[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Registration::
Contact us::
Site Facilities::
Indexing & Abstracting::
Publication Ethics::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Indexing & Abstracting
DOAJ
GOOGLE SCHOLAR
..
:: Volume 30, Issue 1 (1-2025) ::
__Armaghane Danesh__ 2025, 30(1): 94-115 Back to browse issues page
Identifying the Challenges and Achievements of Implementing the Antibiotic Stewardship Plan in Qom Hospitals in 2021
R Babaei1 , AR Raisi2 , M Ferdowsi1
1- Health Services Management, Isfahan University of Medical Sciences, Isfahan, Iran
2- Health Services Management, Isfahan University of Medical Sciences, Isfahan, Iran , raeisi@mng.mui.ac.ir
Abstract:   (460 Views)
Background: Controlling the use of antibiotics is necessary to prevent the development of antibiotic resistance in patients. The antibiotic stewardship plan aims to maintain and improve health standards with the systematic design of prescribing antibiotics. This project has been implemented in Iran since 2017. The purpose of the research is to investigate the achievements and challenges of the antibiotic stewardship plan in the hospitals of Qom City.
Methods: 21 experts working in Qom hospitals were interviewed. The questionnaire's validity was determined using the CVR method, and its reliability was determined using the Kappa coefficient. Finally, the interviews were coded and analyzed using the grounded theory method.
Results: The achievements of the plan include more coordination of the treatment staff, improvement of the treatment method, better monitoring of the consumption and treatment method, and more acceptance of the treatment staff. The challenges of the plan also include causal conditions (weak training, weak infrastructure, lack of specialists, lack of profitability, lack of trust in the plan, weak implementation, and non-compliance with the law), intervening conditions (coronavirus, inconsistency of doctors, time-consuming and weak performance of the active doctor (background conditions) Absence of pharmacists, lack of proper reporting and lack of patient involvement with the plan) strategies (manpower training, technological innovation, more supervision, reassuring doctors, considering financial resources for doctors) and outcomes (improving antibiotic use, reducing drug resistance, reducing Drug use and innovation in the treatment system).
Conclusion: The research findings show that the antibiotic stewardship plan's challenges are currently greater than its achievements. However, with the passage of time and the necessary training, the volume of these problems will decrease.
 
Keywords: antibiotic resistance, antibiotic stewardship, underlying theory
Full-Text [PDF 627 kb]   (52 Downloads)    
Type of Study: Research | Subject: Health Management
Received: 2024/11/9 | Accepted: 2025/05/24 | Published: 2025/05/28
attachement [DOCX 89 KB]  (24 Download)
References
1. Courvalin P. Predictable and unpredictable evolution of antibiotic resistance. Journal of Internal Medicine 2008; 264(1): 4-16.## [DOI:10.1111/j.1365-2796.2008.01940.x] [PMID]
2. So AD, Ruiz-Esparza Q, Gupta N, Cars O. 3Rs for innovating novel antibiotics: sharing resources, risks, and rewards. Bmj 2012; 344: e1782. ## [DOI:10.1136/bmj.e1782] [PMID]
3. MacDougall C, Polk RE. Variability in rates of use of antibacterials among 130 US hospitals and risk-adjustment models for interhospital comparison. Infection Control & Hospital Epidemiology 2008; 29(3): 203-11. ## [DOI:10.1086/528810] [PMID]
4. Hicks LA, Taylor Jr TH, Hunkler RJ. US outpatient antibiotic prescribing, 2010. New England Journal of Medicine 2013; 368(15): 1461-2. ## [DOI:10.1056/NEJMc1212055] [PMID]
5. Abbasian H, Hajimolaali M, Yektadoost A, Zartab S. Antibiotic utilization in Iran 2000-2016: pattern analysis and benchmarking with organization for economic co-operation and development countries. Journal of Rresearch in Pharmacy Practice 2019; 8(3): 162-7. ## [DOI:10.4103/jrpp.JRPP_19_42] [PMID] []
6. Gregory JR, Suleyman S, Barnes MN. A review of the opportunities and shortcomings of antibiotic stewardship. US Pharm 2018; 43(4): HS-7-HS-12. ##
7. Orbati ST, Tajik Esmaeili S, Khosravi N. A qualitative study of adolescent sexual education and its contextual factors with emphasis on interpersonal relations with case study: high school adolescent girls and boys residing in Tehran. Sociological Studies 2020; 12(45): 77-104. ##
8. Scott Fridkin M, Baggs J, Rubin PMA, Kimberly Y-H, McDonald M, Arjun Srinivasan M. Vital signs: improving antibiotic use among hospitalized patients. Morbidity and Mortality Weekly Report 2014; 69(9): 194-200. ##
9. Mayhall CG. Hospital epidemiology and infection control: Lippincott Williams & Wilkins; 2012. ##
10. Control CfD. Prevention. Antibiotic resistance threats in the United States, 2013 Atlanta. GA: CDC; 2013. ##
11. Davey P, Brown E, Charani E, Fenelon L, Gould IM, Holmes A, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database of Systematic Reviews 2013; 30:(4): CD003543. ## [DOI:10.1002/14651858.CD003543.pub3]
12. Fridkin S, Baggs J, Fagan R, Magill S, Pollack LA, Malpiedi P, et al. Vital signs: improving antibiotic use among hospitalized patients. Morbidity and Mortality Weekly Report 2014;63(9):194##.
