Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa
Antimicrobial Resistance (AMR) is a growing global health challenge that threatens to undo gains in human and animal health. Prevention and control of AMR requires functional antimicrobial stewardship (AMS) program, which is complex and often difficult to implement in low- and middle-income countrie...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/12/3/424 |
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| author | Sulaiman Lakoh Mohamed Bawoh Hannah Lewis Ishmael Jalloh Catherine Thomas Shuwary Barlatt Abdulai Jalloh Gibrilla F. Deen James B. W. Russell Mustapha S. Kabba Moses N. P. Batema Cecily Borgstein Noah Sesay Daniel Sesay Navjeet K. Nagi Emmanuel Firima Suzanne Thomas |
| author_facet | Sulaiman Lakoh Mohamed Bawoh Hannah Lewis Ishmael Jalloh Catherine Thomas Shuwary Barlatt Abdulai Jalloh Gibrilla F. Deen James B. W. Russell Mustapha S. Kabba Moses N. P. Batema Cecily Borgstein Noah Sesay Daniel Sesay Navjeet K. Nagi Emmanuel Firima Suzanne Thomas |
| author_sort | Sulaiman Lakoh |
| collection | DOAJ |
| description | Antimicrobial Resistance (AMR) is a growing global health challenge that threatens to undo gains in human and animal health. Prevention and control of AMR requires functional antimicrobial stewardship (AMS) program, which is complex and often difficult to implement in low- and middle-income countries. We aimed to describe the processes of establishing and implementing an AMS program at Connaught Hospital in Sierra Leone. The project involved the setting up of an AMS program, capacity building and performing a global point prevalence survey (GPPS) at Sierra Leone’s national referral hospital. Connaught Hospital established a multidisciplinary AMS subcommittee in 2021 to provide AMS services such as awareness campaigns, education and training and review of guidelines. We performed a GPPS on 175 patients, of whom more than half (98, 56.0%) were prescribed an antibiotic: 63 (69.2%) in the surgical wards and 53 (51.2%) in the medical wards. Ceftriaxone (60, 34.3%) and metronidazole (53, 30.3%) were the most common antibiotics prescribed to patients. In conclusion, it is feasible to establish and implement an AMS program in low-income countries, where most hospitalized patients were prescribed an antibiotic. |
| first_indexed | 2024-03-11T07:01:41Z |
| format | Article |
| id | doaj.art-8ec322ec7d8949cbadecec3826ff046f |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-11T07:01:41Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-8ec322ec7d8949cbadecec3826ff046f2023-11-17T09:12:46ZengMDPI AGAntibiotics2079-63822023-02-0112342410.3390/antibiotics12030424Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West AfricaSulaiman Lakoh0Mohamed Bawoh1Hannah Lewis2Ishmael Jalloh3Catherine Thomas4Shuwary Barlatt5Abdulai Jalloh6Gibrilla F. Deen7James B. W. Russell8Mustapha S. Kabba9Moses N. P. Batema10Cecily Borgstein11Noah Sesay12Daniel Sesay13Navjeet K. Nagi14Emmanuel Firima15Suzanne Thomas16College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneKing’s Centre for Global Health and Health Partnerships, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneMinistry of Health and Sanitation, Government of Sierra Leone, Freetown, Sierra LeoneCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneKing’s Centre for Global Health and Health Partnerships, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneMinistry of Health and Sanitation, Government of Sierra Leone, Freetown, Sierra LeonePharmacy Department, King’s College Hospital NHS Foundation Trust, London SE5 9RS, UKDivision Clinical Epidemiology, University Hospital Basel, CH-4051 Basel, SwitzerlandKing’s Centre for Global Health and Health Partnerships, School of Life Course & Population Sciences, King’s College London, London SE1 1UL, UKAntimicrobial Resistance (AMR) is a growing global health challenge that threatens to undo gains in human and animal health. Prevention and control of AMR requires functional antimicrobial stewardship (AMS) program, which is complex and often difficult to implement in low- and middle-income countries. We aimed to describe the processes of establishing and implementing an AMS program at Connaught Hospital in Sierra Leone. The project involved the setting up of an AMS program, capacity building and performing a global point prevalence survey (GPPS) at Sierra Leone’s national referral hospital. Connaught Hospital established a multidisciplinary AMS subcommittee in 2021 to provide AMS services such as awareness campaigns, education and training and review of guidelines. We performed a GPPS on 175 patients, of whom more than half (98, 56.0%) were prescribed an antibiotic: 63 (69.2%) in the surgical wards and 53 (51.2%) in the medical wards. Ceftriaxone (60, 34.3%) and metronidazole (53, 30.3%) were the most common antibiotics prescribed to patients. In conclusion, it is feasible to establish and implement an AMS program in low-income countries, where most hospitalized patients were prescribed an antibiotic.https://www.mdpi.com/2079-6382/12/3/424global point prevalence surveyGPPSantimicrobial stewardship programAMS programAMS teamFreetown |
| spellingShingle | Sulaiman Lakoh Mohamed Bawoh Hannah Lewis Ishmael Jalloh Catherine Thomas Shuwary Barlatt Abdulai Jalloh Gibrilla F. Deen James B. W. Russell Mustapha S. Kabba Moses N. P. Batema Cecily Borgstein Noah Sesay Daniel Sesay Navjeet K. Nagi Emmanuel Firima Suzanne Thomas Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa Antibiotics global point prevalence survey GPPS antimicrobial stewardship program AMS program AMS team Freetown |
| title | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
| title_full | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
| title_fullStr | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
| title_full_unstemmed | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
| title_short | Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa |
| title_sort | establishing an antimicrobial stewardship program in sierra leone a report of the experience of a low income country in west africa |
| topic | global point prevalence survey GPPS antimicrobial stewardship program AMS program AMS team Freetown |
| url | https://www.mdpi.com/2079-6382/12/3/424 |
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