Status of antimicrobial stewardship programmes in Nigerian tertiary healthcare facilities: findings and implications

Massele, Amos Y.

Status of antimicrobial stewardship programmes in Nigerian tertiary healthcare facilities: findings and implications

dc.contributor.author	Massele, Amos Y.
dc.date.accessioned	2022-01-20T11:21:15Z
dc.date.available	2022-01-20T11:21:15Z
dc.date.issued	2019
dc.description.abstract	Objectives: The problem of antimicrobial resistance (AMR) is increasing worldwide, with health-related and economic consequences. This is a concern in Africa, including Nigeria, the most populous country in Africa, with its high rates of infectious diseases. Approaches to reducing AMR include instigating antimicrobial stewardship programmes (ASPs) in hospitals. Currently, no information is available regarding the extent of ASPs in Nigerian hospitals. Consequently, the objective was to address this starting in tertiary hospitals. Methods: This was a cross-sectional, questionnaire-based study among tertiary healthcare facilities. Tertiary hospitals were chosen initially since if there are concerns in these training hospitals, such concerns will likely to be exacerbated in other hospitals. Results: Completed questionnaires were received from 17 of 25 tertiary healthcare facilities across five of the six geopolitical regions of Nigeria. Ten (59%), four (24%), two (12%) and one (6%) respondents were in internal medicine, infectious diseases, medical microbiology and clinical pharmacology, respectively. Only six healthcare facilities (35%) had a formal organisational structure and a team responsible for ASP. Facility-specific treatment recommendations, based on local AMR patterns, were available in only four facilities (24%). Policies on approval for prescribing specified antimicrobials and formal procedures for reviewing their appropriateness after 48 h were present in only two facilities (12%). A cumulative antimicrobial susceptibility report for the previous year was available in only two facilities (12%), and only one facility routinely monitored antimicrobial use. Conclusion: Significant inadequacies in the availability of ASPs were observed. This needs to be urgently addressed to reduce AMR rates in Nigeria.	en_US
dc.identifier.citation	Fadare, J.O., Ogunleye, O., Iliyasu, G., Adeoti, A., Schellack, N., Engler, D., Massele, A. and Godman, B., 2019. Status of antimicrobial stewardship programmes in Nigerian tertiary healthcare facilities: findings and implications. Journal of global antimicrobial resistance, 17, pp.132-136.	en_US
dc.identifier.other	doi.org/10.1016/j.jgar.2018.11.025
dc.identifier.uri	http://hdl.handle.net/123456789/872
dc.language.iso	en	en_US
dc.publisher	Journal of global antimicrobial resistance	en_US
dc.subject	Antimicrobial resistance	en_US
dc.subject	Susceptibility testing	en_US
dc.subject	Stewardship	en_US
dc.title	Status of antimicrobial stewardship programmes in Nigerian tertiary healthcare facilities: findings and implications	en_US
dc.type	Article	en_US