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

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dc.contributor.authorPurva, Men_US
dc.contributor.authorRandeep, Gen_US
dc.contributor.authorRajesh, Men_US
dc.contributor.authorMahesh, C Men_US
dc.contributor.authorSunil, Gen_US
dc.contributor.authorSubodh, Ken_US
dc.contributor.authorSushma, Sen_US
dc.contributor.authorNaveet, Wen_US
dc.contributor.authorPramod, Gen_US
dc.contributor.authorArti, Ken_US
dc.contributor.authorSurbhi, Ken_US
dc.contributor.authorOmika, Ken_US
dc.contributor.authorSonal, Ken_US
dc.contributor.authorManoj, Sen_US
dc.contributor.authorArunaloke, Cen_US
dc.contributor.authorPallab, Ren_US
dc.contributor.authorManisha, Ben_US
dc.contributor.authorNeelam, Ten_US
dc.contributor.authorPriscilla, Ren_US
dc.contributor.authorSubaramani, Ken_US
dc.contributor.authorEbor, Jen_US
dc.contributor.authorVeeraraghavan, Ben_US
dc.contributor.authorCamilla, Ren_US
dc.contributor.authorVijayalakshmi, Nen_US
dc.contributor.authorVibhor, Ten_US
dc.contributor.authorKuldeep, Sen_US
dc.contributor.authorPradeep, K, Ben_US
dc.contributor.authorNeeraj, Gen_US
dc.contributor.authorDaisy, Ken_US
dc.contributor.authorVimala, Ven_US
dc.contributor.authorChiranjay, Men_US
dc.contributor.authorVandana, K Een_US
dc.contributor.authorMuralidhar, Ven_US
dc.contributor.authorVijayshri, Den_US
dc.contributor.authorRuchita, Aen_US
dc.contributor.authorKanne, Pen_US
dc.contributor.authorSukanya, Sen_US
dc.contributor.authorChand, Wen_US
dc.contributor.authorNeeraj, Gen_US
dc.contributor.authorSanjay, Ben_US
dc.contributor.authorSourav, Sen_US
dc.contributor.authorKaruna, Ten_US
dc.contributor.authorSaurabh, Sen_US
dc.contributor.authorBehera, Ben_US
dc.contributor.authorSanjeev, Sen_US
dc.contributor.authorThirunarayan, M Aen_US
dc.contributor.authorReema, Nen_US
dc.contributor.authorLahri, Sen_US
dc.contributor.authorRaja, Ren_US
dc.contributor.authorHirak, J Ren_US
dc.contributor.authorSujata, Ben_US
dc.contributor.authorDesma, Den_US
dc.contributor.authorMammen, Cen_US
dc.contributor.authorSudipta, Men_US
dc.contributor.authorManas, K Ren_US
dc.contributor.authorGaurav, Gen_US
dc.contributor.authorSwagata, Ten_US
dc.contributor.authorSatyajeet, Men_US
dc.contributor.authorAnupam, Den_US
dc.contributor.authorTushar, S Men_US
dc.contributor.authorBashir, A Fen_US
dc.contributor.authorGulnaz, Ben_US
dc.contributor.authorShaista, Nen_US
dc.contributor.authorSulochana, Den_US
dc.contributor.authorKhuraijam, R Den_US
dc.contributor.authorLangpoklakpam, C Sen_US
dc.contributor.authorPadma, Den_US
dc.contributor.authorAnudita, Ben_US
dc.contributor.authorUjjwala, Gen_US
dc.contributor.authorNeeta, Ken_US
dc.contributor.authorGeeta, Ven_US
dc.contributor.authorTanvi, Sen_US
dc.contributor.authorShristi, Jen_US
dc.contributor.authorPrachi, Ven_US
dc.contributor.authorMamta, Len_US
dc.contributor.authorPrithwis, Ben_US
dc.contributor.authorAnil, C Pen_US
dc.contributor.authorClarissa, Len_US
dc.contributor.authorRajni, Gen_US
dc.contributor.authorRushika, Sen_US
dc.contributor.authorLata, Ken_US
dc.contributor.authorVinod, Oen_US
dc.contributor.authorKamini, Wen_US
dc.date.accessioned2020-04-23T07:38:36Z
dc.date.available2020-04-23T07:38:36Z
dc.date.issued2019-09
dc.description.abstractIntroduction: 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.en_US
dc.identifier.affiliationsDepartment of Laboratory Medicine, JPNATC, All India Institute of Medical Sciences, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Orthopedics, All India Institute of Medical Sciences, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Surgery, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Safdarjung Hospital and VMMC, Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Disciplines, All India Institute of Medical Sciences, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Gastroenterolog, All India Institute of Medical Sciences, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, All India Institute of Medical Sciences, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Infectious Diseases, Christian Medical College and Hospital, Vellore, Indiaen_US
