Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia: protocol for a scoping review
Introduction Antimicrobial stewardship (AMS) is an important strategy to control antimicrobial resistance. Resources are available to provide guidance for design and implementation of AMS programmes, however these may have limited applicability in resource-limited settings including those in Asia. T...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/9/e061286.full |
| _version_ | 1798030125209485312 |
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| author | H Rogier van Doorn Payal K Patel Ralalicia Limato Direk Limmathurotsakul Abhilasha Karkey Elizabeth Dodds Ashley Deverick Anderson Huong Thi Lan Vu Raph L Hamers Twisha S Patel Fernanda C Lessa |
| author_facet | H Rogier van Doorn Payal K Patel Ralalicia Limato Direk Limmathurotsakul Abhilasha Karkey Elizabeth Dodds Ashley Deverick Anderson Huong Thi Lan Vu Raph L Hamers Twisha S Patel Fernanda C Lessa |
| author_sort | H Rogier van Doorn |
| collection | DOAJ |
| description | Introduction Antimicrobial stewardship (AMS) is an important strategy to control antimicrobial resistance. Resources are available to provide guidance for design and implementation of AMS programmes, however these may have limited applicability in resource-limited settings including those in Asia. This scoping review aims to identify context-specific domains and items for the development of a healthcare facility (HCF)-level tool to guide AMS implementation in Asia.Methods and analysis This review is the first step in a larger project to assess AMS implementation, needs and gaps in Asia. We will employ a deductive qualitative approach to identify locally appropriate domains and items of AMS implementation guided by Nilsen and Bernhardsson’s contextual dimensions. This process is also informed by discussions from a technical advisory group coordinated by the US Centers for Disease Control and Prevention to develop an AMS HCF-level assessment tool for low-income and middle-income countries. We will review English-language documents that discuss HCF-level implementation, including those describing frameworks, components/elements or recommendations for design, implementation or assessment globally and specific to Asia. We have performed the search in August–September 2021 including general electronic databases (MEDLINE, Embase, Web of Science and Google Scholar), region-specific databases, national action plans, grey literature sources and reference lists to identify eligible documents. Country-specific documents will be restricted to countries in three subregions: South Asia, East Asia and Southeast Asia. Codes and themes will be derived through a content analysis, classified following the predefined context dimensions and used for developing domains and items of the assessment tool.Ethics and dissemination Results from this review will feed into our stepwise process for developing a context-specific HCF-level assessment tool for AMS programmes to assess the implementation status, identify intervention opportunities and monitor progress over time. The process will be done in consultation with local stakeholders, the end-users of the generated knowledge. |
| first_indexed | 2024-04-11T19:36:17Z |
| format | Article |
| id | doaj.art-7349c4524f10423d878c0432731ceb13 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-11T19:36:17Z |
| publishDate | 2022-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-7349c4524f10423d878c0432731ceb132022-12-22T04:06:51ZengBMJ Publishing GroupBMJ Open2044-60552022-09-0112910.1136/bmjopen-2022-061286Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia: protocol for a scoping reviewH Rogier van Doorn0Payal K Patel1Ralalicia Limato2Direk Limmathurotsakul3Abhilasha Karkey4Elizabeth Dodds Ashley5Deverick Anderson6Huong Thi Lan Vu7Raph L Hamers8Twisha S Patel9Fernanda C Lessa10Oxford University Clinical Research Unit, Ha Noi, Viet NamCenters for Disease Control and Prevention, Atlanta, Georgia, USAEijkman-Oxford Clinical Research Unit, Jakarta, IndonesiaCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, Oxfordshire, UKCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, Oxfordshire, UKDuke Antimicrobial Stewardship Outreach Network, Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University, Durham, North Carolina, USADuke Antimicrobial Stewardship Outreach Network, Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University, Durham, North Carolina, USAOxford University Clinical Research Unit, Ha Noi, Viet NamEijkman-Oxford Clinical Research Unit, Jakarta, IndonesiaCenters for Disease Control and Prevention, Atlanta, Georgia, USACenters for Disease Control and Prevention, Atlanta, Georgia, USAIntroduction Antimicrobial stewardship (AMS) is an important strategy to control antimicrobial resistance. Resources are available to provide guidance for design and implementation of AMS programmes, however these may have limited applicability in resource-limited settings including those in Asia. This scoping review aims to identify context-specific domains and items for the development of a healthcare facility (HCF)-level tool to guide AMS implementation in Asia.Methods and analysis This review is the first step in a larger project to assess AMS implementation, needs and gaps in Asia. We will employ a deductive qualitative approach to identify locally appropriate domains and items of AMS implementation guided by Nilsen and Bernhardsson’s contextual dimensions. This process is also informed by discussions from a technical advisory group coordinated by the US Centers for Disease Control and Prevention to develop an AMS HCF-level assessment tool for low-income and middle-income countries. We will review English-language documents that discuss HCF-level implementation, including those describing frameworks, components/elements or recommendations for design, implementation or assessment globally and specific to Asia. We have performed the search in August–September 2021 including general electronic databases (MEDLINE, Embase, Web of Science and Google Scholar), region-specific databases, national action plans, grey literature sources and reference lists to identify eligible documents. Country-specific documents will be restricted to countries in three subregions: South Asia, East Asia and Southeast Asia. Codes and themes will be derived through a content analysis, classified following the predefined context dimensions and used for developing domains and items of the assessment tool.Ethics and dissemination Results from this review will feed into our stepwise process for developing a context-specific HCF-level assessment tool for AMS programmes to assess the implementation status, identify intervention opportunities and monitor progress over time. The process will be done in consultation with local stakeholders, the end-users of the generated knowledge.https://bmjopen.bmj.com/content/12/9/e061286.full |
| spellingShingle | H Rogier van Doorn Payal K Patel Ralalicia Limato Direk Limmathurotsakul Abhilasha Karkey Elizabeth Dodds Ashley Deverick Anderson Huong Thi Lan Vu Raph L Hamers Twisha S Patel Fernanda C Lessa Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia: protocol for a scoping review BMJ Open |
| title | Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia: protocol for a scoping review |
| title_full | Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia: protocol for a scoping review |
| title_fullStr | Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia: protocol for a scoping review |
| title_full_unstemmed | Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia: protocol for a scoping review |
| title_short | Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia: protocol for a scoping review |
| title_sort | identifying context specific domains for assessing antimicrobial stewardship programmes in asia protocol for a scoping review |
| url | https://bmjopen.bmj.com/content/12/9/e061286.full |
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