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 Table of Contents  
EDITORIAL
Year : 2018  |  Volume : 2  |  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 Publication17-Jan-2019

Correspondence Address:
Dr. Ahmed Atia
Department of Anesthesia and Intensive Care, Faculty of Medical Technology, Tripoli University, Tripoli
Libya
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/LJMS.LJMS_49_18

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How to cite this article:
Atia A. The need for implementing antibiotic stewardship programs in Libya. Libyan J Med Sci 2018;2:125

How to cite this URL:
Atia A. The need for implementing antibiotic stewardship programs in Libya. Libyan J Med Sci [serial online] 2018 [cited 2019 Feb 19];2:125. Available from: http://www.ljmsonline.com/text.asp?2018/2/4/125/250305



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.[1],[2],[3] Bacterial infections can cause extended hospital stays, higher treatment costs, and, most significantly, considerably worse patient consequences, including higher mortality rates.[4] 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.[5] 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.

Acknowledgment

We acknowledge the staff of Tripoli University for their support.



 
  References Top

1.
Atia AE, Abired AN. Antibiotic prescribing for upper respiratory tract infections by Libyan community pharmacists and medical practitioners: An observational study. Libyan J Med Sci 2017;1:31-5.  Back to cited text no. 1
  [Full text]  
2.
Atia A, Abired A, Ammar A, Elyounsi N, Ashour A. Prevalence and types of bacterial infections of the upper respiratory tract at a tertiary care hospital in the City of Tripoli. Libyan Int Med Univ J 2018;3:54-8.  Back to cited text no. 2
  [Full text]  
3.
Mohammed MA, Alnour TM, Shakurfo OM, Aburass MM. Prevalence and antimicrobial resistance pattern of bacterial strains isolated from patients with urinary tract infection in messalata central hospital, Libya. Asian Pac J Trop Med 2016;9:771-6.  Back to cited text no. 3
    
4.
Wenzel RP, Bearman G, Edmond MB. Screening for MRSA: A flawed hospital infection control intervention. Infect Control Hosp Epidemiol 2008;29:1012-8.  Back to cited text no. 4
    
5.
Patel SJ, Saiman L. Principles and strategies of antimicrobial stewardship in the neonatal intensive care unit. Semin Perinatol 2012;36:431-6.  Back to cited text no. 5
    




 

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