Table 2.
Administration-related antimicrobial stewardship activities.
| Administration-related activities | No. of Respondents - %s in brackets |
Perceived success of the activity (only those who answered “Yes” to having the activity at their institution – with %s vs. total in brackets) |
||||||
|---|---|---|---|---|---|---|---|---|
| Don't know | No | Yes | Unsuccessful | Somewhat successful | Moderately successful | Very successful | Extremely successful | |
| Drug and Therapeutic Committee or equivalent Committee approving antimicrobials listing on the formulary and its associated use | 13 (9.5) | 35 (25.5) | 89 (65.5) | 3 (2.2) | 35 (25.5) | 21 (15.3) | 22 (16.1) | 8 (5.8) |
| Restricted formulary for antimicrobial prescribing | 17 (12.4) | 51 (37.2) | 69 (50.4) | 4 (2.9) | 17 (12.4) | 25 (18.2) | 14 (10.2) | 9 (6.6) |
| Locally formulated antimicrobial policy | 12 (8.8) | 64 (46.5) | 61 (44.5) | 6 (4.4) | 23 (16.8) | 11 (8.0) | 15 (10.9) | 6 (4.4) |
| Regular audit by administrators on the prescribing and use of antimicrobials | 9 (6.6) | 68 (49.6) | 60 (43.8) | 7 (5.1) | 16 (11.7) | 10 (7.3) | 19 (13.9) | 8 (5.8) |
| Regular audit by doctors on antimicrobial prescribing and use | 15 (10.9) | 48 (35.0) | 74 (54.1) | 7 (5.1) | 16 (11.7) | 19 (13.9) | 20 (14.6) | 12 (8.8) |
| Regular audit by pharmacists on antimicrobial prescribing and use | 8 (5.8) | 62 (45.3) | 67 (48.9) | 1 (0.7) | 19 (13.9) | 20 (14.6) | 12 (8.8) | 15 (10.9) |
| Regular audit by nurses on antimicrobial prescribing and use | 14 (10.2) | 61 (44.5) | 62 (45.3) | 5 (3.6) | 22 (16.6) | 12 (8.8) | 17 (12.4) | 6 (4.4) |
| Established mechanism for conflict resolution in event of disagreement with respect to use of antimicrobials between practitioners | 17 (12.4) | 87 (63.5) | 33 (24.1) | – | 12 (8.8) | 8 (5.8) | 9 (6.6) | 4 (2.9) |
| Participation in the National Antimicrobial utilization Surveillance Program | 14 (10.2) | 96 (70.1) | 27 (19.7) | 2 (1.5) | 7 (5.1) | 6 (4.4) | 12 (8.8) | – |
| Multidisciplinary antimicrobial stewardship team or equivalent to coordinate activities in hospital | 6 (4.4) | 89 (65.0) | 42 (30.7) | 5 (3.6) | 10 (7.3) | 13 (9.5) | 14 (10.2) | – |
| Computerized Clinical Decision Support Systems Integrated into the Health Record at the Time of Prescribing | 7 (5.1) | 96 (70.1) | 34 (24.8) | – | 3 (2.2) | 12 (8.8) | 4 (2.9) | 15 (10.9) |
| Routine access to an infectious disease specialist (even in another hospital if needed) | 14 (10.2) | 62 (45.3) | 61 (44.5) | 5 (3.6) | 11 (8.0) | 13 (9.5) | 25 (18.2) | 7 (5.1) |
| Routine availability of reagents and discs to perform sensitivity analyses of specimens | 11 (8.0) | 62 (45.3) | 64 (46.5) | 1 (0.7) | 21 (15.3) | 21 (15.3) | 14 (10.2) | 7 (5.1) |
| Work with the Microbiology Laboratory to Develop Stratified antibiograms | 14 (10.2) | 82 (59.9) | 41 (29.9) | – | 10 (7.3) | 12 (8.8) | 11 (8.0) | 8 (5.8) |
| Antibiograms used to develop guidance for the empiric use of antibiotics within the hospital | 7 (5.1) | 93 (67.9) | 37 (27.0) | – | 11 (8.0) | 11 (8.0) | 5 (3.6) | 10 (7.3) |
| Advocate for Rapid Diagnostic Testing for bacteria and viruses to Optimize Antibiotic Therapy | 9 (6.6) | 65 (47.4) | 63 (46.0) | 4 (2.9) | 21 (15.3) | 16 (11.7) | 14 (10.2) | 8 (5.8) |
| Develop Facility-Specific Clinical Guidelines for Management of Fever and Neutropenia (F&N) | 11 (8.0) | 78 (56.9) | 48 (35.0) | 4 (2.9) | 15 (10.9) | 13 (9.5) | 4 (2.9) | 12 (8.8) |