|Year : 2018 | Volume
| Issue : 4 | Page : 125
The need for implementing antibiotic stewardship programs in Libya
Department of Anesthesia and Intensive Care, Faculty of Medical Technology, Tripoli University, Tripoli, Libya
|Date of Web Publication||17-Jan-2019|
Dr. Ahmed Atia
Department of Anesthesia and Intensive Care, Faculty of Medical Technology, Tripoli University, Tripoli
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Atia A. The need for implementing antibiotic stewardship programs in Libya. Libyan J Med Sci 2018;2:125
Antibiotic stewardship is a practice of decreasing and removing the unsuitable usage of antibiotics. It is a quality exploration to prevent the development of antimicrobial resistance, judicious use of existing drugs. Antibiotics can be a lifesaving medication when used properly. Nevertheless, inappropriate uses of antibiotic must be guarded against to avoid an emergent of adverse events. Resistance against antibiotics is constantly growing globally and has become a very crucial problem. This issue necessitates the implementation of “antibiotic stewardship programs.” These programs are applied with the aim of continual improvement in the situation and to assure an accurate practice for the prescription of antimicrobial agents in health-care settings. Health information technology has the potential to uphold antimicrobial stewardship in several ways, but this field is still poorly understood. Evidence-based guidelines for implementation and measurement of antibiotic stewardship interventions in Libya are required. Libya has a high burden of antibiotic resistance, and antimicrobial malpractice has frequently been reported.,, Bacterial infections can cause extended hospital stays, higher treatment costs, and, most significantly, considerably worse patient consequences, including higher mortality rates. The primary goal is to classify which patient needs antibiotic therapy using proper antibiotic sensitivity test, keeping a strong broad-spectrum antimicrobial only for risky cases, a readiness to discontinue antibiotics therapy when bacterial cultures are negative and avert the development of multidrug-resistant bacteria.
Health-care clinics in Libya should initiate interdisciplinary antibiotic stewardship groups with support of the government. Prescriber assessment and opinion as well as preapproval and firm restriction of selected antibiotics are recommended antibiotic stewardship interventions. Additional approaches include education, computerized decision, measurements of patient quality and safety such as assessing adverse drug reactions, and correct dosing and timing of antibiotic initiation is essential to evaluate antimicrobial stewardship programs. To implement an effective stewardship program, a multidisciplinary team must deliver assessment of prescribing practice, give proper feedback, and identify both objectives and barriers to success. This team consists of a physician and clinical pharmacist, microbiologist, and nursing in-charge. When antibiotics are prescribed, they should be as narrow of spectrum and short of duration as possible while still conserving their effectiveness. Careful usage of antimicrobial will stopover the progression of antibiotic resistance and other adverse consequences while enhancing patient outcomes.
Antimicrobial resistance is not only a significant health threat but also may affect the economic burden on the government. Extensive length of hospital staying and higher antibiotics which are more costly may definitely result in drop in finances. If this concern is not assessed instantly, we may lose more patients due to resistance than to infection itself. These distress essentials to be tackled immediately by initiating a strict measurement to hold the problem. Strategies to improve antibiotic prescribing in this situation can take to implement antibiotic stewardship program structure and process.
We acknowledge the staff of Tripoli University for their support.
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