopusqualityQ1
dc.identifier.startpage950en_US
dc.identifier.urihttps://doi.org/10.1016/j.jiph.2022.07.009
dc.identifier.urihttps://hdl.handle.net/11468/15663
dc.identifier.volume15en_US
dc.identifier.wosWOS:000876687600003
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Londonen_US
dc.relation.ispartofJournal of Infection and Public Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMultidrug Resistanceen_US
dc.subjectInfection Controlen_US
dc.subjectStewardshipen_US
dc.subjectLow- And Upper-Middle And High Incomeen_US
dc.subjectMdrosen_US
dc.subjectPan Drug Resistanceen_US
dc.titleSelf-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI surveyen_US
dc.titleSelf-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey
dc.typeArticleen_US

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