Development and Evaluation of a Continuous Quality Improvement Programme for Antimicrobial Stewardship in Six Hospitals in Uganda
Development and Evaluation of a Continuous Quality Improvement Programme for Antimicrobial Stewardship in Six Hospitals in Uganda
By: Reuben Kiggundu, J.P. Waswa, Hilma N Nakambale, Francis Kakooza, Hassan Kassuja, Marion Murungi, Harriet Akello, Seru Morries, Mohan Joshi, Andy Stergachis, and Niranjan Konduri
Publication: BMJ Open Quality; 2023;12:e002293. DOI: 10.1136/bmjoq-2023-002293
Abstract
Assisted by the USAID Medicines Technologies and Pharmaceutical Services (MTaPS) Program, six Ugandan hospitals conducted antimicrobial stewardship (AMS) interventions from June 2019 to July 2022. The initiatives targeted prevalent conditions linked to antibiotic misuse, including urinary tract infections (UTIs), upper respiratory tract infections (URTIs), and surgical antibiotic prophylaxis (SAP). This article outlines the impact of these interventions, showcasing substantial reductions in overall antibiotic use for URTIs and UTIs.