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Implementing a community-based antimicrobial stewardship intervention in Malaysia

Ali Haider Mohammed Orcid Logo, Angelina Lim, Bassam Abdul Rasool Hassan, Ali Blebil Orcid Logo, Juman Al-Dujaili Orcid Logo, Dinesh Sangarran Ramachandram, Hawar Sardar Hassan, Arooj Abid Orcid Logo

Journal of Infection Prevention

Swansea University Authors: Ali Blebil Orcid Logo, Juman Al-Dujaili Orcid Logo

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DOI (Published version): 10.1177/17571774241251650

Abstract

BackgroundIn Malaysia, the unregulated use of antibiotics and lack of awareness about antimicrobial resistance (AMR) among pharmacists pose significant challenges. Implementing community-based Antimicrobial Stewardship (AMS) initiatives is crucial to address the rising AMR.MethodsWe developed a besp...

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Published in: Journal of Infection Prevention
ISSN: 1757-1774 1757-1782
Published: SAGE Publications 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa66841
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Implementing community-based Antimicrobial Stewardship (AMS) initiatives is crucial to address the rising AMR.MethodsWe developed a bespoke AMS intervention, aligned with the World Health Organization’s AMS modules, as a 2-day online educational seminar for community pharmacists. The effectiveness of the workshop was evaluated using pre- and post-seminar questionnaires, focusing on AMS knowledge and attitudes towards antimicrobial usage.ResultsAmong 528 participants, 489 completed both questionnaires. Pre-seminar, only 59% correctly understood the concept of antibiotic resistance reversibility, which improved to 85.9% post-seminar (p = .002). The average AMS knowledge score increased from 5/10 to 8/10 post-intervention (p &lt; .05). A significant improvement was also noted in pharmacists’ ability to select appropriate antibiotic therapies, particularly for urinary tract infections, with an increase from 78% to 90% correct responses.ConclusionThe AMS seminar was well-received and significantly improved the AMS knowledge of community pharmacists. The results underline the need for more AMS-focused interventions in this demographic in Malaysia, contributing to the development of formalized AMS programs. 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This article is distributed under the terms of the Creative Commons Attribution 4.0 License.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling v2 66841 2024-06-21 Implementing a community-based antimicrobial stewardship intervention in Malaysia ae3f126adda1dec7b84f0a12698f0b7d 0000-0002-7480-1260 Ali Blebil Ali Blebil true false 47d192c8bb46dd4c0cc72bbfea4210ec 0000-0002-7515-5344 Juman Al-Dujaili Juman Al-Dujaili true false 2024-06-21 SALT BackgroundIn Malaysia, the unregulated use of antibiotics and lack of awareness about antimicrobial resistance (AMR) among pharmacists pose significant challenges. Implementing community-based Antimicrobial Stewardship (AMS) initiatives is crucial to address the rising AMR.MethodsWe developed a bespoke AMS intervention, aligned with the World Health Organization’s AMS modules, as a 2-day online educational seminar for community pharmacists. The effectiveness of the workshop was evaluated using pre- and post-seminar questionnaires, focusing on AMS knowledge and attitudes towards antimicrobial usage.ResultsAmong 528 participants, 489 completed both questionnaires. Pre-seminar, only 59% correctly understood the concept of antibiotic resistance reversibility, which improved to 85.9% post-seminar (p = .002). The average AMS knowledge score increased from 5/10 to 8/10 post-intervention (p < .05). A significant improvement was also noted in pharmacists’ ability to select appropriate antibiotic therapies, particularly for urinary tract infections, with an increase from 78% to 90% correct responses.ConclusionThe AMS seminar was well-received and significantly improved the AMS knowledge of community pharmacists. The results underline the need for more AMS-focused interventions in this demographic in Malaysia, contributing to the development of formalized AMS programs. Such initiatives are expected to enhance antibiotic use awareness, encourage optimal antibiotic practices, and positively shift professional conduct in community settings. Journal Article Journal of Infection Prevention 0 SAGE Publications 1757-1774 1757-1782 Antimicrobial stewardship, community pharmacy practice, antimicrobial resistance education and training, antibiotic resistance prevention, Malaysia healthcare system 7 5 2024 2024-05-07 10.1177/17571774241251650 COLLEGE NANME Swansea Academy of Learning and Teaching COLLEGE CODE SALT Swansea University The author(s) received no financial support for the research, authorship, and/or publication of this article. 