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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...

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Autores principales: 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
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
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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.
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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
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