Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study

Journal of Global Antimicrobial Resistance
Saleh AlghamdiIlhem Berrou

Abstract

This study explored antimicrobial stewardship programme (ASP) team members' perspectives regarding factors influencing the adoption and implementation of these programmes in Saudi hospitals. This was a qualitative study based on face-to-face semistructured interviews with healthcare professionals involved in ASPs and activities across three Ministry of Health (MoH) hospitals in Saudi Arabia (n = 18). Interviews were also conducted with two representatives of a General Directorate of Health Affairs in a Saudi region and two representatives of the Saudi MoH (n = 4) between January-February 2017. Despite the existence of a national strategy to implement ASPs in Saudi MoH hospitals, their adoption and implementation remains low. Hospitals have their own antimicrobial stewardship policies, but adherence to these is poor. ASP team members highlight that lack of enforcement of policies and guidelines from the MoH and hospital administration is a significant barrier to ASP adoption and implementation. Other barriers include disintegration of teams, poor communication, lack of recruitment/shortage of ASP team members, lack of education and training, and lack of health information technology (IT). Physicians' fears and concerns in relati...Continue Reading

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Citations

Jul 6, 2019·Australian Veterinary Journal·L S Nind
Dec 10, 2020·Global Health Research and Policy·Samuel Mungai MbuguaJesse Gitaka
Mar 20, 2021·The Journal of Antimicrobial Chemotherapy·Naomi WeierSyed Tabish R Zaidi
Jul 9, 2021·Journal of Multidisciplinary Healthcare·Muhammad AnwarFahad Saleem

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Antimicrobial Resistance (ASM)

Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections.

Antimicrobial Resistance

Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections.