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Canadian Pediatric Antimicrobial Stewardship Programs: Current Resources and Implementation Characteristics.

Jacqueline Wong¹, Kathryn Timberlake², Sabrina Boodhan²

¹1Division of Infectious Diseases,Department of Paediatrics,The Hospital for Sick Children,Toronto,Ontario,Canada.

Infection Control and Hospital Epidemiology

|January 31, 2018

Summary

Canadian hospitals require antimicrobial stewardship programs (ASPs). Most pediatric hospitals have ASPs, but their structure, strategies, and metrics vary significantly across institutions.

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Area of Science:

Infectious Diseases
Hospital Administration
Public Health Policy

Background:

Antimicrobial stewardship programs (ASPs) are crucial for combating antimicrobial resistance.
ASPs became an accreditation requirement for Canadian hospitals in 2013.
Pediatric ASPs are in diverse stages of development and implementation.

Purpose of the Study:

To assess the current status of pediatric antimicrobial stewardship programs in Canadian academic hospitals.
To identify variations in program composition, strategies, and metrics.

Main Methods:

Survey of Canadian academic pediatric hospitals regarding their ASPs.
Analysis of program development, implementation, team composition, strategies, and metrics.

Main Results:

93% of surveyed Canadian academic pediatric hospitals have established ASPs.
Significant variation exists in team composition, stewardship strategies employed, and metrics measured.
Programs are in various stages of development and implementation.

Conclusions:

While widespread adoption of pediatric ASPs in Canada is evident, standardization is lacking.
Further research and collaboration are needed to optimize pediatric stewardship practices and outcomes.
Addressing variations in ASPs is key to improving antimicrobial resistance containment in pediatric settings.