Journal Article > Short ReportAbstract
Am J Infect Control. 2014 December 3; Volume 43 (Issue 2); DOI:10.1016/j.ajic.2014.10.014
Pereira P, Isaakidis P, Hinderaker SG, Ali E, van den Boogaard W, et al.
Am J Infect Control. 2014 December 3; Volume 43 (Issue 2); DOI:10.1016/j.ajic.2014.10.014
Journal Article > CommentaryAbstract Only
Am J Infect Control. 2016 November 1; Volume 44 (Issue 11); 1381-1384.; DOI:10.1016/j.ajic.2016.03.036
Bhalla N, Hussein N, Atari M, Fakhri RM, Lepora C, et al.
Am J Infect Control. 2016 November 1; Volume 44 (Issue 11); 1381-1384.; DOI:10.1016/j.ajic.2016.03.036
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.