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Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study

Alghamdi, Saleh; Atef-Shebl, Nada; Aslanpour, Zoe; Berrou, Ilhem

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Authors

Saleh Alghamdi

Nada Atef-Shebl

Zoe Aslanpour

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Ilhem Berrou Ilhem.Berrou@uwe.ac.uk
Senior Lecturer in Applied Pharmacology



Abstract

© 2019 International Society for Chemotherapy of Infection and Cancer Objectives: This study explored antimicrobial stewardship programme (ASP) team members’ perspectives regarding factors influencing the adoption and implementation of these programmes in Saudi hospitals. Methods: This was a qualitative study based on face-to-face semistructured interviews with healthcare professionals involved in ASPs and activities across three Ministry of Health (MoH) hospitals in Saudi Arabia (n = 18). Interviews were also conducted with two representatives of a General Directorate of Health Affairs in a Saudi region and two representatives of the Saudi MoH (n = 4) between January–February 2017. Results: Despite the existence of a national strategy to implement ASPs in Saudi MoH hospitals, their adoption and implementation remains low. Hospitals have their own antimicrobial stewardship policies, but adherence to these is poor. ASP team members highlight that lack of enforcement of policies and guidelines from the MoH and hospital administration is a significant barrier to ASP adoption and implementation. Other barriers include disintegration of teams, poor communication, lack of recruitment/shortage of ASP team members, lack of education and training, and lack of health information technology (IT). Physicians’ fears and concerns in relation to liability are also a barrier to their adoption of ASPs. Conclusion: This is the first qualitative study exploring barriers to ASP adoption and implementation in Saudi hospitals from the perspective of ASP team members. Formal endorsement of ASPs from the MoH as well as hospital enforcement of policies and provision of human and health IT resources would improve the adoption and implementation of ASPs in Saudi hospitals.

Citation

Alghamdi, S., Atef-Shebl, N., Aslanpour, Z., & Berrou, I. (2019). Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study. Journal of Global Antimicrobial Resistance, 18, 284-290. https://doi.org/10.1016/j.jgar.2019.01.031

Journal Article Type Article
Acceptance Date Jan 28, 2019
Online Publication Date Feb 20, 2019
Publication Date Sep 1, 2019
Deposit Date Mar 6, 2019
Publicly Available Date Mar 29, 2024
Journal Journal of Global Antimicrobial Resistance
Print ISSN 2213-7165
Electronic ISSN 2213-7173
Peer Reviewed Peer Reviewed
Volume 18
Pages 284-290
DOI https://doi.org/10.1016/j.jgar.2019.01.031
Public URL https://uwe-repository.worktribe.com/output/852047
Publisher URL https://doi.org/10.1016/j.jgar.2019.01.031
Additional Information Additional Information : This is the author's accepted manuscript. The final published version is available here: https://doi.org/10.1016/j.jgar.2019.01.031

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