dc.identifier.affiliationsDepartment of Surgery, Christian Medical College and Hospital, Vellore, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics, Christian Medical College and Hospital, Vellore, Indiaen_US
dc.identifier.affiliationsDepartment of Clinical Microbiology, Christian Medical College and Hospital, Vellore, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, P. D. Hinduja Hospital and Medical Research Center, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Neonatology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, King George's Medical University, Lucknow, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Kasturba Medical College, Manipal, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, Kasturba Medical College, Manipal, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsDepartment of Clinical Microbiology and Immunology, Sir Ganga Ram Hospital, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Sir Ganga Ram Hospital, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Tata Medical Centre, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Armed Forces Medical College, Pune, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of AIIMS, Bhopal, Madhya Prades, Indiaen_US
dc.identifier.affiliationsDepartment of Trauma and Emergency, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Infection Control, Amrita School of Medicine, Kochi, Kerala, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Apollo Hospital, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Assam Medical College, Gwahati, Assam, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Guahati Medical College, Gwahati, Assam, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Institute of Post-Graduate Medical Education and Research, and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Haematology, Tata Medical Center, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Critical Care Medicine, Tata Medical Center, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Oncology, Tata Medical Center, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Tata Medical Center, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Regional Institute of Medical Sciences, Imphal, Manipur, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, Regional Institute of Medical Sciences, Imphal, Manipur, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Government Medical College, Surat, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Critical Care and Respiratory Medicine, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology and Critical Care, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology and IC, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, Indiaen_US
dc.identifier.citationPurva M, Randeep G, Rajesh M, Mahesh C M, 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, Subaramani K, Ebor J, Veeraraghavan B, Camilla R, Vijayalakshmi N, Vibhor T, Kuldeep S, Pradeep K B, Neeraj G, Daisy K, Vimala V, Chiranjay M, Vandana K E, Muralidhar V, Vijayshri D, Ruchita A, Kanne P, Sukanya S, Chand W, Neeraj G, Sanjay B, Sourav S, Karuna T, Saurabh S, Behera B, Sanjeev S, Thirunarayan M A, Reema N, Lahri S, Raja R, Hirak J R, Sujata B, Desma D, Mammen C, Sudipta M, Manas K R, Gaurav G, Swagata T, Satyajeet M, Anupam D, Tushar S M, Bashir A F, Gulnaz B, Shaista N, Sulochana D, Khuraijam R D, Langpoklakpam C S, Padma D, Anudita B, Ujjwala G, Neeta K, Geeta V, Tanvi S, Shristi J, Prachi V, Mamta L, Prithwis B, Anil C P, Clarissa L, Rajni G, Rushika S, Lata K, Vinod O, Kamini W. 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. 2019 Sep; 37(3): 309-317en_US
dc.identifier.issn0255-0857
dc.identifier.issn1998-3646
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/198897
dc.languageenen_US
dc.publisherIndian Association of Medical Microbiologistsen_US
dc.relation.issuenumber3en_US
dc.relation.volume37en_US
dc.source.urihttps://dx.doi.org/10.4103/ijmm.IJMM_19_445en_US
dc.subjectAntimicrobialsen_US
dc.subjectassessmenten_US
dc.subjectGlobal Health Security Agendaen_US
dc.subjectIndiaen_US
dc.subjectstewardshipen_US
dc.titleAssessment of core capacities for antimicrobial stewardship practices in indian hospitals: Report from a multicentric initiative of global health security agendaen_US
dc.typeJournal Articleen_US
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