The State of Education and Training for Antimicrobial Stewardship Programs in Indian Hospitals: A Qualitative and Quantitative Assessment

Sanjeev Singh; Esmita Charani; Chand Wattal; Anita Arora; Abi Jenkins; Dilip Nathwani

doi:10.3390/antibiotics8010011

The State of Education and Training for Antimicrobial Stewardship Programs in Indian Hospitals: A Qualitative and Quantitative Assessment

Sanjeev Singh (Lead / Corresponding author), Esmita Charani, Chand Wattal, Anita Arora, Abi Jenkins, Dilip Nathwani

Research output: Contribution to journal › Article › peer-review

21 Citations (Scopus)

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Abstract

Background: To understand the role of infrastructure, manpower, and education and training (E&T) in relation to Antimicrobial Stewardship (AMS) in Indian healthcare organizations.

Methods: Mixed method approach using quantitative survey and qualitative interviews was applied. Through key informants, healthcare professionals from 69 hospitals (public & private) were invited to participate in online survey and follow up qualitative interviews. Thematic analysis was applied to identify the key emerging themes from the interviews. The survey data were analyzed using descriptive statistics.

Results: 60 healthcare professionals from 51 hospitals responded to the survey. Eight doctors participated in semi-structured telephone interviews. 69% (27/39) of the respondents received E&T on AMS during undergraduate or postgraduate training. 88% (15/17) had not received any E&T at induction or during employment. In the qualitative interviews three key areas of concern were identified: (1) need for government level endorsement of AMS activities; (2) lack of AMS programs in hospitals; and, (3) lack of postgraduate E&;T in AMS for staff.

Conclusion: No structured provision of E&T for AMS currently exists in India. Stakeholder engagement is essential to the sustainable design and implementation of bespoke E&T for hospital AMS in India.

Original language	English
Article number	11
Pages (from-to)	1-12
Number of pages	12
Journal	Antibiotics
Volume	8
Issue number	1
Early online date	30 Jan 2019
DOIs	https://doi.org/10.3390/antibiotics8010011
Publication status	Published - Mar 2019

Keywords

Antibiotic stewardship
Antimicrobial stewardship
Education and training
Postgraduate

ASJC Scopus subject areas

Microbiology
Biochemistry
Pharmacology, Toxicology and Pharmaceutics(all)
Microbiology (medical)
Infectious Diseases
Pharmacology (medical)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/antibiotics8010011Licence: CC BY

Final Published Version
© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Final published version, 221 KBLicence: CC BY

Cite this

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title = "The State of Education and Training for Antimicrobial Stewardship Programs in Indian Hospitals: A Qualitative and Quantitative Assessment",

abstract = "Background: To understand the role of infrastructure, manpower, and education and training (E&T) in relation to Antimicrobial Stewardship (AMS) in Indian healthcare organizations.Methods: Mixed method approach using quantitative survey and qualitative interviews was applied. Through key informants, healthcare professionals from 69 hospitals (public & private) were invited to participate in online survey and follow up qualitative interviews. Thematic analysis was applied to identify the key emerging themes from the interviews. The survey data were analyzed using descriptive statistics.Results: 60 healthcare professionals from 51 hospitals responded to the survey. Eight doctors participated in semi-structured telephone interviews. 69% (27/39) of the respondents received E&T on AMS during undergraduate or postgraduate training. 88% (15/17) had not received any E&T at induction or during employment. In the qualitative interviews three key areas of concern were identified: (1) need for government level endorsement of AMS activities; (2) lack of AMS programs in hospitals; and, (3) lack of postgraduate E&;T in AMS for staff.Conclusion: No structured provision of E&T for AMS currently exists in India. Stakeholder engagement is essential to the sustainable design and implementation of bespoke E&T for hospital AMS in India.",

keywords = "Antibiotic stewardship, Antimicrobial stewardship, Education and training, Postgraduate",

author = "Sanjeev Singh and Esmita Charani and Chand Wattal and Anita Arora and Abi Jenkins and Dilip Nathwani",

note = "The research was partially funded by a Foreign and Commonwealth Office Grant and by the British Society for Antimicrobial Chemotherapy. E.C. and S.S. acknowledge funding by Economic and Social Science Research Council (ESRC) as part of the Antimicrobial Cross Council initiative [ES/P008313/1] supported by the seven UK research councils, and the Global Challenges Research Fund and the National Institute for Health Research, UK Department of Health [HPRU-2012-10047] in partnership with Public Health England.",

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AU - Arora, Anita

AU - Jenkins, Abi

AU - Nathwani, Dilip

N1 - The research was partially funded by a Foreign and Commonwealth Office Grant and by the British Society for Antimicrobial Chemotherapy. E.C. and S.S. acknowledge funding by Economic and Social Science Research Council (ESRC) as part of the Antimicrobial Cross Council initiative [ES/P008313/1] supported by the seven UK research councils, and the Global Challenges Research Fund and the National Institute for Health Research, UK Department of Health [HPRU-2012-10047] in partnership with Public Health England.

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N2 - Background: To understand the role of infrastructure, manpower, and education and training (E&T) in relation to Antimicrobial Stewardship (AMS) in Indian healthcare organizations.Methods: Mixed method approach using quantitative survey and qualitative interviews was applied. Through key informants, healthcare professionals from 69 hospitals (public & private) were invited to participate in online survey and follow up qualitative interviews. Thematic analysis was applied to identify the key emerging themes from the interviews. The survey data were analyzed using descriptive statistics.Results: 60 healthcare professionals from 51 hospitals responded to the survey. Eight doctors participated in semi-structured telephone interviews. 69% (27/39) of the respondents received E&T on AMS during undergraduate or postgraduate training. 88% (15/17) had not received any E&T at induction or during employment. In the qualitative interviews three key areas of concern were identified: (1) need for government level endorsement of AMS activities; (2) lack of AMS programs in hospitals; and, (3) lack of postgraduate E&;T in AMS for staff.Conclusion: No structured provision of E&T for AMS currently exists in India. Stakeholder engagement is essential to the sustainable design and implementation of bespoke E&T for hospital AMS in India.

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The State of Education and Training for Antimicrobial Stewardship Programs in Indian Hospitals: A Qualitative and Quantitative Assessment

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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