Purva, MRandeep, GRajesh, MMahesh, C MSunil, GSubodh, KSushma, SNaveet, WPramod, GArti, KSurbhi, KOmika, KSonal, KManoj, SArunaloke, CPallab, RManisha, BNeelam, TPriscilla, RSubaramani, KEbor, JVeeraraghavan, BCamilla, RVijayalakshmi, NVibhor, TKuldeep, SPradeep, K, BNeeraj, GDaisy, KVimala, VChiranjay, MVandana, K EMuralidhar, VVijayshri, DRuchita, AKanne, PSukanya, SChand, WNeeraj, GSanjay, BSourav, SKaruna, TSaurabh, SBehera, BSanjeev, SThirunarayan, M AReema, NLahri, SRaja, RHirak, J RSujata, BDesma, DMammen, CSudipta, MManas, K RGaurav, GSwagata, TSatyajeet, MAnupam, DTushar, S MBashir, A FGulnaz, BShaista, NSulochana, DKhuraijam, R DLangpoklakpam, C SPadma, DAnudita, BUjjwala, GNeeta, KGeeta, VTanvi, SShristi, JPrachi, VMamta, LPrithwis, BAnil, C PClarissa, LRajni, GRushika, SLata, KVinod, OKamini, W2020-04-232020-04-232019-09Purva 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): 309-3170255-08571998-3646http://imsear.searo.who.int/handle/123456789/198897Introduction: 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.AntimicrobialsassessmentGlobal Health Security AgendaIndiastewardshipJournal ArticleIndiaDepartment of Laboratory Medicine, JPNATC, All India Institute of Medical Sciences, Kolkata, West Bengal, IndiaDepartment of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, Kolkata, West Bengal, IndiaDepartment of Orthopedics, All India Institute of Medical Sciences, Kolkata, West Bengal, IndiaDepartment of Surgery, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, IndiaDepartment of Microbiology, Safdarjung Hospital and VMMC, Delhi, IndiaDepartment of Surgical Disciplines, All India Institute of Medical Sciences, Kolkata, West Bengal, IndiaDepartment of Gastroenterolog, All India Institute of Medical Sciences, Kolkata, West Bengal, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Kolkata, West Bengal, IndiaDepartment of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Kolkata, West Bengal, IndiaDepartment of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Infectious Diseases, Christian Medical College and Hospital, Vellore, IndiaDepartment of Surgery, Christian Medical College and Hospital, Vellore, IndiaDepartment of Pediatrics, Christian Medical College and Hospital, Vellore, IndiaDepartment of Clinical Microbiology, Christian Medical College and Hospital, Vellore, IndiaDepartment of Microbiology, P. D. Hinduja Hospital and Medical Research Center, Mumbai, Maharashtra, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaDepartment of Paediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaDepartment of Anaesthesiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaDepartment of Neonatology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaDepartment of Microbiology, King George's Medical University, Lucknow, Uttar Pradesh, IndiaDepartment of Microbiology, Kasturba Medical College, Manipal, Karnataka, IndiaDepartment of Medicine, Kasturba Medical College, Manipal, Karnataka, IndiaDepartment of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra, IndiaDepartment of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, IndiaDepartment of Clinical Microbiology and Immunology, Sir Ganga Ram Hospital, Kolkata, West Bengal, IndiaDepartment of Microbiology, Sir Ganga Ram Hospital, Kolkata, West Bengal, IndiaDepartment of Microbiology, Tata Medical Centre, Kolkata, West Bengal, IndiaDepartment of Microbiology, Armed Forces Medical College, Pune, Maharashtra, IndiaDepartment of AIIMS, Bhopal, Madhya Prades, IndiaDepartment of Trauma and Emergency, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, IndiaDepartment of Infection Control, Amrita School of Medicine, Kochi, Kerala, IndiaDepartment of Microbiology, Apollo Hospital, Chennai, Tamil Nadu, IndiaDepartment of Microbiology, Assam Medical College, Gwahati, Assam, IndiaDepartment of Microbiology, Guahati Medical College, Gwahati, Assam, IndiaDepartment of Microbiology, Institute of Post-Graduate Medical Education and Research, and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, IndiaDepartment of Microbiology, Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, IndiaDepartment of Haematology, Tata Medical Center, Kolkata, West Bengal, IndiaDepartment of Critical Care Medicine, Tata Medical Center, Kolkata, West Bengal, IndiaDepartment of Surgical Oncology, Tata Medical Center, Kolkata, West Bengal, IndiaDepartment of Microbiology, Tata Medical Center, Kolkata, West Bengal, IndiaDepartment of Anaesthesiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, IndiaDepartment of Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, IndiaDepartment of Microbiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, IndiaDepartment of Microbiology, Regional Institute of Medical Sciences, Imphal, Manipur, IndiaDepartment of Anaesthesiology, Regional Institute of Medical Sciences, Imphal, Manipur, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, IndiaDepartment of Microbiology, Government Medical College, Surat, Gujarat, IndiaDepartment of Critical Care and Respiratory Medicine, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, IndiaDepartment of Anaesthesiology and Critical Care, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, IndiaDepartment of Microbiology, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, IndiaDepartment of Anaesthesiology and IC, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, IndiaDepartment of Microbiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India