Araştırma Makalesi
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Yıl 2022, Cilt: 39 Sayı: 4, 1051 - 1055, 29.10.2022

I Wayan Suranadi I Gusti Agung Gede Utara Hartawan Antonius Budi Santoso Ni Nengah Dwi Fatmawati

Öz

Kaynakça

  • 1. Dadgostar P. Antimicrobial Resistance: Implications and Costs. Infect Drug Resist. 2019;12:3903.
  • 2. Founou RC, Founou LL, Essack SY. Clinical and economic impact of antibiotic resistance in developing countries: A systematic review and meta-analysis. PLoS One. 2017;12(12).
  • 3. Romo AL, Quirós R. Appropriate use of antibiotics: an unmet need. Ther Adv Urol. 2019;11:175628721983217.
  • 4. Centers for Disease Control and Prevention. The core elements of hospital antibiotic stewardship programs: Antibiotic stewardship program assessment tool [Internet]. 2019. Available from: https://www.cdc.gov/antibiotic-use/healthcare/pdfs/assessment-tool-P.pdf
  • 5. Ministry of Health of the Republic of Indonesia. In-hospital antimicrobial stewardship guidance. Jakarta; 2020.
  • 6. Pereira NR, Castro-Sanchez E, Nathwani D. How can Multi-Professional Education Support Better Stewardship? Infect Dis Rep. 2017;9(1):1–7.
  • 7. Davey P, Marwick CA, Scott CL, Charani E, McNeil K, Brown E, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2017;2017(2).
  • 8. Nathwani D, Varghese D, Stephens J, Ansari W, Martin S, Charbonneau C. Value of hospital antimicrobial stewardship programs [ASPs]: a systematic review. Antimicrob Resist Infect Control. 2019;8(1).
  • 9. Kyaw BM, Car LT, Galen LS van, Agtmael MA van, Costelloe CE, Ajuebor O, et al. Health Professions Digital Education on Antibiotic Management: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration. J Med Internet Res. 2019;21(9).
  • 10. Satterfield J, Miesner AR, Percival KM. The role of education in antimicrobial stewardship. J Hosp Infect. 2020;105(2):130–41.
  • 11. Eldridge SM, Chan CL, Campbell MJ, Bond CM, Hopewell S, Thabane L, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ. 2016;355.
  • 12. Hawes L, Buising K, Mazza D. Antimicrobial Stewardship in General Practice: A Scoping Review of the Component Parts. Antibiotics. 2020;9(8):1–13.

Development and pilot testing of remote active learning tool as antimicrobial stewardship co-interventions

Yıl 2022, Cilt: 39 Sayı: 4, 1051 - 1055, 29.10.2022

I Wayan Suranadi I Gusti Agung Gede Utara Hartawan Antonius Budi Santoso Ni Nengah Dwi Fatmawati

Öz

Purpose: Online education tool is known for its cost-effectivity as antimicrobial stewardship intervention, yet only a limited number of studies was done in developing country settings. This pilot was therefore conducted to assess the feasibility, acceptability, and effect of the prescriber-directed distance learning model and analyze feedback for future intervention.
Patients and methods: The research procedure was outlined in preparation, conduct, and evaluation phase under antimicrobial resistance control committee supervision. The preparatory phase included learning tool planning and finalization to be disseminated in the conduct phase. Educational intervention delivery was preceded and followed with pre- and posttest to assess attendings’ knowledge, attitude, and practice regarding AMS and collect feedbacks on intervention components. Test scores were compared using paired t-test, and feedbacks were analyzed as aggregates as barriers or facilitators of AMS intervention.
Results: A total of 203 subjects were included in the analysis with 99% recruitment rate and 96.7% adherence rate. Proportions of subjects with adequate knowledge and attitudinal scores improved from initially 36.9% and 21.2% before intervention into 83.3% and 51.7%, respectively. Mean knowledge score in pretest (6.1±1.2) increased significantly in posttest (7.6±1.1) with p-value less than 0.001. Knowledge on antimicrobial classification and prescription workflow were the main topics with the least number of correct answers. Facilitators identified in the feedback were access to workflow, guideline, resistance pattern, and course, while antimicrobial availability was regarded as a barrier to optimal AMS implementation.
Conclusion: The findings suggest the feasibility and acceptability of the evaluated protocol. Protocol modification and expansion of study recruitment hold the potential to improve AMS intervention efficacy.

