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Antimicrobial stewardship capacity and infection prevention and control assessment of three health facilities in the Ashanti Region of Ghana
| Content Provider | Oxford Academic |
|---|---|
| Author | Amponsah, Obed Kwabena Offe Owusu-Ofori, Alex Ayisi-Boateng, Nana Kwame Attakorah, Joseph Opare-Addo, Mercy Naa Aduele Buabeng, Kwame Ohene |
| Copyright Year | 2022 |
| Abstract | Background: Addressing antimicrobial resistance (AMR) requires the rational use and optimization of available resources for prevention and management of infections. Structures in health facilities to support optimal antimicrobial therapy and AMR containment therefore need assessment and strengthening.ObjectivesTo assess antimicrobial stewardship (AMS) capacity and conformance to National and WHO Infection Prevention and Control (IPC) guidelines in three hospitals in Ashanti region of Ghana.MethodsA cross-sectional study using WHO's hospital questionnaire for AMS capacity assessment, and Infection Prevention and Control Framework (IPCAF) to assess IPC practices in the three hospitals.ResultsAll the facilities had Drug and Therapeutics and IPC Committees with microbiology laboratory services. H3 and H1 did not have a formal AMS programme or an organizational structure for AMS. However, both institutions had a formal procedure to review antibiotics on prescriptions for quality assessment and relevance. H2 and H1 did not participate in any surveillance of antibiotic resistance patterns or consumption. H1 had basic, while H2 and H3 had intermediate-level IPC systems scoring 385, 487.5 and 435.8 out of 800 respectively.ConclusionsAll the facilities assessed had AMS capacity and IPC conformity gaps that require strengthening to optimize antimicrobial use (AMU) and successful implementation of IPC protocols. Regular surveillance of antimicrobial consumption and microbial resistance patterns should be an integral part of activities in health institutions to generate evidence for impactful actions to contain AMR and improve AMU. |
| Related Links | https://academic.oup.com/jacamr/article-pdf/4/2/dlac034/43349106/dlac034.pdf |
| File Format | |
| e-ISSN | 26321823 |
| DOI | 10.1093/jacamr/dlac034 |
| Journal | JAC-Antimicrobial Resistance |
| Issue Number | 2 |
| Volume Number | 4 |
| Language | English |
| Publisher | Oxford Academic |
| Publisher Date | 2022-03-18 |
| Access Restriction | Open |
| Subject Keyword | Biological Sciences Medical Microbiology and Virology Medicine and Health Microbiology Pathology Science and Mathematics Antibiotics Ghana World Health Organization Guidelines Antimicrobials Antimicrobial Stewardship Infections Multi-antibiotic Resistance |
| Content Type | Text |
| Resource Type | Article |
| Subject | Microbiology (medical) Immunology and Allergy Microbiology Immunology Infectious Diseases |
