ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2023
Deep Dive Into Gaps and Barriers to Implementation of Antimicrobial Stewardship Programs in Hospitals in Latin America.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 35 citations in OpenAlex.
- Environmental reservoirs of carbapenem-resistant organisms in the intensive care unit: a multicenter longitudinal study in two middle-income country hospitals.Antimicrobial resistance and infection control · 2026Article
- An Integrated Framework for the Implementation and Strengthening of Antimicrobial Stewardship Programs in Six Countries in Latin America.Antibiotics (Basel, Switzerland) · 2026Article
- Cross-sectional survey to assess the status of antimicrobial stewardship programs in public Chilean hospitals.Antimicrobial resistance and infection control · 2026Article
- Strengthening Antimicrobial Stewardship Programs in Latin America Through Telementoring: Results From the TEACH PROA-ECHO Initiative.Open forum infectious diseases · 2026Article
- Antimicrobial stewardship in hospitals: effective and indispensable, yet structurally fragile.Frontiers in public health · 2026Article
- Where antibiotic time-outs work: department- and ward-stratified effects of a pharmacist-led anti-MRSA time-out.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Patterns of antibiotic use among adult patients across seven hospitals in Malawi: opportunities and challenges for antimicrobial stewardship programmes.Journal of pharmaceutical policy and practice · 2026Article
- Reassessing antimicrobial resistance governance in Latin America: the case for antimicrobial consumption as the primary metric of implementation success.Frontiers in public health · 2026Article
- Antimicrobial stewardship programs in primary and secondary care settings in India: current challenges, facilitators, perceptions, and impact - a scoping review.BMC infectious diseases · 2025Article
- Multicenter Evaluation of Antibiotic Use and Antibiotic Stewardship Programs in Latin American Hospitals.Open forum infectious diseases · 2025Article
- Implementation of hospital antimicrobial stewardship programmes in low- and middle-income countries: a qualitative study from a multi-professional perspective in the Global-PPS network.Antimicrobial resistance and infection control · 2025Article
- Unveiling antimicrobial stewardship competence among Italian nurses: results from a nationwide survey.Antimicrobial resistance and infection control · 2025Article
- The Role of Artificial Intelligence and Machine Learning Models in Antimicrobial Stewardship in Public Health: A Narrative Review.Antibiotics (Basel, Switzerland) · 2025Review
- Antimicrobial Stewardship Program: actions and education in Brazilian pediatric intensive care units.Revista latino-americana de enfermagem · 2025Article
- Article
- Antimicrobial stewardship practices in Guatemala: communication, perceptions, and behaviors regarding antimicrobial prescribing.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- A nationwide survey of antimicrobial stewardship infrastructure and CDC core elements in the Dominican Republic.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Fighting antimicrobial resistance in Brazil: strengthening diagnostic stewardship, antimicrobial stewardship, and policies for a healthier future.Frontiers in public health · 2025Review
- Antimicrobial stewardship programs in a Mexican private healthcare system: a self-assessment of core elements.BMC infectious diseases · 2024Article
- Contextual barriers to infection prevention and control program implementation in hospitals in Latin America: a mixed methods evaluation.Antimicrobial resistance and infection control · 2024Article
Corrections and comments
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Authors and funding
39 authors at 16 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntimicrobial resistance has worsened in Latin America. There is an urgent need to understand the development of antimicrobial stewardship programs (ASPs) and the barriers to implementing effective ASPs in light of limited national action plans or policies to promote ASPs in the region.
methodsWe performed a descriptive mixed-methods study of ASPs in 5 Latin American countries in March-July 2022. An electronic questionnaire with an associated scoring system (hospital ASP self-assessment) was used, and ASP development was classified based on the scores (inadequate, 0-25; basic, 26-50; intermediate, 51-75; or advanced, 76-100). Interviews among healthcare workers (HCWs) involved in antimicrobial stewardship (AS) inquired about behavioral and organizational factors that influence AS activities. Interview data were coded into themes. Results from the ASP self-assessment and interviews were integrated to create an explanatory framework.
resultsTwenty hospitals completed the self-assessment, and 46 AS stakeholders from these hospitals were interviewed. ASP development was inadequate/basic in 35% of hospitals, intermediate in 50%, and advanced in 15%. For-profit hospitals had higher scores than not-for-profit hospitals. Interview data validated the self-assessment findings and provided further insight into ASP implementation challenges, which included limited formal hospital leadership support, inadequate staffing and tools to perform AS work more efficiently, limited awareness of AS principles by HCWs, and limited training opportunities.
conclusionsWe identified several barriers to ASP development in Latin America, suggesting the need to create accurate business cases for ASPs to obtain the necessary funding for their effective implementation and sustainability.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.