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Perspective of Pakistani Physicians towards Hospital Antimicrobial Stewardship Programs: A Multisite Exploratory Qualitative Study
Hayat, K1,2,3,4; Rosenthal, M5; Gillani, AH1,2,3; Zhai, PP1,2,3; Aziz, MM1,2,3; Ji, WJ1,2,3; Chang, J1,2,3; Hu, H6; Fang, Y1,2,3
2019-05-05
Source PublicationINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
ISSN1660-4601
Volume16Issue:9
Abstract

Background: Antimicrobial resistance (AMR) is a global threat and the antimicrobial stewardship program (ASP) is a globally used tool to combat AMR. There is little information on the views among Pakistani physicians regarding AMR and the benefits of hospital antimicrobial stewardship implementation. This study was designed to explore the physicians’ views about ASP. Methods: Qualitative face-to-face and telephonic interviews were conducted by using purposive sampling method with 22 physicians working in seven tertiary care public hospitals of Punjab, Pakistan. All interviews were audio recorded and transcribed verbatim. Qualitative software was used, and a thematic analysis was conducted. Results: Three broad themes were identified: (1) the growing concern of antimicrobial resistance in Pakistan, (2) the role(s) of healthcare professionals in antibiotic prescribing, and (3) managing antibiotic resistance in hospitals. Inadequate resources, poor healthcare facilities, and insufficiently trained medical staff were the major hurdles in ASP implementation in Pakistan. Conclusions: Our study found a poor familiarity of hospital ASP among physicians working in public sector tertiary care teaching hospitals, and a number of distinct themes emerged during this study that could be helpful in establishing the concept of hospital ASP in Pakistan. Overall, physicians showed a positive attitude towards the enforcement of ASP in all healthcare settings, including teaching hospitals.

KeywordPakistan Qualitative Physicians Antimicrobial Stewardship Program Antibiotic Resistance
DOI10.3390/ijerph16091565
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaEnvironmental Sciences & Ecology ; Public, Environmental & Occupational Health
WOS SubjectEnvironmental Sciences ; Public, Environmental & Occupational Health
WOS IDWOS:000469517300090
Scopus ID2-s2.0-85065645437
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Document TypeJournal article
CollectionInstitute of Chinese Medical Sciences
Corresponding AuthorFang, Y
Affiliation1.Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy,Xi’an Jiaotong University, Xi’an 710061, China
2.Center for Drug Safety and Policy Research, Xi’an Jiaotong University, Xi’an 710061, China
3.Shaanxi Centre for Health Reform and Development Research, Xi’an 710061, China
4.Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore 54000, Pakistan
5.Department of Pharmacy Administration, School of Pharmacy, University of Mississippi, Oxford, MS 38677,USA
6.State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences,University of Macau, Macau 999078, China
Recommended Citation
GB/T 7714
Hayat, K,Rosenthal, M,Gillani, AH,et al. Perspective of Pakistani Physicians towards Hospital Antimicrobial Stewardship Programs: A Multisite Exploratory Qualitative Study[J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2019, 16(9).
APA Hayat, K., Rosenthal, M., Gillani, AH., Zhai, PP., Aziz, MM., Ji, WJ., Chang, J., Hu, H., & Fang, Y (2019). Perspective of Pakistani Physicians towards Hospital Antimicrobial Stewardship Programs: A Multisite Exploratory Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 16(9).
MLA Hayat, K,et al."Perspective of Pakistani Physicians towards Hospital Antimicrobial Stewardship Programs: A Multisite Exploratory Qualitative Study".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 16.9(2019).
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