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Antimicrobial stewardship programme (AMSP) practices in India.

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Antimicrobial stewardship programs in India showed varied implementation in 2013. Private hospitals demonstrated better practices than government facilities, highlighting the need for improved infectious disease physician and pharmacist presence.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Healthcare Management

Background:

  • Antimicrobial resistance (AMR) is a growing global health threat.
  • Effective antimicrobial stewardship programmes (AMSP) are crucial for combating AMR.
  • Understanding current AMSP practices in diverse healthcare settings is essential.

Purpose of the Study:

  • To assess the implementation status of AMSP in Indian healthcare institutions in 2013.
  • To compare AMSP practices between government-funded and private healthcare institutions.
  • To identify areas for improvement in AMSP implementation.

Main Methods:

  • A cross-sectional survey was conducted among 20 tertiary care healthcare institutions (HCI) in India.
  • Data were collected via a detailed questionnaire covering AMSP, hospital infection control (HIC), and antimicrobial agent (AMA) prescription guidelines.
  • Institutions were categorized as government-funded (GHCI) or private (PHCI).

Main Results:

  • Written AMSP documents were available in 40% of HCI; HIC guidelines in 75%.
  • Antimicrobial resistance data analysis was performed by 80% of HCI, but AMA usage data analysis by only 25%.
  • Private HCI (PHCI) outperformed government HCI (GHCI) in most AMSP domains, potentially due to higher accreditation levels.

Conclusions:

  • AMSP implementation in India in 2013 was inconsistent, with significant gaps in data analysis and feedback mechanisms.
  • PHCI demonstrated superior performance compared to GHCI, suggesting the impact of accreditation and resources.
  • The scarcity of infectious diseases physicians and clinical pharmacists is a critical concern requiring immediate attention.