TY - JOUR
T1 - Identifying context-specific domains for assessing antimicrobial stewardship programmes in Asia
T2 - protocol for a scoping review
AU - Vu, Huong Thi Lan
AU - Hamers, Raph L.
AU - Limato, Ralalicia
AU - Limmathurotsakul, Direk
AU - Karkey, Abhilasha
AU - Dodds Ashley, Elizabeth
AU - Anderson, Deverick
AU - Patel, Payal K.
AU - Patel, Twisha S.
AU - Lessa, Fernanda C.
AU - van Doorn, H. Rogier
N1 - Funding Information: This work is part of the project entitled 'Understanding variations in antimicrobial stewardship (AMS) programmes in hospital networks in Asia through a newly developed context-specific tool' funded by US Centers for Disease Control and Prevention (CDC) through the Broad Agency Announcement (BAA) 75D301-21-R-71738. HTLV was also supported by the National Institute for Health Research (NIHR) (using the UK’s Official Development Assistance (ODA) Funding) and Wellcome (Grant Reference Number: 216367/Z/19/Z) under the NIHR-Wellcome Partnership for Global Health Research. The views expressed are those of the authors and not necessarily those of Wellcome, the NIHR or the Department of Health and Social Care. Publisher Copyright: ©
PY - 2022/9/15
Y1 - 2022/9/15
N2 - INTRODUCTION: Antimicrobial stewardship (AMS) is an important strategy to control antimicrobial resistance. Resources are available to provide guidance for design and implementation of AMS programmes, however these may have limited applicability in resource-limited settings including those in Asia. This scoping review aims to identify context-specific domains and items for the development of a healthcare facility (HCF)-level tool to guide AMS implementation in Asia. METHODS AND ANALYSIS: This review is the first step in a larger project to assess AMS implementation, needs and gaps in Asia. We will employ a deductive qualitative approach to identify locally appropriate domains and items of AMS implementation guided by Nilsen and Bernhardsson's contextual dimensions. This process is also informed by discussions from a technical advisory group coordinated by the US Centers for Disease Control and Prevention to develop an AMS HCF-level assessment tool for low-income and middle-income countries. We will review English-language documents that discuss HCF-level implementation, including those describing frameworks, components/elements or recommendations for design, implementation or assessment globally and specific to Asia. We have performed the search in August-September 2021 including general electronic databases (MEDLINE, Embase, Web of Science and Google Scholar), region-specific databases, national action plans, grey literature sources and reference lists to identify eligible documents. Country-specific documents will be restricted to countries in three subregions: South Asia, East Asia and Southeast Asia. Codes and themes will be derived through a content analysis, classified following the predefined context dimensions and used for developing domains and items of the assessment tool. ETHICS AND DISSEMINATION: Results from this review will feed into our stepwise process for developing a context-specific HCF-level assessment tool for AMS programmes to assess the implementation status, identify intervention opportunities and monitor progress over time. The process will be done in consultation with local stakeholders, the end-users of the generated knowledge.
AB - INTRODUCTION: Antimicrobial stewardship (AMS) is an important strategy to control antimicrobial resistance. Resources are available to provide guidance for design and implementation of AMS programmes, however these may have limited applicability in resource-limited settings including those in Asia. This scoping review aims to identify context-specific domains and items for the development of a healthcare facility (HCF)-level tool to guide AMS implementation in Asia. METHODS AND ANALYSIS: This review is the first step in a larger project to assess AMS implementation, needs and gaps in Asia. We will employ a deductive qualitative approach to identify locally appropriate domains and items of AMS implementation guided by Nilsen and Bernhardsson's contextual dimensions. This process is also informed by discussions from a technical advisory group coordinated by the US Centers for Disease Control and Prevention to develop an AMS HCF-level assessment tool for low-income and middle-income countries. We will review English-language documents that discuss HCF-level implementation, including those describing frameworks, components/elements or recommendations for design, implementation or assessment globally and specific to Asia. We have performed the search in August-September 2021 including general electronic databases (MEDLINE, Embase, Web of Science and Google Scholar), region-specific databases, national action plans, grey literature sources and reference lists to identify eligible documents. Country-specific documents will be restricted to countries in three subregions: South Asia, East Asia and Southeast Asia. Codes and themes will be derived through a content analysis, classified following the predefined context dimensions and used for developing domains and items of the assessment tool. ETHICS AND DISSEMINATION: Results from this review will feed into our stepwise process for developing a context-specific HCF-level assessment tool for AMS programmes to assess the implementation status, identify intervention opportunities and monitor progress over time. The process will be done in consultation with local stakeholders, the end-users of the generated knowledge.
KW - health services administration & management
KW - infectious diseases
KW - public health
KW - quality in health care
UR - http://www.scopus.com/inward/record.url?scp=85137914347&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/bmjopen-2022-061286
DO - https://doi.org/10.1136/bmjopen-2022-061286
M3 - Review article
C2 - 36109025
SN - 2044-6055
VL - 12
SP - e061286
JO - BMJ Open
JF - BMJ Open
IS - 9
M1 - e061286
ER -