TY - JOUR
T1 - The State of Education and Training for Antimicrobial Stewardship Programs in Indian Hospitals
T2 - A Qualitative and Quantitative Assessment
AU - Singh, Sanjeev
AU - Charani, Esmita
AU - Wattal, Chand
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.
PY - 2019/3
Y1 - 2019/3
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.
AB - 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.
KW - Antibiotic stewardship
KW - Antimicrobial stewardship
KW - Education and training
KW - Postgraduate
UR - http://www.scopus.com/inward/record.url?scp=85061750806&partnerID=8YFLogxK
U2 - 10.3390/antibiotics8010011
DO - 10.3390/antibiotics8010011
M3 - Article
C2 - 30704037
VL - 8
SP - 1
EP - 12
JO - Antibiotics (Basel, Switzerland)
JF - Antibiotics (Basel, Switzerland)
SN - 2079-6382
IS - 1
M1 - 11
ER -