Antimicrobial Stewardship Programmes in Brazil: introductory analysis

Detalhes bibliográficos
Autor(a) principal: Menezes, Rochele Mosmann
Data de Publicação: 2022
Outros Autores: Gonçalves, Mara Rubia Santos, Costa, Magda Machado de Miranda, Krumennauer, Eliane Carlosso, Carneiro, Géssica Milani, Reuter, Cézane Priscila, Renner, Jane Dagmar Pollo, Carneiro, Marcelo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/29444
Resumo: Introduction: Antimicrobial Stewardship Program (ASP) aims to reeducate the use of antimicrobials. Objective: To manage and evaluate the implementation of ASP in an Adult Intensive Care Unit in Brazilian hospitals. Method: Prospective cross-sectional study, reporting introductory data and factors that advised and helped to implement the ASP in 954 (55.6%) hospitals, corresponding to 25,565 beds, from all 27 Brazilian states.Results: Of the 954 hospitals, 453 (47.5%) have ASP, with the most regular factors being: 369 (81.5%) top management support; 343 (75.7%) availability of clinical protocols; 276 (60.9%) support and adherence by doctors and 259 (57.2%) official definition of the management team. The most difficult causes were: 202 (44.6%) operational team without defined or insufficient time; 134 (29.6%) lack of information technology support; 173 (38.2%) resistance or opposition from doctors and 116 (25.6%) lack of commitment from the teams. Conclusion: the implementation of ASP is an executable proposal for the optimization and rational use in the management of antimicrobials. In Brazil, this proposal will collaborate for direct actions in ICUs, guided by the government, with a relevant impact on the control of antimicrobial resistance. In Brazil, this proposal will contribute to direct actions in ICUs, guided by the government, with a relevant impact on the control of antimicrobial resistance. Brazil needs to improve all elements, with education and definition of responsibilities and professionals.
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spelling Antimicrobial Stewardship Programmes in Brazil: introductory analysisAntimicrobial Stewardship Programmesen Brasil: análisis introductorioAntimicrobial Stewardship Programmes no Brasil: análise introdutória Resistência antimicrobianaStewardshipAntimicrobianos.Resistencia a los antimicrobianosStewardshipAntimicrobianos.Antimicrobial resistanceStewardshipAntimicrobial.Introduction: Antimicrobial Stewardship Program (ASP) aims to reeducate the use of antimicrobials. Objective: To manage and evaluate the implementation of ASP in an Adult Intensive Care Unit in Brazilian hospitals. Method: Prospective cross-sectional study, reporting introductory data and factors that advised and helped to implement the ASP in 954 (55.6%) hospitals, corresponding to 25,565 beds, from all 27 Brazilian states.Results: Of the 954 hospitals, 453 (47.5%) have ASP, with the most regular factors being: 369 (81.5%) top management support; 343 (75.7%) availability of clinical protocols; 276 (60.9%) support and adherence by doctors and 259 (57.2%) official definition of the management team. The most difficult causes were: 202 (44.6%) operational team without defined or insufficient time; 134 (29.6%) lack of information technology support; 173 (38.2%) resistance or opposition from doctors and 116 (25.6%) lack of commitment from the teams. Conclusion: the implementation of ASP is an executable proposal for the optimization and rational use in the management of antimicrobials. In Brazil, this proposal will collaborate for direct actions in ICUs, guided by the government, with a relevant impact on the control of antimicrobial resistance. In Brazil, this proposal will contribute to direct actions in ICUs, guided by the government, with a relevant impact on the control of antimicrobial resistance. Brazil needs to improve all elements, with education and definition of responsibilities and professionals.Introducción: El Programa de Administración de Antimicrobianos (ASP) tiene como objetivo reeducar el uso de antimicrobianos. Objetivo: Gestionar y evaluar la implementación de ASP en la Unidad de Cuidados Intensivos