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Antimicrobial stewardship program in a Malaysian district hospital: first year experience

Backgrounds & Objective: Antimicrobial resistance is an alarming public health threat that requires urgent global solution. Implementation of antimicrobial stewardship program (ASP) is an essential practice element for healthcare institutions in gate-keeping judicious antimicrobial use. This stu...

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Main Authors: Yap, Diana Fui Sing, Yang, Liang Boo, Mukhlis, Roshalina, Pek, Woon Chin, Fan, Kee Hoo
Format: Article
Language:English
Published: Professional Medical Publications 2016
Online Access:http://psasir.upm.edu.my/id/eprint/55086/1/Antimicrobial%20stewardship%20program%20in%20a%20Malaysian%20district%20hospital%20first%20year%20experience.pdf
http://psasir.upm.edu.my/id/eprint/55086/
http://www.pjms.com.pk/
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spelling my.upm.eprints.550862017-12-29T05:46:51Z http://psasir.upm.edu.my/id/eprint/55086/ Antimicrobial stewardship program in a Malaysian district hospital: first year experience Yap, Diana Fui Sing Yang, Liang Boo Mukhlis, Roshalina Pek, Woon Chin Fan, Kee Hoo Backgrounds & Objective: Antimicrobial resistance is an alarming public health threat that requires urgent global solution. Implementation of antimicrobial stewardship program (ASP) is an essential practice element for healthcare institutions in gate-keeping judicious antimicrobial use. This study highlighted the development, first year experience, and result of the implementation of ASP utilizing persuasive and restrictive approaches in a Malaysian district hospital. Methods: An observational study was conducted between January 2015 to December 2015 on implementation of ASP among hospitalized inpatients age 12 years old and above. Results: Recommendations were provided for 60% of cases (110 patients) with the average acceptance rate of 83.33%. Majority of the interventions were to stop the antimicrobial therapy (30.3%), and the most common audited antimicrobials was Piperacillin/ Tazobactam (25.5%), followed by Meropenem (11.82%), Amoxicillin/Clavulanate and Vancomycin (8.18%) respectively. The concordance rate towards authorization policy was increased in 2015 (71.59% of cases) as compared before the implementation of ASP in 2014 (60.6% of cases). Restrictive enforcement under ASP had been shown to improve significantly adherence rate towards antimicrobials authorization policy (p-value: 0.004). Conclusion: ASP was successfully implemented in a district hospital. Future studies on its clinical outcomes are important to evaluate its effectiveness as well as focus on the improvement to the pre-existing strategies and measures. Professional Medical Publications 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/55086/1/Antimicrobial%20stewardship%20program%20in%20a%20Malaysian%20district%20hospital%20first%20year%20experience.pdf Yap, Diana Fui Sing and Yang, Liang Boo and Mukhlis, Roshalina and Pek, Woon Chin and Fan, Kee Hoo (2016) Antimicrobial stewardship program in a Malaysian district hospital: first year experience. Pakistan Journal of Medical Sciences, 32 (4). pp. 999-1004. ISSN 1682-024X; ESSN: 1681-715X http://www.pjms.com.pk/ 10.12669/pjms.324.9855
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Backgrounds & Objective: Antimicrobial resistance is an alarming public health threat that requires urgent global solution. Implementation of antimicrobial stewardship program (ASP) is an essential practice element for healthcare institutions in gate-keeping judicious antimicrobial use. This study highlighted the development, first year experience, and result of the implementation of ASP utilizing persuasive and restrictive approaches in a Malaysian district hospital. Methods: An observational study was conducted between January 2015 to December 2015 on implementation of ASP among hospitalized inpatients age 12 years old and above. Results: Recommendations were provided for 60% of cases (110 patients) with the average acceptance rate of 83.33%. Majority of the interventions were to stop the antimicrobial therapy (30.3%), and the most common audited antimicrobials was Piperacillin/ Tazobactam (25.5%), followed by Meropenem (11.82%), Amoxicillin/Clavulanate and Vancomycin (8.18%) respectively. The concordance rate towards authorization policy was increased in 2015 (71.59% of cases) as compared before the implementation of ASP in 2014 (60.6% of cases). Restrictive enforcement under ASP had been shown to improve significantly adherence rate towards antimicrobials authorization policy (p-value: 0.004). Conclusion: ASP was successfully implemented in a district hospital. Future studies on its clinical outcomes are important to evaluate its effectiveness as well as focus on the improvement to the pre-existing strategies and measures.
format Article
author Yap, Diana Fui Sing
Yang, Liang Boo
Mukhlis, Roshalina
Pek, Woon Chin
Fan, Kee Hoo
spellingShingle Yap, Diana Fui Sing
Yang, Liang Boo
Mukhlis, Roshalina
Pek, Woon Chin
Fan, Kee Hoo
Antimicrobial stewardship program in a Malaysian district hospital: first year experience
author_facet Yap, Diana Fui Sing
Yang, Liang Boo
Mukhlis, Roshalina
Pek, Woon Chin
Fan, Kee Hoo
author_sort Yap, Diana Fui Sing
title Antimicrobial stewardship program in a Malaysian district hospital: first year experience
title_short Antimicrobial stewardship program in a Malaysian district hospital: first year experience
title_full Antimicrobial stewardship program in a Malaysian district hospital: first year experience
title_fullStr Antimicrobial stewardship program in a Malaysian district hospital: first year experience
title_full_unstemmed Antimicrobial stewardship program in a Malaysian district hospital: first year experience
title_sort antimicrobial stewardship program in a malaysian district hospital: first year experience
publisher Professional Medical Publications
publishDate 2016
url http://psasir.upm.edu.my/id/eprint/55086/1/Antimicrobial%20stewardship%20program%20in%20a%20Malaysian%20district%20hospital%20first%20year%20experience.pdf
http://psasir.upm.edu.my/id/eprint/55086/
http://www.pjms.com.pk/
_version_ 1643835790537523200
score 13.211869

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