Anahtar Kelimeler

Antibiotic resistance Antimicrobial stewardship Distance education Multidisciplinary communication Pilot study Prescriber-directed

Kaynakça

  • 1. Dadgostar P. Antimicrobial Resistance: Implications and Costs. Infect Drug Resist. 2019;12:3903.
  • 2. Founou RC, Founou LL, Essack SY. Clinical and economic impact of antibiotic resistance in developing countries: A systematic review and meta-analysis. PLoS One. 2017;12(12).
  • 3. Romo AL, Quirós R. Appropriate use of antibiotics: an unmet need. Ther Adv Urol. 2019;11:175628721983217.
  • 4. Centers for Disease Control and Prevention. The core elements of hospital antibiotic stewardship programs: Antibiotic stewardship program assessment tool [Internet]. 2019. Available from: https://www.cdc.gov/antibiotic-use/healthcare/pdfs/assessment-tool-P.pdf
  • 5. Ministry of Health of the Republic of Indonesia. In-hospital antimicrobial stewardship guidance. Jakarta; 2020.
  • 6. Pereira NR, Castro-Sanchez E, Nathwani D. How can Multi-Professional Education Support Better Stewardship? Infect Dis Rep. 2017;9(1):1–7.
  • 7. Davey P, Marwick CA, Scott CL, Charani E, McNeil K, Brown E, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2017;2017(2).
  • 8. Nathwani D, Varghese D, Stephens J, Ansari W, Martin S, Charbonneau C. Value of hospital antimicrobial stewardship programs [ASPs]: a systematic review. Antimicrob Resist Infect Control. 2019;8(1).
  • 9. Kyaw BM, Car LT, Galen LS van, Agtmael MA van, Costelloe CE, Ajuebor O, et al. Health Professions Digital Education on Antibiotic Management: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration. J Med Internet Res. 2019;21(9).
  • 10. Satterfield J, Miesner AR, Percival KM. The role of education in antimicrobial stewardship. J Hosp Infect. 2020;105(2):130–41.
  • 11. Eldridge SM, Chan CL, Campbell MJ, Bond CM, Hopewell S, Thabane L, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ. 2016;355.
  • 12. Hawes L, Buising K, Mazza D. Antimicrobial Stewardship in General Practice: A Scoping Review of the Component Parts. Antibiotics. 2020;9(8):1–13.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Clinical Research
Yazarlar

I Wayan Suranadi 0000-0002-8444-1633

I Gusti Agung Gede Utara Hartawan Bu kişi benim 0000-0003-1557-6291

Antonius Budi Santoso Bu kişi benim 0000-0002-3260-9799

Ni Nengah Dwi Fatmawati Bu kişi benim 0000-0002-3942-1449

Yayımlanma Tarihi 29 Ekim 2022
Gönderilme Tarihi 29 Temmuz 2022
Kabul Tarihi 16 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 39 Sayı: 4

Kaynak Göster

APA Suranadi, I. W., Hartawan, I. G. A. G. U., Santoso, A. B., Fatmawati, N. N. D. (2022). Development and pilot testing of remote active learning tool as antimicrobial stewardship co-interventions. Journal of Experimental and Clinical Medicine, 39(4), 1051-1055.
AMA Suranadi IW, Hartawan IGAGU, Santoso AB, Fatmawati NND. Development and pilot testing of remote active learning tool as antimicrobial stewardship co-interventions. J. Exp. Clin. Med. Ekim 2022;39(4):1051-1055.
Chicago Suranadi, I Wayan, I Gusti Agung Gede Utara Hartawan, Antonius Budi Santoso, ve Ni Nengah Dwi Fatmawati. “Development and Pilot Testing of Remote Active Learning Tool As Antimicrobial Stewardship Co-Interventions”. Journal of Experimental and Clinical Medicine 39, sy. 4 (Ekim 2022): 1051-55.
EndNote Suranadi IW, Hartawan IGAGU, Santoso AB, Fatmawati NND (01 Ekim 2022) Development and pilot testing of remote active learning tool as antimicrobial stewardship co-interventions. Journal of Experimental and Clinical Medicine 39 4 1051–1055.
IEEE I. W. Suranadi, I. G. A. G. U. Hartawan, A. B. Santoso, ve N. N. D. Fatmawati, “Development and pilot testing of remote active learning tool as antimicrobial stewardship co-interventions”, J. Exp. Clin. Med., c. 39, sy. 4, ss. 1051–1055, 2022.
ISNAD Suranadi, I Wayan vd. “Development and Pilot Testing of Remote Active Learning Tool As Antimicrobial Stewardship Co-Interventions”. Journal of Experimental and Clinical Medicine 39/4 (Ekim 2022), 1051-1055.
JAMA Suranadi IW, Hartawan IGAGU, Santoso AB, Fatmawati NND. Development and pilot testing of remote active learning tool as antimicrobial stewardship co-interventions. J. Exp. Clin. Med. 2022;39:1051–1055.
MLA Suranadi, I Wayan vd. “Development and Pilot Testing of Remote Active Learning Tool As Antimicrobial Stewardship Co-Interventions”. Journal of Experimental and Clinical Medicine, c. 39, sy. 4, 2022, ss. 1051-5.
Vancouver Suranadi IW, Hartawan IGAGU, Santoso AB, Fatmawati NND. Development and pilot testing of remote active learning tool as antimicrobial stewardship co-interventions. J. Exp. Clin. Med. 2022;39(4):1051-5.
 Kapak Resmi İndir

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