2024-07-23T11:44:00.3502537 2024-06-21T13:09:59.8869024 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Ali Haider Mohammed 0000-0001-5349-4583 1 Angelina Lim 2 Bassam Abdul Rasool Hassan 3 Ali Blebil 0000-0002-7480-1260 4 Juman Al-Dujaili 0000-0002-7515-5344 5 Dinesh Sangarran Ramachandram 6 Hawar Sardar Hassan 7 Arooj Abid 0000-0001-8154-5915 8 66841__30942__3ec36ba5734e43d59bca35d12bb6a55f.pdf 66841.VoR.pdf 2024-07-23T11:41:22.4193040 Output 1399249 application/pdf Version of Record true © The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution 4.0 License. true eng https://creativecommons.org/licenses/by/4.0/
title Implementing a community-based antimicrobial stewardship intervention in Malaysia
spellingShingle Implementing a community-based antimicrobial stewardship intervention in Malaysia
Ali Blebil
Juman Al-Dujaili
title_short Implementing a community-based antimicrobial stewardship intervention in Malaysia
title_full Implementing a community-based antimicrobial stewardship intervention in Malaysia
title_fullStr Implementing a community-based antimicrobial stewardship intervention in Malaysia
title_full_unstemmed Implementing a community-based antimicrobial stewardship intervention in Malaysia
title_sort Implementing a community-based antimicrobial stewardship intervention in Malaysia
author_id_str_mv ae3f126adda1dec7b84f0a12698f0b7d
47d192c8bb46dd4c0cc72bbfea4210ec
author_id_fullname_str_mv ae3f126adda1dec7b84f0a12698f0b7d_***_Ali Blebil
47d192c8bb46dd4c0cc72bbfea4210ec_***_Juman Al-Dujaili
author Ali Blebil
Juman Al-Dujaili
author2 Ali Haider Mohammed
Angelina Lim
Bassam Abdul Rasool Hassan
Ali Blebil
Juman Al-Dujaili
Dinesh Sangarran Ramachandram
Hawar Sardar Hassan
Arooj Abid
format Journal article
container_title Journal of Infection Prevention
container_volume 0
publishDate 2024
institution Swansea University
issn 1757-1774
1757-1782
doi_str_mv 10.1177/17571774241251650
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
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description BackgroundIn Malaysia, the unregulated use of antibiotics and lack of awareness about antimicrobial resistance (AMR) among pharmacists pose significant challenges. Implementing community-based Antimicrobial Stewardship (AMS) initiatives is crucial to address the rising AMR.MethodsWe developed a bespoke AMS intervention, aligned with the World Health Organization’s AMS modules, as a 2-day online educational seminar for community pharmacists. The effectiveness of the workshop was evaluated using pre- and post-seminar questionnaires, focusing on AMS knowledge and attitudes towards antimicrobial usage.ResultsAmong 528 participants, 489 completed both questionnaires. Pre-seminar, only 59% correctly understood the concept of antibiotic resistance reversibility, which improved to 85.9% post-seminar (p = .002). The average AMS knowledge score increased from 5/10 to 8/10 post-intervention (p < .05). A significant improvement was also noted in pharmacists’ ability to select appropriate antibiotic therapies, particularly for urinary tract infections, with an increase from 78% to 90% correct responses.ConclusionThe AMS seminar was well-received and significantly improved the AMS knowledge of community pharmacists. The results underline the need for more AMS-focused interventions in this demographic in Malaysia, contributing to the development of formalized AMS programs. Such initiatives are expected to enhance antibiotic use awareness, encourage optimal antibiotic practices, and positively shift professional conduct in community settings.
published_date 2024-05-07T11:43:59Z
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