de Adultos en hospitales brasileños. Método: Estudio transversal prospectivo, relatando datos preliminares y factores que aconsejaron y ayudaron a implementar el ASP en 954 (55,6%) hospitales, correspondientes a 25.565 camas, de los 27 estados brasileños. Resultados: De los 954 hospitales, 453 (47,5%) cuentan con ASP, siendo los factores más comunes: 369 (81,5%) apoyo de la alta dirección; 343 (75,7%) disponibilidad de protocolos clínicos; 276 (60,9%) médicos apoyaron y adhirieron y 259 (57,2%) definieron el equipo directivo oficial. Las causas más difíciles fueron: 202 (44,6%) equipo operativo sin tiempo definido o insuficiente; 134 (29,6%) falta de soporte informático; 173 (38,2%) resistencia u oposición de los médicos y 116 (25,6%) falta de compromiso de los equipos. Conclusión: la implementación de ASP es una propuesta ejecutable para la optimización y uso racional en el manejo de antimicrobianos. En Brasil, esta propuesta colaborará para acciones directas en las UCI, guiadas por el gobierno, con impacto relevante en el control de la resistencia a los antimicrobianos. Brasil necesita mejorar todos los elementos, priorizando la definición de responsabilidades y la educación de profesionales y familiares.Introdução: Antimicrobial Stewardship Program (ASP) tem como objetivo reeducação no uso de antimicrobianos. Objetivo: Gerenciar e avaliar a implementação ASP em Unidade de Terapia Intensiva Adulto nos hospitais brasileiros. Método: Estudo prospectivo transversal, relatando os dados introdutórios e as fatores que assessoraram e auxiliaram para implementação do ASP em 954 (55,6%) hospitais, correspondendo à 25.565 leitos, de todos os 27 estados btasileiros. Resultados: Dos 954 hospitais, 453 (47,5%) dispõem de ASP, sendo os fatores mais regulares: 369 (81,5%) apoio da alta direção; 343 (75,7%) disponibilidade de protocolos clínicos; 276 (60,9%) apoio e adesão por parte dos médicos e 259 (57,2%) definição oficial time gestor. As causas que mais dificultaram foram: 202 (44,6%) time operacional sem tempo definido ou insuficiente; 134 (29,6%) inexistência de suporte de tecnologia da informação; 173 (38,2%) resistência ou oposição dos médicos e 116 (25,6%) falta de comprometimento das equipes. Conclusão: a implementação de ASP é uma proposta executável para a otimização e uso racional no manejo de antimicrobianos. No Brasil, esta proposta colaborará para as atuações direta nas UTIs, orientadas pelo governo, com um impacto relevante no controle da resistência antimicrobiana. O Brasil precisa aprimorar todos os elementos, com prioridade a definição das responsabilidades e educação dos profissionais e familiares. Research, Society and Development2022-06-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2944410.33448/rsd-v11i7.29444Research, Society and Development; Vol. 11 No. 7; e51011729444Research, Society and Development; Vol. 11 Núm. 7; e51011729444Research, Society and Development; v. 11 n. 7; e510117294442525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/29444/26111Copyright (c) 2022 Rochele Mosmann Menezes; Mara Rubia Santos Gonçalves; Magda Machado de Miranda Costa; Eliane Carlosso Krumennauer; Géssica Milani Carneiro; Cézane Priscila Reuter; Jane Dagmar Pollo Renner; Marcelo Carneirohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMenezes, Rochele MosmannGonçalves, Mara Rubia Santos Costa, Magda Machado de MirandaKrumennauer, Eliane Carlosso Carneiro, Géssica Milani Reuter, Cézane PriscilaRenner, Jane Dagmar Pollo Carneiro, Marcelo2022-06-06T15:12:05Zoai:ojs.pkp.sfu.ca:article/29444Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:46:31.447934Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Antimicrobial Stewardship Programmes in Brazil: introductory analysis
Antimicrobial Stewardship Programmesen Brasil: análisis introductorio
Antimicrobial Stewardship Programmes no Brasil: análise introdutória
title Antimicrobial Stewardship Programmes in Brazil: introductory analysis
spellingShingle Antimicrobial Stewardship Programmes in Brazil: introductory analysis
Menezes, Rochele Mosmann
Resistência antimicrobiana
Stewardship
Antimicrobianos.
