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Year : 2018  |  Volume : 20  |  Issue : 1  |  Page : 52-56

Assessment of the cautionary antimicrobial consumption pattern using defined daily dose as a part of the antimicrobial Stewardship programme

Antimicrobial Stewardship, Sir H. N. Reliance Foundation Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Sharmin Sarosh Bala
Sir H. N. Reliance Foundation Hospital, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jacm.jacm_26_17

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INTRODUCTION: Antimicrobial resistance is rapidly invading the hospital settings worldwide, threatening the ability to treat common infectious diseases. Antimicrobial Stewardship has been adopted by many institutions to enhance clinical outcomes, while diminishing the unintended consequences of antibiotics including antimicrobial resistance. METHODOLOGY: In the first phase of the Antimicrobial Stewardship Programme (ASP) conducted at a tertiary 345-bedded hospital in South Mumbai, a list of “Reserve” (cautionary) antimicrobials was prepared and circulated, followed by assessment of the utilisation pattern of the antimicrobials, awareness and training of the hospital staff, and drug utilisation review. RESULTS: Most of the cautionary antibiotics were prescribed in the geriatric population. There was a statistically significant reduction in the consumption of glycopeptides post-intervention (mean reduced by 12.58, confidence interval − 24.6, −0.47, P < 0.05). CONCLUSION: This study is the first step toward the global action plan on antimicrobial resistance adopted by the World Health Assembly.

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