Research on Practice of Antimicrobial Stewardship in Shanghai Public Hospitals
- VernacularTitle:上海市公立医院抗菌药物科学化管理实践研究
- Author:
Yixue GUO
1
;
Jing DU
;
Shiyi TU
Author Information
1. 复旦大学公共卫生学院·国家卫生健康委员会卫生技术评估重点实验室(复旦大学) 上海 200032
- Keywords:
Antimicrobial Stewardship;
Antimicrobial Resistance;
antibiotics;
Shanghai
- From:
Chinese Hospital Management
2024;44(9):46-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective A typical case survey and elemental analysis of the implementation of Antimicrobial Steward-ship(AMS)in a medical institution in Shanghai,summarize the excellent experience of AMS in practice,and pro-vide a reference for the further promotion and implementation of AMS in the future.Methods Through purposive sam-pling,7 typical hospitals in Shanghai were selected as sampling hospitals,and key informed persons of AMS were invited to conduct semi-structured interviews.Based on the core elements of AMS theory,it conducted subject analysis to summarize the implementation and excellent practical experience of AMS in hospitals.Results The sample hospitals are excellent in the AMS elements of leadership and accountability,but need to be further strengthened in training,tracking and reporting.On the basis of routine bundle of interventions,some hospitals actively explored and expanded AMS actions according to their own disciplinary advantages.Combined with a series of internal and ex-ternal control measures,AMS strategy with the characteristics of hospitals has been formed,and the related indica-tors of antibiotics in hospitals have been improved.Conclusion In the follow-up process of AMS,hospitals can draw on excellent experience,carry out the appropriate AMS strategy on the basis of consolidating their own governance structure and routine interventions.Besides,relevant departments should increase investment in AMS information systems and human resources in hospitals to ensure the implementation of AMS.