The WHO methodology for point prevalence surveys on antibiotics use in hospitals should be improved: Lessons from pilot studies in four Mexican hospitals
Point prevalence surveys (PPSs) are a useful option for collecting antimicrobial prescription data in hospitals where regular monitoring is not feasible. The methodology recommended by the World Health Organization (WHO) for conducting PPSs (WPPS), which targets low- and middle-income countries (LMI...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-07-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S120197122100391X |
| _version_ | 1818917842755518464 |
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| author | Federico A. Zumaya-Estrada Celia M. Alpuche-Aranda Pedro J Saturno-Hernandez |
| author_facet | Federico A. Zumaya-Estrada Celia M. Alpuche-Aranda Pedro J Saturno-Hernandez |
| author_sort | Federico A. Zumaya-Estrada |
| collection | DOAJ |
| description | Point prevalence surveys (PPSs) are a useful option for collecting antimicrobial prescription data in hospitals where regular monitoring is not feasible. The methodology recommended by the World Health Organization (WHO) for conducting PPSs (WPPS), which targets low- and middle-income countries (LMICs), attempts to respond to the lag in these regions to generate estimates for antimicrobial use. However, based on our experience in four third-level public hospitals in Mexico, we identified substantial gaps in the WPPS guide with regards to addressing common challenges for the implementation of PPSs. While the oversimplified narrative of WPPS could facilitate the adoption of this methodology and extend its use, it underestimates the efforts and potential pitfalls for survey preparation, coordination, and reliable implementation. Conducting rigorous pilot studies could reduce the WPPS deficiencies and strengthen the reliability and comparability of the estimates for antimicrobial use. |
| first_indexed | 2024-12-20T00:40:30Z |
| format | Article |
| id | doaj.art-22b884ac229a48e99ef5248fdd53d5a8 |
| institution | Directory Open Access Journal |
| issn | 1201-9712 |
| language | English |
| last_indexed | 2024-12-20T00:40:30Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-22b884ac229a48e99ef5248fdd53d5a82022-12-21T19:59:37ZengElsevierInternational Journal of Infectious Diseases1201-97122021-07-011081317The WHO methodology for point prevalence surveys on antibiotics use in hospitals should be improved: Lessons from pilot studies in four Mexican hospitalsFederico A. Zumaya-Estrada0Celia M. Alpuche-Aranda1Pedro J Saturno-Hernandez2Center for Infectious Diseases Research (CISEI), National Institute of Public Health (INSP), Universidad No. 655, Colonia Santa María Ahuacatitlán, C.P. 62100 Cuernavaca, Morelos, MexicoCenter for Infectious Diseases Research (CISEI), National Institute of Public Health (INSP), Universidad No. 655, Colonia Santa María Ahuacatitlán, C.P. 62100 Cuernavaca, Morelos, MexicoCenter for Evaluation and Surveys Research (CIEE), National Institute of Public Health (INSP), Universidad No. 655, Colonia Santa María Ahuacatitlán, C.P. 62100 Cuernavaca, Morelos, Mexico; Corresponding author.Point prevalence surveys (PPSs) are a useful option for collecting antimicrobial prescription data in hospitals where regular monitoring is not feasible. The methodology recommended by the World Health Organization (WHO) for conducting PPSs (WPPS), which targets low- and middle-income countries (LMICs), attempts to respond to the lag in these regions to generate estimates for antimicrobial use. However, based on our experience in four third-level public hospitals in Mexico, we identified substantial gaps in the WPPS guide with regards to addressing common challenges for the implementation of PPSs. While the oversimplified narrative of WPPS could facilitate the adoption of this methodology and extend its use, it underestimates the efforts and potential pitfalls for survey preparation, coordination, and reliable implementation. Conducting rigorous pilot studies could reduce the WPPS deficiencies and strengthen the reliability and comparability of the estimates for antimicrobial use.http://www.sciencedirect.com/science/article/pii/S120197122100391XAntimicrobial prescribingWPPSPPSsPilot studiesReliability |
| spellingShingle | Federico A. Zumaya-Estrada Celia M. Alpuche-Aranda Pedro J Saturno-Hernandez The WHO methodology for point prevalence surveys on antibiotics use in hospitals should be improved: Lessons from pilot studies in four Mexican hospitals International Journal of Infectious Diseases Antimicrobial prescribing WPPS PPSs Pilot studies Reliability |
| title | The WHO methodology for point prevalence surveys on antibiotics use in hospitals should be improved: Lessons from pilot studies in four Mexican hospitals |
| title_full | The WHO methodology for point prevalence surveys on antibiotics use in hospitals should be improved: Lessons from pilot studies in four Mexican hospitals |
| title_fullStr | The WHO methodology for point prevalence surveys on antibiotics use in hospitals should be improved: Lessons from pilot studies in four Mexican hospitals |
| title_full_unstemmed | The WHO methodology for point prevalence surveys on antibiotics use in hospitals should be improved: Lessons from pilot studies in four Mexican hospitals |
| title_short | The WHO methodology for point prevalence surveys on antibiotics use in hospitals should be improved: Lessons from pilot studies in four Mexican hospitals |
| title_sort | who methodology for point prevalence surveys on antibiotics use in hospitals should be improved lessons from pilot studies in four mexican hospitals |
| topic | Antimicrobial prescribing WPPS PPSs Pilot studies Reliability |
| url | http://www.sciencedirect.com/science/article/pii/S120197122100391X |
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