Cargando…
Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa
Antimicrobial Resistance (AMR) is a growing global health challenge that threatens to undo gains in human and animal health. Prevention and control of AMR requires functional antimicrobial stewardship (AMS) program, which is complex and often difficult to implement in low- and middle-income countrie...
Autores principales: | , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10044650/ https://www.ncbi.nlm.nih.gov/pubmed/36978291 http://dx.doi.org/10.3390/antibiotics12030424 |
_version_ | 1784913397443198976 |
---|---|
author | Lakoh, Sulaiman Bawoh, Mohamed Lewis, Hannah Jalloh, Ishmael Thomas, Catherine Barlatt, Shuwary Jalloh, Abdulai Deen, Gibrilla F. Russell, James B. W. Kabba, Mustapha S. Batema, Moses N. P. Borgstein, Cecily Sesay, Noah Sesay, Daniel Nagi, Navjeet K. Firima, Emmanuel Thomas, Suzanne |
author_facet | Lakoh, Sulaiman Bawoh, Mohamed Lewis, Hannah Jalloh, Ishmael Thomas, Catherine Barlatt, Shuwary Jalloh, Abdulai Deen, Gibrilla F. Russell, James B. W. Kabba, Mustapha S. Batema, Moses N. P. Borgstein, Cecily Sesay, Noah Sesay, Daniel Nagi, Navjeet K. Firima, Emmanuel Thomas, Suzanne |
author_sort | Lakoh, Sulaiman |
collection | PubMed |
description | Antimicrobial Resistance (AMR) is a growing global health challenge that threatens to undo gains in human and animal health. Prevention and control of AMR requires functional antimicrobial stewardship (AMS) program, which is complex and often difficult to implement in low- and middle-income countries. We aimed to describe the processes of establishing and implementing an AMS program at Connaught Hospital in Sierra Leone. The project involved the setting up of an AMS program, capacity building and performing a global point prevalence survey (GPPS) at Sierra Leone’s national referral hospital. Connaught Hospital established a multidisciplinary AMS subcommittee in 2021 to provide AMS services such as awareness campaigns, education and training and review of guidelines. We performed a GPPS on 175 patients, of whom more than half (98, 56.0%) were prescribed an antibiotic: 63 (69.2%) in the surgical wards and 53 (51.2%) in the medical wards. Ceftriaxone (60, 34.3%) and metronidazole (53, 30.3%) were the most common antibiotics prescribed to patients. In conclusion, it is feasible to establish and implement an AMS program in low-income countries, where most hospitalized patients were prescribed an antibiotic. |
format | Online Article Text |
id | pubmed-10044650 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100446502023-03-29 Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa Lakoh, Sulaiman Bawoh, Mohamed Lewis, Hannah Jalloh, Ishmael Thomas, Catherine Barlatt, Shuwary Jalloh, Abdulai Deen, Gibrilla F. Russell, James B. W. Kabba, Mustapha S. Batema, Moses N. P. Borgstein, Cecily Sesay, Noah Sesay, Daniel Nagi, Navjeet K. Firima, Emmanuel Thomas, Suzanne Antibiotics (Basel) Article Antimicrobial Resistance (AMR) is a growing global health challenge that threatens to undo gains in human and animal health. Prevention and control of AMR requires functional antimicrobial stewardship (AMS) program, which is complex and often difficult to implement in low- and middle-income countries. We aimed to describe the processes of establishing and implementing an AMS program at Connaught Hospital in Sierra Leone. The project involved the setting up of an AMS program, capacity building and performing a global point prevalence survey (GPPS) at Sierra Leone’s national referral hospital. Connaught Hospital established a multidisciplinary AMS subcommittee in 2021 to provide AMS services such as awareness campaigns, education and training and review of guidelines. We performed a GPPS on 175 patients, of whom more than half (98, 56.0%) were prescribed an antibiotic: 63 (69.2%) in the surgical wards and 53 (51.2%) in the medical wards. Ceftriaxone (60, 34.3%) and metronidazole (53, 30.3%) were the most common antibiotics prescribed to patients. In conclusion, it is feasible to establish and implement an AMS program in low-income countries, where most hospitalized patients were prescribed an antibiotic. MDPI 2023-02-21 /pmc/articles/PMC10044650/ /pubmed/36978291 http://dx.doi.org/10.3390/antibiotics12030424 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Lakoh, Sulaiman Bawoh, Mohamed Lewis, Hannah Jalloh, Ishmael Thomas, Catherine Barlatt, Shuwary Jalloh, Abdulai Deen, Gibrilla F. Russell, James B. W. Kabba, Mustapha S. Batema, Moses N. P. Borgstein, Cecily Sesay, Noah Sesay, Daniel Nagi, Navjeet K. Firima, Emmanuel Thomas, Suzanne Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
title | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
title_full | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
title_fullStr | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
title_full_unstemmed | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
title_short | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
title_sort | establishing an antimicrobial stewardship program in sierra leone: a report of the experience of a low-income country in west africa |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10044650/ https://www.ncbi.nlm.nih.gov/pubmed/36978291 http://dx.doi.org/10.3390/antibiotics12030424 |
work_keys_str_mv | AT lakohsulaiman establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT bawohmohamed establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT lewishannah establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT jallohishmael establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT thomascatherine establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT barlattshuwary establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT jallohabdulai establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT deengibrillaf establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT russelljamesbw establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT kabbamustaphas establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT batemamosesnp establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT borgsteincecily establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT sesaynoah establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT sesaydaniel establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT naginavjeetk establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT firimaemmanuel establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica AT thomassuzanne establishinganantimicrobialstewardshipprograminsierraleoneareportoftheexperienceofalowincomecountryinwestafrica |