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    Jan 23, 2021
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    Introducing An Antibiotic Stewardship Program In A Humanitarian Surgical Hospital

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    Bhalla N et al - 2016 - Introducing ...
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    Authors
    Bhalla, N
    Hussein, N
    Atari, M
    Fakhri, RM
    Lepora, C
    Walsh, N
    Cosgrove, SE
    Murphy, RA
    Issue Date
    2016-11-01
    Submitted date
    2016-11-09
    
    Metadata
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    Journal
    American Journal of Infection Control
    Abstract
    Antibiotic stewardship program (ASP) implementation in humanitarian settings is a new endeavor. Doctors Without Borders/Médecins Sans Frontières introduced an ASP within a hospital in Amman, Jordan, where patients from Iraq, Syria, and Yemen with chronic, often multidrug-resistant, infections related to war are managed. Antibiotics were reviewed, and real-time recommendations were made to optimize choice, dose, duration, and route by a small team. Over the first year of implementation, acceptance of the ASP's recommendations improved. When compared with the year prior to implementation, antibiotic cost in 2014 declined considerably from approximately $252,077 (average, $21,006/month) to <$159,948 ($13,329/month), and a reduction in use of broad-spectrum agents was observed. An ASP in a humanitarian surgical hospital proved acceptable and effective, reducing antibiotic expenditures and use of broad-spectrum agents.
    Publisher
    Elsevier
    URI
    http://hdl.handle.net/10144/618709
    DOI
    10.1016/j.ajic.2016.03.036
    PubMed ID
    27207158
    Language
    en
    ISSN
    1527-3296
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ajic.2016.03.036
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