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Self-reported antibiotic stewardship and infection control measures from 57 intensive care units: An international ID-IRI survey

Journal of Infection and Public Health2022Vol. 15(9), pp. 950–954

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Rehab El-Sokkary, Hakan Erdem, Ravina Kullar, Abdullah Umut Pekok, Fatma Amer, Svjetlana Grgić, Biljana Carević, Amani El‐Kholy, Anna Líšková, Mehmet Özdemir, Ejaz Ahmad Khan, Yeşim Uygun Kızmaz, Nenad Pandak, Nirav Pandya, Jurica Arapović, Rıdvan Karaali, Nefise Öztoprak, Michael M. Petrov, Rami Alabadla, Handan Alay, Jehan Ali El Kholy, Caroline Landelle, Reham Khedr, Dhruv Mamtora, Gorana Dragovac, Ricardo Fernandez, Emine Ünal Evren, Lul Raka, Antonio Cascio, Nicolás Dauby, Ahsen Öncül, Şafak Özer Balın, Yasemin Çağ, Natalia Dirani, Mustafa Doğan, Irina Magdalena Dumitru, Maha Ali Gad, Ilad Alavi Darazam, Behrouz Naghili, Rosa Fontana Del Vecchio, Monica Licker, Andrea Marıno, Nasim Akhtar, Mostafa M. Kamal, Goffredo Angioni, Deana Medić, Aliye Esmaoğlu, Szabo Balint Gergely, André Silva‐Pinto, Lurdes Santos, Ionela-Larisa Miftode, Recep Tekin, Phunsup Wongsurakiat, Mumtaz Ali Khan, Yeşim Kürekçi, Pilli Hema Prakash Kumari, Krsto Grozdanovski, Egidia Miftode, Rusmir Baljić, Serhat Uysal, Haluk Vahabolgu, Jordi Rello

Abstract

We explored the self-reported antibiotic stewardship (AS), and infection prevention and control (IPC) activities in intensive care units (ICUs) of different income settings. A cross-sectional study was conducted using an online questionnaire to collect data about IPC and AS measures in participating ICUs. The study participants were Infectious Diseases-International Research Initiative (IDI-IR) members, committed as per their institutional agreement form. We analyzed responses from 57 ICUs in 24 countries (Lower-middle income (LMI), n = 13; Upper-middle income (UMI), n = 33; High-income (HI), n = 11). This represented (~5%) of centers represented in the ID-IRI. Surveillance programs were implemented in (76.9%-90.9%) of ICUs with fewer contact precaution measures in LMI ones (p = 0.02); (LMI:69.2%, UMI:97%, HI:100%). Participation in regional antimicrobial resistance programs was more significantly applied in HI (p = 0.02) (LMI:38.4%,UMI:81.8%,HI:72.2%). AS programs are implemented in 77.2% of institutions with AS champions in 66.7%. Infectious diseases physicians and microbiologists are members of many AS teams (59%&50%) respectively. Unqualified healthcare professionals(42.1%), and deficient incentives(28.1%) are the main barriers to implementing AS. We underscore the existing differences in IPC and AS programs' implementation, team composition, and faced barriers. Continuous collaboration and sharing best practices on APM is needed. The role of regional and international organizations should be encouraged. Global support for capacity building of healthcare practitioners is warranted.

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Abstract

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