Hospital Epidemiological and Surveillance Unit, Christus Muguerza Alta Especialidad, Monterrey, 64060, ZC, México.
Epidemiology and Infection Control Manager. Christus Muguerza Healthcare System, Monterrey, 64060, ZC, México.
BMC Infect Dis. 2024 Nov 6;24(1):1254. doi: 10.1186/s12879-024-09601-9.
Antimicrobial stewardship programs (ASPs) refer to a set of coordinated actions that improve the quality of care and combat antimicrobial resistance. Currently, information regarding the status of ASPs in Mexico is scarce. We aimed to describe the status of ASPs in 12 hospitals from Christus Muguerza Healthcare System.
A cross-sectional study was conducted in 12 hospitals, with a previously developed self-assessment tool to calculate each hospital's ASP development score. The self-assessment tool includes 7 standards with 23 items. Score categories were defined as; high, medium, low, or none. The overall ASP development score was calculated using the proportional weight of each standard. Participating hospitals were divided into 2 groups according to their bed count. Statistical analysis was conducted in Excel program (Microsoft, Redmont, Washington).
12 hospitals completed the self-assessment survey. The median overall ASP development score was 32.3%. The highest overall development scores were observed for hospitals with > 40 beds. The core elements with the lowest development scores were Education and training, and Reporting and feedback. Unlike hospitals with over 40 beds, those with 40 beds or less had a low development score for Hospital leadership support. The core element with the highest development score was Infection prevention and control.
This is the first multicenter assessment of ASPs in Mexico, revealing a high proportion of low-score hospitals. National implementation of ASPs is required to combat antimicrobial resistance.
抗菌药物管理计划（ASPs）是指一组协调行动，旨在提高医疗质量并对抗抗菌药物耐药性。目前，有关墨西哥 ASP 现状的信息很少。我们旨在描述 Christus Muguerza 医疗保健系统的 12 家医院的 ASP 现状。
在 12 家医院进行了横断面研究，使用预先开发的自我评估工具来计算每家医院的 ASP 发展评分。自我评估工具包括 7 个标准，共 23 个项目。评分类别定义为高、中、低或无。使用每个标准的比例权重计算总体 ASP 发展评分。根据病床数量将参与医院分为两组。在 Excel 程序（Microsoft，雷蒙德，华盛顿）中进行统计分析。
12 家医院完成了自我评估调查。总体 ASP 发展评分中位数为 32.3%。拥有 >40 张病床的医院总体发展得分最高。得分最低的核心要素是教育和培训以及报告和反馈。与拥有 >40 张病床的医院不同，拥有 40 张病床或更少病床的医院在医院领导支持方面的发展得分较低。发展得分最高的核心要素是感染预防和控制。
这是墨西哥首次多中心 ASP 评估，显示出高比例的低评分医院。需要在全国范围内实施 ASP 以对抗抗菌药物耐药性。
