scholarly journals Nationwide cross-sectional study of antimicrobial stewardship and antifungal stewardship programs in inpatient settings in Japan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuki Moriyama  ◽  
Masahiro Ishikane ◽  
Yoshiki Kusama ◽  
Nobuaki Matsunaga ◽  
Taichi Tajima ◽  
...  

Abstract Background To prevent antimicrobial resistance, both antimicrobial stewardship (AMS) and antifungal stewardship (AFS) in inpatient settings are needed in small/middle-sized hospitals as well as large hospitals. Methods We conducted the web-based, self-administered, nationwide cross-sectional study regarding AMS and AFS in inpatient settings in Japan, targeting hospitals that participated in a hospital epidemiology workshop conducted in July 2018. The questionnaire was composed of intervention protocols for use of broad-spectrum antimicrobials and antifungals within 7 or 28 d of beginning usage. These broad-spectrum antimicrobial and antifungal protocols were compared between large (≥501beds) and small/middle-sized (≤500 beds) hospitals. Results Of 240 hospitals surveyed, 39 (16%; 18 large and 21 small/middle-sized) responded. The number of hospitals that intervened in the use of broad-spectrum antimicrobials within 7 and 28 d were 17 (44%) and 34 (87%), respectively; those that intervened for antifungals were 3 (8%) and 10 (26%), respectively. Interventions for use of broad-spectrum antimicrobials within 7 d were significantly more frequent in small/middle-sized hospitals compared to large hospitals [13 (61. 9%) vs. 4 (22. 2%), odds ratio = 5.7, 95% confidence interval = 1.4–23.3, p = 0.023]. Conclusions Small/middle-sized hospitals had more frequent interventions within 7 d of broad-spectrum antimicrobial use than large hospitals. More effort to improve AFS is needed among all hospitals.

2021 ◽  
Author(s):  
Yuki Moriyama ◽  
Masahiro Ishikane ◽  
Yoshiki Kusama ◽  
Nobuaki Matsunaga ◽  
Taichi Tajima ◽  
...  

Abstract Background To prevent antimicrobial resistance, both antimicrobial stewardship (AMS) and antifungal stewardship (AFS) in inpatient settings are needed in small/middle-sized hospitals as well as large hospitals. Methods We conducted the web-based, self-administered, nationwide cross-sectional study regarding AMS and AFS in inpatient settings in Japan, targeting hospitals that participated in a hospital epidemiology workshop conducted in July 2018. The questionnaire was composed of intervention protocols for use of broad-spectrum antimicrobials and antifungals within 7 or 28 d of beginning usage. These broad-spectrum antimicrobial and antifungal protocols were compared between large (≥ 501beds) and small/middle-sized (≤ 500 beds) hospitals. Results Of 240 hospitals surveyed, 39 (16%; 18 large and 21 small/middle-sized) responded. The number of hospitals that intervened in the use of broad-spectrum antimicrobials within 7 and 28 d were 17 (44%) and 34 (87%), respectively; those that intervened for antifungals were 3 (8%) and 10 (26%), respectively. Interventions for use of broad-spectrum antimicrobials within 7 d were significantly more frequent in small/middle-sized hospitals compared to large hospitals [13 (61. 9%) vs. 4 (22. 2%), odds ratio = 5.7, 95% confidence interval = 1.4–23.3, p = 0.023]. Conclusions Small/middle-sized hospitals had more frequent interventions within 7 d of broad-spectrum antimicrobial use than large hospitals. More effort to improve AFS is needed among all hospitals.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1144-1150
Author(s):  
Muralidharan V A ◽  
Gheena S

Covid -19 is an infectious disease caused by the newly discovered strain of coronavirus. As there is no vaccine discovered, the only way to prevent the spread is through following the practice of social isolation. But prolonged isolation may also lead to psychological stress and problems. The objective of the survey was to assess the knowledge and awareness of preventive measures against Covid 19 amongst small shop owners. A web-based cross-sectional study was conducted amongst the small shop owners.  A structured questionnaire comprising 15-17 questions had been put forth to assess the Covid 19 related knowledge and perception. The shopkeepers were contacted telephonically and responses recorded. The data analysis was performed using IBM SPSS statistics. Although the majority of the population had a positive perception about the preventive measures against the Covid spread, 36% of the shopkeepers were not aware of the preventive measures against the Covid spread. This study found optimal knowledge and perception of the preventive measures against Covid spread among the shopkeepers but misinformation and misunderstanding still prevailing. The shopkeepers are crucial in the prevention of the spread of Covid 19 and educating them might aid us in the fight against Covid- 19. 


Author(s):  
Saeed Mastour Alshahrani ◽  
Salem Dehom ◽  
Diaa Almutairi ◽  
Badr Saud Alnasser ◽  
Bandar Alsaif ◽  
...  

2021 ◽  
Author(s):  
Dalal Youssef ◽  
Linda Abou Abbas ◽  
Hamad Hassan

Abstract Background Utilizing community pharmacists (CPs) as immunizers has being adopted in various countries as approach to boost influenza vaccination coverage. Our study aims to explore the Lebanese CPs’ willingness to administer influenza vaccine, and to identify factors associated with this willingness. Methods This is a web-based, cross-sectional study, conducted over 2 months, from the 1st of November to the end of December 2020, among Lebanese CPs. An anonymous, questionnaire using google form was sent electronically to pharmacists. The collected data was analyzed using the statistical software SPSS (Statistical Package for Social Sciences). Bivariate and multivariate analyses were performed to examine factors associated with the willingness of CPs to administer influenza vaccine. Results A total of 412 CPs participated in this survey of which 76.9% are willing to administer influenza vaccines. More than 90% of them had a good overall knowledge score and 88.8% of CPs showed a positive overall attitude score, particularly towards involvement of CPs in influenza vaccine provision. Their willingness to administer vaccine was positively associated with the younger age (aOR = 3.106 with 95% CI (1.597 to 6.040)), higher education level (aOR = 2.022 with 95% CI (1.093 to 3.741)), previous experience in immunization (aOR = 2.725 with 95% CI (1.320 to 5.627)) and urbanicity of pharmacy (aOR = 1.542 with 95% CI(1.219 to 4.627)). Extensive working hours (aOR = 2.341 with 95% CI (1.131 to 4.845)), working in pharmacies that are operating round-the-clock, showing positive attitude towards immunization (aOR = 3.014 with 95% CI (1.872 to 10.422)) and towards provision of influenza vaccines (aOR = 13.721 with 95% CI (13.721 to 38.507)) were also positively associated to this willingness. Conversely, patient privacy (aOR = 0.553 with 95% CI (0.079 to 0.983)), time and cost for professional development (aOR = 0.551 with 95% CI (0.172 to 0.918)), limited patient’s trust (aOR = 0.339 with 95% CI (0.203 to 0.784)), financial remuneration (aOR = 0.182 with 95% CI (0.088 to 0.377)), and requirement of formal certification in vaccine administration (aOR = 0.182 with 95% CI (0.088 to 0.377)) were negatively associated to this willingness. Conclusion Addressing the unearthed concerns related to utilizing CPs as influenza immunizers through a concerted effort is a key to success in any future implementation of vaccination services in pharmacies.


2015 ◽  
Vol 11 (10) ◽  
pp. 1163-1169 ◽  
Author(s):  
Yuko Morita ◽  
Taeko Sasai-Sakuma ◽  
Shoichi Asaoka ◽  
Yuichi Inoue

Sign in / Sign up

Export Citation Format

Share Document