13. Control CfD, Prevention. Core elements of hospital antibiotic stewardship programs. 2014. ##
14. Nazari E, Bakhshandeh Abkenar H, Karimi A, Yousofi Yeganeh B, Namdari A, Kamali M. Investigating the compliance of Carbapenem antibiotics (Meropenem and Imipenem) administration in patients undergoing open heart surgery with the standard guidelines of antibiotic stewardship. Iranian Journal of Cardiovascular Nursing 2022; 11(1): 218-27. ##
15. Patel SJ, Wellington M, Shah RM, Ferreira MJ. Antibiotic stewardship in food-producing animals: challenges, progress, and opportunities. Clinical Therapeutics 2020; 42(9): 1649-58. ## [DOI:10.1016/j.clinthera.2020.07.004] [PMID] []
16. Zetts RM, Garcia AM, Doctor JN, Gerber JS, Linder JA, Hyun DY. Primary care physicians' attitudes and perceptions towards antibiotic resistance and antibiotic stewardship: a national survey. Open Forum Infectious Diseases 2020; 7(7): ofaa244. ## [DOI:10.1093/ofid/ofaa244] [PMID] []
17. Wunderink RG, Srinivasan A, Barie PS, Chastre J, Dela Cruz CS, Douglas IS, et al. Antibiotic stewardship in the intensive care unit. An official American Thoracic Society workshop report in collaboration with the AACN, CHEST, CDC, and SCCM. Annals of the American Thoracic Society 2020; 17(5): 531-40. ## [DOI:10.1513/AnnalsATS.202003-188ST] [PMID] []
18. Goebel MC, Trautner BW, Grigoryan L. The five Ds of outpatient antibiotic stewardship for urinary tract infections. Clinical Microbiology Reviews 2021; 34(4): e00003-20. ## [DOI:10.1128/CMR.00003-20] [PMID] []
19. Gerber JS, Jackson MA, Tamma PD, Zaoutis TE, Maldonado YA, O'Leary ST, et al. Antibiotic stewardship in pediatrics. Pediatrics 2021; 147(1): e2020040295. ##
20. Bashar MA, Miot J, Shoul E, van Zyl RL. Impact of an antibiotic stewardship programme in a surgical setting. Southern African Journal of Infectious Diseases 2021; 36(1): 307. ## [DOI:10.4102/sajid.v36i1.307] [PMID] []
21. Kolar M, Htoutou Sedlakova M, Urbanek K, Mlynarcik P, Roderova M, Hricova K, et al. Implementation of antibiotic stewardship in a university hospital setting. Antibiotics 2021; 10(1): 93. ## [DOI:10.3390/antibiotics10010093] [PMID] []
22. Glasziou P, Dartnell J, Biezen R, Morgan M, Manski-Nankervis JA. Antibiotic stewardship. Australian Journal of General Practice 2022; 51(1/2): 15-20. ## [DOI:10.31128/AJGP-07-21-6088] [PMID]
23. Stenehjem E, Wallin A, Willis P, Kumar N, Seibert AM, Buckel WR, et al. Implementation of an antibiotic stewardship initiative in a large urgent care network. JAMA Network Open 2023; 6(5): e2313011-e. ## [DOI:10.1001/jamanetworkopen.2023.13011] [PMID] []
24. Aiesh BM, Nazzal MA, Abdelhaq AI, Abutaha SA, Zyoud SeH, Sabateen A. Impact of an antibiotic stewardship program on antibiotic utilization, bacterial susceptibilities, and cost of antibiotics. Scientific Reports 2023;13(1): 5040. ## [DOI:10.1038/s41598-023-32329-6] [PMID] []
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Babaei R, Raisi A, Ferdowsi M. Identifying the Challenges and Achievements of Implementing the Antibiotic Stewardship Plan in Qom Hospitals in 2021. armaghanj 2025; 30 (1) :94-115
URL: http://armaghanj.yums.ac.ir/article-1-3715-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 30, Issue 1 (1-2025) Back to browse issues page
ارمغان دانش Armaghane Danesh
Persian site map - English site map - Created in 0.03 seconds with 38 queries by YEKTAWEB 4714