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. 2022 Sep;15(9):950-954.
doi: 10.1016/j.jiph.2022.07.009. Epub 2022 Jul 25.

Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey

Rehab El-Sokkary  1 , Hakan Erdem  2 , Ravina Kullar  3 , Abdullah Umut Pekok  4 , Fatma Amer  1 , Svjetlana Grgić  5 , Biljana Carevic  6 , Amani El-Kholy  7 , Anna Liskova  8 , Mehmet Özdemir  9 , Ejaz Ahmed Khan  10 , Yesim Uygun Kizmaz  11 , Nenad Pandak  12 , Nirav Pandya  13 , Jurica Arapović  14 , Rıdvan Karaali  15 , Nefise Oztoprak  16 , Michael M Petrov  17 , Rami Alabadla  18 , Handan Alay  19 , Jehan Ali El Kholy  20 , Caroline Landelle  21 , Reham Khedr  22 , Dhruv Mamtora  23 , Gorana Dragovac  24 , Ricardo Fernandez  25 , Emine Unal Evren  26 , Lul Raka  27 , Antonio Cascio  28 , Nicolas Dauby  29 , Ahsen Oncul  30 , Safak Ozer Balin  31 , Yasemin Cag  32 , Natalia Dirani  33 , Mustafa Dogan  34 , Irina Magdalena Dumitru  35 , Maha Ali Gad  36 , Ilad Alavi Darazam  37 , Behrouz Naghili  38 , Rosa Fontana Del Vecchio  39 , Monica Licker  40 , Andrea Marino  41 , Nasim Akhtar  42 , Mostafa Kamal  43 , Goffredo Angioni  44 , Deana Medić  45 , Aliye Esmaoğlu  46 , Szabo Balint Gergely  47 , André Silva-Pinto  48 , Lurdes Santos  48 , Ionela Larisa Miftode  49 , Recep Tekin  50 , Phunsup Wongsurakiat  51 , Mumtaz Ali Khan  52 , Yesim Kurekci  53 , Hema Prakash Pilli  54 , Krsto Grozdanovski  55 , Egidia Miftode  49 , Rusmir Baljic  56 , Serhat Uysal  57 , Haluk Vahabolgu  32 , Jordi Rello  58
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Free article

Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey

Rehab El-Sokkary et al. J Infect Public Health. 2022 Sep.
Free article

Abstract

We explored the self-reported antibiotic stewardship (AS), and infection prevention and control (IPC) activities in intensive care units (ICUs) of different income settings. A cross-sectional study was conducted using an online questionnaire to collect data about IPC and AS measures in participating ICUs. The study participants were Infectious Diseases-International Research Initiative (IDI-IR) members, committed as per their institutional agreement form. We analyzed responses from 57 ICUs in 24 countries (Lower-middle income (LMI), n = 13; Upper-middle income (UMI), n = 33; High-income (HI), n = 11). This represented (~5%) of centers represented in the ID-IRI. Surveillance programs were implemented in (76.9%-90.9%) of ICUs with fewer contact precaution measures in LMI ones (p = 0.02); (LMI:69.2%, UMI:97%, HI:100%). Participation in regional antimicrobial resistance programs was more significantly applied in HI (p = 0.02) (LMI:38.4%,UMI:81.8%,HI:72.2%). AS programs are implemented in 77.2% of institutions with AS champions in 66.7%. Infectious diseases physicians and microbiologists are members of many AS teams (59%&50%) respectively. Unqualified healthcare professionals(42.1%), and deficient incentives(28.1%) are the main barriers to implementing AS. We underscore the existing differences in IPC and AS programs' implementation, team composition, and faced barriers. Continuous collaboration and sharing best practices on APM is needed. The role of regional and international organizations should be encouraged. Global support for capacity building of healthcare practitioners is warranted.

Keywords: Infection control; Low- and upper-middle and high income; MDROs; Multidrug resistance; Pan drug resistance; Stewardship.

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