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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
PubMed

Insights

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

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.

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