Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review
Objectives. To examine published antimicrobial stewardship (AMS) initiatives in hospitals in Latin America and the Caribbean (LAC) in order to characterize AMS terminology usage, geotemporality, and elements of structure (human resources), process (interventions), and outcomes, and to set priority a...
Published in: | Revista Panamericana de Salud Pública |
---|---|
Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
2020
|
Subjects: | |
Online Access: | https://doi.org/10.26633/RPSP.2020.68 https://doaj.org/article/0b8312bb61584871b8432c55d4c1a818 |
id |
ftdoajarticles:oai:doaj.org/article:0b8312bb61584871b8432c55d4c1a818 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:0b8312bb61584871b8432c55d4c1a818 2023-05-15T15:12:13+02:00 Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review Jennifer Hegewisch-Taylor Anahí Dreser-Mansilla Julián Romero-Mónico Gabriel Levy-Hara 2020-09-01T00:00:00Z https://doi.org/10.26633/RPSP.2020.68 https://doaj.org/article/0b8312bb61584871b8432c55d4c1a818 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/52459 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.68 https://doaj.org/article/0b8312bb61584871b8432c55d4c1a818 Revista Panamericana de Salud Pública, Vol 44, Iss 68, Pp 1-11 (2020) antimicrobial stewardship drug resistance microbial hospital latin america caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.26633/RPSP.2020.68 2022-12-31T05:42:21Z Objectives. To examine published antimicrobial stewardship (AMS) initiatives in hospitals in Latin America and the Caribbean (LAC) in order to characterize AMS terminology usage, geotemporality, and elements of structure (human resources), process (interventions), and outcomes, and to set priority areas for improving AMS reporting. Methods. This was a scoping review that searched PubMed, LILACS, EMBASE, and 12 other databases, along with a manual search for academic and grey literature to identify documents on AMS initiatives in hospitals in 33 countries of LAC, up to August 2019. Keywords included ‘antibiotic’ or ‘antimicrobial’ AND ‘stewardship, policy, strategies, management, control, rational use, appropriate use, surveillance, or interventions’ and 33 country names. Results. Selected articles totalled 147 studies published in 1985 – 2019; of those, 22% used ‘antimicrobial stewardship’ in the title. Eighteen countries published AMS hospital initiatives, one-half of which were implemented in capital cities. Brazil, Argentina, Colombia, Cuba, Mexico, and Chile, in descending frequency, made up > 59% of published initiatives. Educational interventions were the most frequently reported, followed by persuasive and restrictive strategies. Antimicrobial consumption was the most common outcome measure reported. About one-third of the studies (35%) referred to baseline measures-only in preparation for AMS interventions. Fifty-nine studies from 6 countries reported AMS comprehensively, using structure, process, and outcome (SPO) elements. Conclusions. Published hospital AMS initiatives have increased over time and have expanded across LAC. However, more programs need to be developed. Complete reporting of SPO elements is imperative to evaluating and replicating AMS actions. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Argentina Revista Panamericana de Salud Pública 44 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
antimicrobial stewardship drug resistance microbial hospital latin america caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
antimicrobial stewardship drug resistance microbial hospital latin america caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Jennifer Hegewisch-Taylor Anahí Dreser-Mansilla Julián Romero-Mónico Gabriel Levy-Hara Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review |
topic_facet |
antimicrobial stewardship drug resistance microbial hospital latin america caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objectives. To examine published antimicrobial stewardship (AMS) initiatives in hospitals in Latin America and the Caribbean (LAC) in order to characterize AMS terminology usage, geotemporality, and elements of structure (human resources), process (interventions), and outcomes, and to set priority areas for improving AMS reporting. Methods. This was a scoping review that searched PubMed, LILACS, EMBASE, and 12 other databases, along with a manual search for academic and grey literature to identify documents on AMS initiatives in hospitals in 33 countries of LAC, up to August 2019. Keywords included ‘antibiotic’ or ‘antimicrobial’ AND ‘stewardship, policy, strategies, management, control, rational use, appropriate use, surveillance, or interventions’ and 33 country names. Results. Selected articles totalled 147 studies published in 1985 – 2019; of those, 22% used ‘antimicrobial stewardship’ in the title. Eighteen countries published AMS hospital initiatives, one-half of which were implemented in capital cities. Brazil, Argentina, Colombia, Cuba, Mexico, and Chile, in descending frequency, made up > 59% of published initiatives. Educational interventions were the most frequently reported, followed by persuasive and restrictive strategies. Antimicrobial consumption was the most common outcome measure reported. About one-third of the studies (35%) referred to baseline measures-only in preparation for AMS interventions. Fifty-nine studies from 6 countries reported AMS comprehensively, using structure, process, and outcome (SPO) elements. Conclusions. Published hospital AMS initiatives have increased over time and have expanded across LAC. However, more programs need to be developed. Complete reporting of SPO elements is imperative to evaluating and replicating AMS actions. |
format |
Article in Journal/Newspaper |
author |
Jennifer Hegewisch-Taylor Anahí Dreser-Mansilla Julián Romero-Mónico Gabriel Levy-Hara |
author_facet |
Jennifer Hegewisch-Taylor Anahí Dreser-Mansilla Julián Romero-Mónico Gabriel Levy-Hara |
author_sort |
Jennifer Hegewisch-Taylor |
title |
Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review |
title_short |
Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review |
title_full |
Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review |
title_fullStr |
Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review |
title_full_unstemmed |
Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review |
title_sort |
antimicrobial stewardship in hospitals in latin america and the caribbean: a scoping review |
publisher |
Pan American Health Organization |
publishDate |
2020 |
url |
https://doi.org/10.26633/RPSP.2020.68 https://doaj.org/article/0b8312bb61584871b8432c55d4c1a818 |
geographic |
Arctic Argentina |
geographic_facet |
Arctic Argentina |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 44, Iss 68, Pp 1-11 (2020) |
op_relation |
https://iris.paho.org/handle/10665.2/52459 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.68 https://doaj.org/article/0b8312bb61584871b8432c55d4c1a818 |
op_doi |
https://doi.org/10.26633/RPSP.2020.68 |
container_title |
Revista Panamericana de Salud Pública |
container_volume |
44 |
container_start_page |
1 |
_version_ |
1766342927737421824 |