Resistencia a los antimicrobianos
Stewardship
Antimicrobianos.
Antimicrobial resistance
Stewardship
Antimicrobial.
title_short Antimicrobial Stewardship Programmes in Brazil: introductory analysis
title_full Antimicrobial Stewardship Programmes in Brazil: introductory analysis
title_fullStr Antimicrobial Stewardship Programmes in Brazil: introductory analysis
title_full_unstemmed Antimicrobial Stewardship Programmes in Brazil: introductory analysis
title_sort Antimicrobial Stewardship Programmes in Brazil: introductory analysis
author Menezes, Rochele Mosmann
author_facet Menezes, Rochele Mosmann
Gonçalves, Mara Rubia Santos
Costa, Magda Machado de Miranda
Krumennauer, Eliane Carlosso
Carneiro, Géssica Milani
Reuter, Cézane Priscila
Renner, Jane Dagmar Pollo
Carneiro, Marcelo
author_role author
author2 Gonçalves, Mara Rubia Santos
Costa, Magda Machado de Miranda
Krumennauer, Eliane Carlosso
Carneiro, Géssica Milani
Reuter, Cézane Priscila
Renner, Jane Dagmar Pollo
Carneiro, Marcelo
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Menezes, Rochele Mosmann
Gonçalves, Mara Rubia Santos
Costa, Magda Machado de Miranda
Krumennauer, Eliane Carlosso
Carneiro, Géssica Milani
Reuter, Cézane Priscila
Renner, Jane Dagmar Pollo
Carneiro, Marcelo
dc.subject.por.fl_str_mv Resistência antimicrobiana
Stewardship
Antimicrobianos.
Resistencia a los antimicrobianos
Stewardship
Antimicrobianos.
Antimicrobial resistance
Stewardship
Antimicrobial.
topic Resistência antimicrobiana
Stewardship
Antimicrobianos.
Resistencia a los antimicrobianos
Stewardship
Antimicrobianos.
Antimicrobial resistance
Stewardship
Antimicrobial.
description Introduction: Antimicrobial Stewardship Program (ASP) aims to reeducate the use of antimicrobials. Objective: To manage and evaluate the implementation of ASP in an Adult Intensive Care Unit in Brazilian hospitals. Method: Prospective cross-sectional study, reporting introductory data and factors that advised and helped to implement the ASP in 954 (55.6%) hospitals, corresponding to 25,565 beds, from all 27 Brazilian states.Results: Of the 954 hospitals, 453 (47.5%) have ASP, with the most regular factors being: 369 (81.5%) top management support; 343 (75.7%) availability of clinical protocols; 276 (60.9%) support and adherence by doctors and 259 (57.2%) official definition of the management team. The most difficult causes were: 202 (44.6%) operational team without defined or insufficient time; 134 (29.6%) lack of information technology support; 173 (38.2%) resistance or opposition from doctors and 116 (25.6%) lack of commitment from the teams. Conclusion: the implementation of ASP is an executable proposal for the optimization and rational use in the management of antimicrobials. In Brazil, this proposal will collaborate for direct actions in ICUs, guided by the government, with a relevant impact on the control of antimicrobial resistance. In Brazil, this proposal will contribute to direct actions in ICUs, guided by the government, with a relevant impact on the control of antimicrobial resistance. Brazil needs to improve all elements, with education and definition of responsibilities and professionals.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-03
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dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/29444
10.33448/rsd-v11i7.29444
url https://rsdjournal.org/index.php/rsd/article/view/29444
identifier_str_mv 10.33448/rsd-v11i7.29444
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/29444/26111
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info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 7; e51011729444
Research, Society and Development; Vol. 11 Núm. 7; e51011729444
Research, Society and Development; v. 11 n. 7; e51011729444
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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