Rocke Tamarie, Udofia Aniebiot-Abasi, El Omeiri Nathalie, Ramon-Pardo Pilar
Pan American Health Organization Washington, D.C. United States of America Pan American Health Organization, Washington, D.C., United States of America.
University of South Wales Cardiff United Kingdom University of South Wales, Cardiff, United Kingdom.
Rev Panam Salud Publica. 2023 Jul 24;47:e106. doi: 10.26633/RPSP.2023.106. eCollection 2023.
To explore the antimicrobial stewardship policy landscape in three English-speaking Caribbean countries (Barbados, Guyana, and Saint Lucia) and examine the key enablers and challenges to the design and implementation of formal antimicrobial stewardship programs.
A document analysis that searched for existing policy, communications, and contributions on antimicrobial stewardship from these three countries, adapting the READ (Ready materials; Extract data; Analyze data; Distill findings) approach, a systematic procedure for health policy document review.
The search strategy identified 726 initial records. Of those, 15 (2%) met the inclusion criteria. The analysis included official policy documents ( = 3), scholarly works/reviews ( = 3), advocacy documents ( = 2), news articles ( = 4), and confidential reports ( = 3) from the three countries.
Critical matters such as cross-programmatic coordination, the significance of individual action, and the need for bidirectional knowledge discourse are prominent in optimizing antimicrobial stewardship adaptation in these countries. CARICOM regional coordination has positively impacted the integration of infection prevention and control with antimicrobial stewardship across this knowledge network.
探索三个讲英语的加勒比国家（巴巴多斯、圭亚那和圣卢西亚）的抗菌药物管理政策格局，并研究正式抗菌药物管理计划设计与实施的关键推动因素和挑战。
进行文献分析，从这三个国家搜索有关抗菌药物管理的现有政策、宣传资料及相关文献，采用READ（准备资料；提取数据；分析数据；提炼结果）方法，这是一种用于卫生政策文献综述的系统程序。
搜索策略共识别出726条初始记录。其中，15条（2%）符合纳入标准。分析包括来自这三个国家的官方政策文件（=3）、学术著作/综述（=3）、宣传文件（=2）、新闻文章（=4）和机密报告（=3）。
在这些国家优化抗菌药物管理适应性方面，跨项目协调、个人行动的重要性以及双向知识交流的必要性等关键问题较为突出。加勒比共同体（CARICOM）的区域协调对该知识网络中感染预防与控制和抗菌药物管理的整合产生了积极影响。
