Dlungele Andile P, Mathibe Lehlohonolo J
Division of Pharmacology (Therapeutics), Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Health SA. 2023 Feb 3;28:2104. doi: 10.4102/hsag.v28i0.2104. eCollection 2023.
An Antimicrobial Stewardship Programme (ASP) is one of the strategic objectives of the World Health Organization's (WHO) global action plan to combat antimicrobial resistance. There have been numerous publications on the implementation of ASPs in both private and public sectors globally. However, there are no reviews and interpretive scholarly research publications on successful implementation of ASPs in private healthcare settings in Africa.
The aim of this study was to systematically gather relevant information from published findings and to interpret those findings into a coherent body of lessons learnt from successful ASP implemented in private healthcare settings in Africa.
Google Scholar and PubMed, which are online databases, were extensively searched, and studies, which met the inclusion criteria for this review, were retrieved. A data-charting list was developed to extract relevant data.
Only six South African studies reported on successful implementation of ASPs in private healthcare settings in Africa. The main focus areas include locally driven prescription audits as well as pharmacist-led interventions.
Although private healthcare settings in Africa utilise antibiotic therapy for various infectious diseases, reports on implementation of ASPs in these settings are limited. To win the battle against antimicrobial resistance, private healthcare settings in Africa need to implement evidence-based guidelines and report on the rational use of antibiotics.
The private healthcare sector in Africa needs to play a more meaningful role in the implementation of ASPs.
抗菌药物管理计划（ASP）是世界卫生组织（WHO）全球抗击抗菌药物耐药性行动计划的战略目标之一。全球范围内，关于在私营和公共部门实施ASP的出版物众多。然而，对于非洲私立医疗机构成功实施ASP的情况，尚无综述和解释性学术研究出版物。
本研究的目的是系统地从已发表的研究结果中收集相关信息，并将这些结果解读为从非洲私立医疗机构成功实施的ASP中吸取的连贯经验教训。
广泛检索在线数据库谷歌学术和PubMed，并检索符合本综述纳入标准的研究。制定了一份数据图表清单以提取相关数据。
只有六项南非研究报告了非洲私立医疗机构成功实施ASP的情况。主要重点领域包括本地驱动的处方审核以及药剂师主导的干预措施。
尽管非洲的私立医疗机构使用抗生素治疗各种传染病，但关于在这些机构实施ASP的报告有限。为了赢得抗击抗菌药物耐药性的战斗，非洲的私立医疗机构需要实施循证指南并报告抗生素的合理使用情况。
非洲的私立医疗部门需要在实施ASP方面发挥更有意义的作用。
