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Introducing an antibiotic stewardship program in a humanitarian surgical hospital | Journal Article / Commentary | MSF Science Portal
Journal Article
|Commentary

Introducing an antibiotic stewardship program in a humanitarian surgical hospital

Bhalla N, Hussein N, Atari M, Fakhri RM, Lepora C, Walsh N, Cosgrove SE, Murphy RA
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Abstract
Antibiotic stewardship program (ASP) implementation in humanitarian settings is a new endeavor. Doctors Without Borders/Médecins Sans Frontières introduced an ASP within a hospital in Amman, Jordan, where patients from Iraq, Syria, and Yemen with chronic, often multidrug-resistant, infections related to war are managed. Antibiotics were reviewed, and real-time recommendations were made to optimize choice, dose, duration, and route by a small team. Over the first year of implementation, acceptance of the ASP's recommendations improved. When compared with the year prior to implementation, antibiotic cost in 2014 declined considerably from approximately $252,077 (average, $21,006/month) to <$159,948 ($13,329/month), and a reduction in use of broad-spectrum agents was observed. An ASP in a humanitarian surgical hospital proved acceptable and effective, reducing antibiotic expenditures and use of broad-spectrum agents.

Countries

Jordan

Subject Area

antibiotic resistanceantimicrobial resistance

Languages

English
DOI
10.1016/j.ajic.2016.03.036
Published Date
01 Nov 2016
PubMed ID
27207158
Journal
American Journal of Infection Control
Volume | Issue | Pages
Volume 44, Issue 11, Pages 1381-1384
Issue Date
2016-11-01
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