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Exploring perspectives on antimicrobial stewardship:a qualitative study of health managers in Kenya

Global Health Research and Policy 2020年第1期5卷 67-75页

作者： Samuel Mungai Mbugua George Njoroge caroline kijogi Moses Kamita Rachel Kimani Peter Mwaura Bibianne Waiganjo Aidi Jesse Gitaka Mount Kenya University ThikaKenya

Background:Antimicrobial resistance is a significant public health concern with the establishment of antimicrobial stewardship in hospitals being increasingly *** and insights of health managers on antimicrobial stewardship(AMS),complementary health services and building blocks are imperative towards implementation of robust AMS *** study aimed to understand perspectives of hospital managers on AMS and identify areas of management engagement while addressing potential blockades to ***:A cross-sectional,qualitative,multicenter study was conducted in three hospitals in ***-informant interviews on perspectives on AMS were administered to hospital *** data was captured using audio tapes and field notes,transcribed and managed using NVivo 12 *** iterative process was used to develop the thematic framework and updated in two rounds of iteration *** charts for each emergent theme were developed and categorized across all ***:Perspectives on AMS are described in five thematic categories;Importance of antimicrobial stewardship and the role of medicines and therapeutics committee,availability of antimicrobial formulary and usage surveillance systems,laboratory competency and recommendations for infection prevention and management,educational resources and communications channels available,building blocks and low-lying fruits for Antimicrobial Stewardship *** role of stewardship collaboration in diagnosis and antimicrobial prescription was alluded to with managers indicating a growing rise in occurrence of antimicrobial *** lacked contextualized,hospital specific antimicrobial formulary and adequate laboratory *** training and communication channels were available in varying capacity across the three *** blocks identified include medicines and therapeutics committee,education,and training platforms(Continuous Medical Educati

关键词： Antimicrobial stewardship Antimicrobial resistance Building blocks/low-lying fruits

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