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No. | Hospital name | Clinicians’ compliance | AMR-CP team performance |
Guidelines for use of antibiotics and restriction of antibiotics | Antibiotic sensitivity test results |
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1 | AAA hospital | Compliance was quite good because it is part of the hospital accreditation assessment | Clinicians sometimes did not use the antibiotics test results, and they often did not ask for a sensitivity test | In general, there is a decrease in the use of antibiotics, although the hospital has not explicitly evaluated the performance of the AMR-CP. Good hospital compliance due to accreditation requirement, but sustainability needs to be improved. This can be seen from the fact that clinicians rarely ask for antibiotics sensitivity tests. However, the impact of SOP on antimicrobial resistance can still be seen in reducing the use of antibiotics |
2 | BBB hospital | Clinicians’ adherence to antibiotic use guidelines was good | Clinicians’ compliance with sensitivity test results because it is in line with NHS treatment guidelines | Improvements in the result of sensitivity pattern based on Geysen qualitative analyses |
3 | CCC hospital | Clinician compliance is about 50% with the antimicrobials’ guidelines and SOPs, but clinicians are quite obedient to clinical practice guidelines and pathways | Clinicians have started to comply with the use of antibiotics by considering the culture results | Work performance has never been measured, but the use of antibiotics is much more well-arranged now. There is progress in terms of the use of antibiotics based on the results of sensitivity tests and reducing the use of antibiotics for prophylaxis |
4 | DDD hospital | Compliance is getting better, although some still have not obeyed. Those who have not complied more adhere to international guidelines | Compliance with sensitivity test results was perfect | There was significant progress in microbiologist laboratory services due to the hospital implementing AMR-CP. Analyses with the Geysen method showed that the rational use of antibiotics had reached 80%. Thus, it leads to the cost efficiency of antibiotics to billion rupiahs (hundred thousands dollars). At the same time, antimicrobial treatment quality is improving as a reference |
5 | EEE hospital | Clinical compliance is still lacking | Compliance with sensitivity test results has not been evaluated | The work performance of AMR-CP has never been evaluated, but since the implementation of AMR-CP in the hospital, the use of antibiotics is more controlled and rational |
6 | FFF hospital | It has not been evaluated | It has not been evaluated | The work performance of AMR-CP has not been seen, as the program just started around one year |
7 | GGG hospital | Not all clinicians have implemented it because uniform understanding is not easy. They were generally accepted, especially among young clinicians | Compliance with sensitivity test results has not been evaluated | Even though there were no comprehensive evaluations on AMR-CP, the rational use of antibiotics increased; conversely, the irrational use of antibiotics decreased by 60%. In addition, there is an improvement in the quality of the use of antibiotics |
8 | HHH hospital | Compliance with the guidelines was good | Compliance with sensitivity test results was good, mainly because it is in line with NHS guidelines. If it is outside NHS, then the claim will not be paid | There was a decrease in the use of antibiotics without a diagnosis of infection, from 80% to 77.7%, and the effectiveness was better, ranging from 70 to 80%. The cost aspect leads to being more efficient because the cost is lower. Overall, there were better quality and cost control |
9 | III hospital | Compliance with the guidelines has been established but still needs to be improved | Some clinicians still need to comply with the results of sensitivity tests, and there are still doctors who use antibiotics in the long term without supporting data such as sensitivity test results | There was a change for the better quality of antibiotic use. Likewise, there was an improvement in antibiotic sensitivity and a decrease in multiresistant antimicrobials. There was also a decrease in the incidence of MRSA |
10 | JJJ hospital | There is no clinical compliance assessment yet | It has not been evaluated | Although not yet evaluated, AMR-CP has a cost-efficiency impact |
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