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Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement

(1) Background: Our aim was to develop robust and reliable systems for antimicrobial stewardship (AMS) in Keta Municipal Hospital and Ghana Police Hospital. Objectives were to build capacity through training staff in each hospital, establish AMS teams, collect data on antibiotic use and support loca...

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Autores principales: Sneddon, Jacqueline, Afriyie, Daniel, Sefah, Israel, Cockburn, Alison, Kerr, Frances, Byrne-Davis, Lucie, Cameron, Elaine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7598579/
https://www.ncbi.nlm.nih.gov/pubmed/32977691
http://dx.doi.org/10.3390/antibiotics9100636
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author Sneddon, Jacqueline
Afriyie, Daniel
Sefah, Israel
Cockburn, Alison
Kerr, Frances
Byrne-Davis, Lucie
Cameron, Elaine
author_facet Sneddon, Jacqueline
Afriyie, Daniel
Sefah, Israel
Cockburn, Alison
Kerr, Frances
Byrne-Davis, Lucie
Cameron, Elaine
author_sort Sneddon, Jacqueline
collection PubMed
description (1) Background: Our aim was to develop robust and reliable systems for antimicrobial stewardship (AMS) in Keta Municipal Hospital and Ghana Police Hospital. Objectives were to build capacity through training staff in each hospital, establish AMS teams, collect data on antibiotic use and support local quality improvement initiatives. (2) Methods: The Scottish team visited Ghana hospitals on three occasions and the Ghanaian partners paid one visit to Scotland. Regular virtual meetings and email communication were used between visits to review progress and agree on actions. (3) Results: Multi-professional AMS teams established and met monthly with formal minutes and action plans; point prevalence surveys (PPS) carried out and data collected informed a training session; 60 staff participated in training delivered by the Scottish team and Ghanaian team cascaded training to over 100 staff; evaluation of training impact demonstrated significant positive change in knowledge of antimicrobial resistance (AMR) and appropriate antibiotic use as well as improved participant attitudes and behaviours towards AMR, their role in AMS, and confidence in using the Ghana Standard Treatment Guidelines and antimicrobial app. (4) Conclusions: Key objectives were achieved and a sustainable model for AMS established in both hospitals.
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spelling pubmed-75985792020-10-31 Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement Sneddon, Jacqueline Afriyie, Daniel Sefah, Israel Cockburn, Alison Kerr, Frances Byrne-Davis, Lucie Cameron, Elaine Antibiotics (Basel) Article (1) Background: Our aim was to develop robust and reliable systems for antimicrobial stewardship (AMS) in Keta Municipal Hospital and Ghana Police Hospital. Objectives were to build capacity through training staff in each hospital, establish AMS teams, collect data on antibiotic use and support local quality improvement initiatives. (2) Methods: The Scottish team visited Ghana hospitals on three occasions and the Ghanaian partners paid one visit to Scotland. Regular virtual meetings and email communication were used between visits to review progress and agree on actions. (3) Results: Multi-professional AMS teams established and met monthly with formal minutes and action plans; point prevalence surveys (PPS) carried out and data collected informed a training session; 60 staff participated in training delivered by the Scottish team and Ghanaian team cascaded training to over 100 staff; evaluation of training impact demonstrated significant positive change in knowledge of antimicrobial resistance (AMR) and appropriate antibiotic use as well as improved participant attitudes and behaviours towards AMR, their role in AMS, and confidence in using the Ghana Standard Treatment Guidelines and antimicrobial app. (4) Conclusions: Key objectives were achieved and a sustainable model for AMS established in both hospitals. MDPI 2020-09-23 /pmc/articles/PMC7598579/ /pubmed/32977691 http://dx.doi.org/10.3390/antibiotics9100636 Text en © 2020 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sneddon, Jacqueline
Afriyie, Daniel
Sefah, Israel
Cockburn, Alison
Kerr, Frances
Byrne-Davis, Lucie
Cameron, Elaine
Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement
title Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement
title_full Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement
title_fullStr Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement
title_full_unstemmed Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement
title_short Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement
title_sort developing a sustainable antimicrobial stewardship (ams) programme in ghana: replicating the scottish triad model of information, education and quality improvement
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7598579/
https://www.ncbi.nlm.nih.gov/pubmed/32977691
http://dx.doi.org/10.3390/antibiotics9100636
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