Antimicrobial stewardship programs in a Mexican private healthcare system: a self-assessment of core elements.

IF 3.4 3区 医学 Q2 INFECTIOUS DISEASES BMC Infectious Diseases Pub Date : 2024-11-06 DOI:10.1186/s12879-024-09601-9
José Iván Castillo Bejarano, Dzoara Laura Lugo Ondarza, Juan O Galindo Galindo, Daniel Siller Rodríguez, Sara Paulina Rosales-González, Susana Patricia Cantú González, Jorge Alberto Vera Delgado
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Abstract

Background: Antimicrobial stewardship programs (ASPs) refer to a set of coordinated actions that improve the quality of care and combat antimicrobial resistance. Currently, information regarding the status of ASPs in Mexico is scarce. We aimed to describe the status of ASPs in 12 hospitals from Christus Muguerza Healthcare System.

Methods: A cross-sectional study was conducted in 12 hospitals, with a previously developed self-assessment tool to calculate each hospital's ASP development score. The self-assessment tool includes 7 standards with 23 items. Score categories were defined as; high, medium, low, or none. The overall ASP development score was calculated using the proportional weight of each standard. Participating hospitals were divided into 2 groups according to their bed count. Statistical analysis was conducted in Excel program (Microsoft, Redmont, Washington).

Results: 12 hospitals completed the self-assessment survey. The median overall ASP development score was 32.3%. The highest overall development scores were observed for hospitals with > 40 beds. The core elements with the lowest development scores were Education and training, and Reporting and feedback. Unlike hospitals with over 40 beds, those with 40 beds or less had a low development score for Hospital leadership support. The core element with the highest development score was Infection prevention and control.

Conclusions: This is the first multicenter assessment of ASPs in Mexico, revealing a high proportion of low-score hospitals. National implementation of ASPs is required to combat antimicrobial resistance.

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墨西哥私立医疗系统的抗菌药物管理计划:核心要素自我评估。
背景:抗菌药物监管计划(ASPs)是指一整套协调行动,旨在提高医疗质量并对抗抗菌药物耐药性。目前,有关墨西哥抗菌药物管理计划现状的信息很少。我们旨在描述克里斯特斯-穆格萨医疗保健系统的 12 家医院的 ASPs 情况:在 12 家医院开展了一项横断面研究,使用之前开发的自我评估工具来计算每家医院的 ASP 发展得分。自我评估工具包括 7 项标准和 23 个项目。得分类别被定义为:高、中、低或无。ASP 发展总分是根据每项标准的权重比例计算得出的。根据床位数将参与医院分为两组。统计分析在 Excel 程序(Microsoft,Redmont,Washington)中进行:12 家医院完成了自我评估调查。ASP 总体发展得分的中位数为 32.3%。床位数大于 40 张的医院总体发展得分最高。发展得分最低的核心要素是教育和培训以及报告和反馈。与拥有 40 张以上床位的医院不同,拥有 40 张以下床位的医院在医院领导支持方面的发展得分较低。发展得分最高的核心要素是感染预防与控制:这是墨西哥首次对 ASP 进行多中心评估,发现低分医院的比例很高。需要在全国范围内实施 ASPs,以对抗抗菌药耐药性。
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来源期刊
BMC Infectious Diseases
BMC Infectious Diseases 医学-传染病学
CiteScore
6.50
自引率
0.00%
发文量
860
审稿时长
3.3 months
期刊介绍: BMC Infectious Diseases is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of infectious and sexually transmitted diseases in humans, as well as related molecular genetics, pathophysiology, and epidemiology.
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