Impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol regional training and teaching hospital: A retrospective descriptive study

The study determined the impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol Regional Training and Teaching Hospital. Specifically: (1) Determined the top three isolated organisms in the hospital antibiogram of 2017. (2) Determined th...

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Main Authors: Paulo Martin B. Villanueva, John Bryle J. Zapanta
Format: Article
Language:English
Published: Northern Negros State College of Science and Technology (NONESCOST) 2022-04-01
Series:International Research Journal of Science, Technology, Education, and Management
Subjects:
Online Access:https://irjstem.com/wp-content/uploads/2022/05/IRJSTEM-Volume2_No1_Paper4.pdf
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author Paulo Martin B. Villanueva
John Bryle J. Zapanta
author_facet Paulo Martin B. Villanueva
John Bryle J. Zapanta
author_sort Paulo Martin B. Villanueva
collection DOAJ
description The study determined the impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol Regional Training and Teaching Hospital. Specifically: (1) Determined the top three isolated organisms in the hospital antibiogram of 2017. (2) Determined the patient’s average length of hospital stay and antibiotic resistance of top three isolated organisms before AMS (2017), (3) Monitored the top three isolated organisms of 2017 after one (1) year of AMS (2019) in terms of Average length of hospital stay and Antibiotic Resistance, and (4) Compared the patient’s average length of hospital stay and antibiotic resistance of top three isolated organisms before AMS (2017) and after AMS (2019). The study used a retrospective and descriptive study, this design aimed to compare the antibiotic resistance and length of hospital stay of patients during the pre AMS (January 1 – December 31, 2018) and post AMS era (January 1 – December 31, 2019). Patient with respiratory infections shown at greater risk to be infected with Klebsiella pneumoniae and pseudomonas sp, while patient with would injury or related condition are at greater risk for staphylococcus infection. The pediatric patients are at higher risk for prolonged hospital stay compare to all other patients from the medical, surgical and OB-Gyne ward during the Pre AMS. After the 1st year of AMS (2019) implementation reveals a significant percentage of patients who still develop antibiotic resistance to Penicillin, followed by ceftriaxone and Amoxicillin. It implies that the impact of AMS to the average LOHS in 1-year period of its implementation was not significant, maybe due to other underlying factors not considered in this study, however the reduction in the antibiotic resistance can be attributed with the proper use of antibiotics with the regulation of Antimicrobial Stewardship program of BRTTH.
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spelling doaj.art-dd1a27b293544229a10538bbd894088c2022-12-22T03:30:58ZengNorthern Negros State College of Science and Technology (NONESCOST)International Research Journal of Science, Technology, Education, and Management2799-063X2799-06482022-04-0121394910.5281/zenodo.6496750Impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol regional training and teaching hospital: A retrospective descriptive studyPaulo Martin B. Villanueva0John Bryle J. Zapanta1Polytechnic State University of Bicol/Manila Doctors College of Nursing, PhilippinesBicol Regional Training and Teaching Hospital, PhilippinesThe study determined the impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol Regional Training and Teaching Hospital. Specifically: (1) Determined the top three isolated organisms in the hospital antibiogram of 2017. (2) Determined the patient’s average length of hospital stay and antibiotic resistance of top three isolated organisms before AMS (2017), (3) Monitored the top three isolated organisms of 2017 after one (1) year of AMS (2019) in terms of Average length of hospital stay and Antibiotic Resistance, and (4) Compared the patient’s average length of hospital stay and antibiotic resistance of top three isolated organisms before AMS (2017) and after AMS (2019). The study used a retrospective and descriptive study, this design aimed to compare the antibiotic resistance and length of hospital stay of patients during the pre AMS (January 1 – December 31, 2018) and post AMS era (January 1 – December 31, 2019). Patient with respiratory infections shown at greater risk to be infected with Klebsiella pneumoniae and pseudomonas sp, while patient with would injury or related condition are at greater risk for staphylococcus infection. The pediatric patients are at higher risk for prolonged hospital stay compare to all other patients from the medical, surgical and OB-Gyne ward during the Pre AMS. After the 1st year of AMS (2019) implementation reveals a significant percentage of patients who still develop antibiotic resistance to Penicillin, followed by ceftriaxone and Amoxicillin. It implies that the impact of AMS to the average LOHS in 1-year period of its implementation was not significant, maybe due to other underlying factors not considered in this study, however the reduction in the antibiotic resistance can be attributed with the proper use of antibiotics with the regulation of Antimicrobial Stewardship program of BRTTH.https://irjstem.com/wp-content/uploads/2022/05/IRJSTEM-Volume2_No1_Paper4.pdfantibiotic resistanceantimicrobial stewardship programlength of hospital stay
spellingShingle Paulo Martin B. Villanueva
John Bryle J. Zapanta
Impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol regional training and teaching hospital: A retrospective descriptive study
International Research Journal of Science, Technology, Education, and Management
antibiotic resistance
antimicrobial stewardship program
length of hospital stay
title Impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol regional training and teaching hospital: A retrospective descriptive study
title_full Impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol regional training and teaching hospital: A retrospective descriptive study
title_fullStr Impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol regional training and teaching hospital: A retrospective descriptive study
title_full_unstemmed Impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol regional training and teaching hospital: A retrospective descriptive study
title_short Impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at Bicol regional training and teaching hospital: A retrospective descriptive study
title_sort impact of antimicrobial stewardship program on antibiotic resistance and length of hospital stay of patients at bicol regional training and teaching hospital a retrospective descriptive study
topic antibiotic resistance
antimicrobial stewardship program
length of hospital stay
url https://irjstem.com/wp-content/uploads/2022/05/IRJSTEM-Volume2_No1_Paper4.pdf
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