Analysis of antibiotic usage in Bulgarian hospitals and development of antibiotic stewardship software solution to improve the implementation of local antibiotic stewardship policies
AIM: Analysis of antimicrobials usage problems in Bulgarian hospitals and development of antibiotic stewardship software solution to improve implementation of local antibiotic stewardship policies and fight antimicrobial resistance (AMR) on a national level. BACKGROUND: Antimicrobial stewardship pro...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
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| Series: | Journal of Global Antimicrobial Resistance |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213716524002649 |
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| Summary: | AIM: Analysis of antimicrobials usage problems in Bulgarian hospitals and development of antibiotic stewardship software solution to improve implementation of local antibiotic stewardship policies and fight antimicrobial resistance (AMR) on a national level. BACKGROUND: Antimicrobial stewardship programs worldwide aim to optimize the use of antimicrobials. There are many studies proving the benefits of already implemented antibiotic stew¬ardships, but not many explaining the key features needed and steps required for implementation of software solutions for digital antibiotic stewardship programs for decision support and monitoring of antibiotic usage. METHODS: For the duration of 3 years the climate of antibiotic consumption in Bulgarian hospitals was thoroughly studied. An audit of the antibiotic usage in departments of abdominal surgery was performed by a team of clinical pharmacologists. Based on the identified gaps in the antibiotic stewardship policies implementation а software solution was built and implemented. Results: А software solution was built with the following key features - Information tool, Tool for decision support, Patient management tool, Decision Tree Builder Tool, Monitoring and Statistics Tool. The software was implemented in the everyday clinical practice of a surgical department. The stakeholders for a project of this nature were identified alongside the crucial need of interdisciplinary collaboration between departments. Conclusions: We created a useful software tool which is currently being used in a regional hospital in Bulgaria. The project won several Intel AI&ML potential awards and currently is collecting data to implement these technologies for a better impact in the global fight with AMR. |
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| ISSN: | 2213-7165 |