在低收入和中等收入国家实施医院抗微生物管理计划:从全球PPS网络的多专业角度进行定性研究
Ines Pauwels1,2, Ann Versporten3,4, Diane Ashiru-Oredope5,6
1Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium. ines.pauwels@uantwerpen.be.
Antimicrobial resistance and infection control
|April 5, 2025
概括
在低收入和中等收入国家实施抗菌管理 (AMS) 面临挑战. 任务转移和地方所有权等策略有助于克服障碍,但需要更多的研究来弥合数据和行动之间的差距.
科学领域:
- 全球健康 全球健康
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 低收入和中等收入国家 (LMIC) 在实施抗菌药物管理 (AMS) 计划方面面临着独特的挑战.
- 全球点发病率调查 (Global-PPS) 监测了抗微生物药物的使用,但其在LMICs中AMS实施中的作用未得到充分探索.
- 需要进行定性研究,以了解全球PPS网络内的AMS实施流程和影响LMIC医院的因素.
研究的目的:
- 探索在参与全球点发病率调查 (Global-PPS) 的LMIC医院中实施抗菌管理 (AMS) 的过程.
- 在这些环境中确定影响AMS实施的因素.
- 评估全球PPS项目在支持AMS倡议中的作用.
主要方法:
- 一项定性研究涉及半结构化的在线访谈,对来自16个LMIC国家的22名医疗保健工作者进行了采访.
- 参与者包括临床医生,微生物学家,药剂师和参与AMS的护士.
- 采访采用了基于实践决定因素综合检查清单 (TICD检查清单) 和主题分析的主题指南.
主要成果:
- 医院从预实施到机构化的AMS阶段不等.
- 背景障碍经常阻碍将全球PPS发现转化为干预措施.
- 影响实施的关键主题包括机构支持,AMS团队的运作,建议的通过和数据驱动的决策.
结论:
- 全球PPS网络内的LMIC医院在抗菌管理 (AMS) 的实施受到机构支持,团队动态和数据利用的影响.
- 诸如任务转移和促进当地参与等策略被用来应对挑战.
- 建议进行进一步的研究,以弥合测量和行动之间的差距,并了解AMS中的行为变化.
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