Table 2.
The hospitals readiness in the implementation of antibiotic stewardship.
| No. | Components | Max score | A | B | C | D | E | F | G | Total (%) |
|---|---|---|---|---|---|---|---|---|---|---|
| 1. | Organizational structure | |||||||||
| Availability of ARCP team | 2 | 0 | 0 | 0 | 0 | 2 | 2 | 2 | 6 (43) | |
| Multidisciplinary communication | 2 | 0 | 2 | 0 | 2 | 2 | 0 | 2 | 8 (57) | |
| Multidisciplinary in ARCP | 2 | 0 | 0 | 0 | 0 | 2 | 2 | 2 | 6 (43) | |
| Doctor as ARCP leader | 2 | 0 | 0 | 0 | 0 | 2 | 2 | 2 | 6 (43) | |
| Presence of clinical pharmacist | 2 | 0 | 2 | 0 | 2 | 2 | 2 | 2 | 10 (71) | |
| Total | 10 | 0 | 4 | 0 | 4 | 10 | 8 | 10 | ||
| 2. | Leader support | |||||||||
| Formal statement of ARCP team establishment | 2 | 0 | 0 | 2 | 0 | 2 | 2 | 2 | 8 (57) | |
| Fund allocation for ARCP | 2 | 0 | 0 | 2 | 0 | 0 | 2 | 2 | 6 (43) | |
| Fund allocation for health personnel education | 2 | 0 | 0 | 2 | 0 | 2 | 2 | 2 | 8 (57) | |
| Fund allocation for IT development | 2 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 2 (14) | |
| Provision of education | 2 | 0 | 0 | 2 | 2 | 2 | 2 | 2 | 10 (71) | |
| Total | 10 | 0 | 0 | 10 | 2 | 6 | 8 | 8 | ||
| 3. | Internal and external factors of the hospital | |||||||||
| Availability of policy for the doctor to administer doses, amounts, and direction of antibiotic use in hospital | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 14 (100) | |
| Availability of antibiotic use guidelines (Pedoman Penggunaan Antibiotik, PPAB) | 2 | 0 | 0 | 0 | 0 | 0 | 2 | 2 | 4 (29) | |
| Availability of operational standards for audit and feedback by pharmacy | 2 | 0 | 0 | 0 | 2 | 0 | 2 | 2 | 6 (43) | |
| Policy of antibiotic use | 2 | 0 | 0 | 0 | 2 | 2 | 2 | 0 | 6 (43) | |
| Access of guidelines/journal | 2 | 0 | 0 | 2 | 2 | 0 | 2 | 2 | 8 (57) | |
| Total | 10 | 2 | 2 | 4 | 8 | 4 | 10 | 8 | ||
| 4. | Information availability | |||||||||
| Availability of data on the level of antibiotic use (DDD/100 bed-days) | 2 | 0 | 2 | 0 | 0 | 0 | 2 | 2 | 6 (43) | |
| Socialization of the prevalence of resistant bacteria to prescriber | 2 | 0 | 0 | 2 | 0 | 0 | 2 | 2 | 6 (43) | |
| Distribution of antibiograms throughout the wards | 2 | 2 | 0 | 2 | 2 | 0 | 2 | 2 | 10 (71) | |
| Distribution of formularies to the entire wards | 2 | 0 | 0 | 0 | 0 | 2 | 2 | 2 | 6 (43) | |
| Information on the wise use of antibiotics for patients | 2 | 0 | 0 | 0 | 2 | 0 | 2 | 2 | 6 (43) | |
| Total | 10 | 2 | 2 | 4 | 4 | 2 | 10 | 10 | ||
| Total | 4 | 8 | 18 | 18 | 22 | 36 | 36 | |||
| Scale organization level: total/40 × 10 | 1 | 2 | 4.5 | 4.5 | 5.5 | 9 | 9 | |||