Practical insights from implementing a national programme for monitoring appropriateness of antimicrobial prescribing in the South-East Asia Region: experience from the CAPTURA project in Bangladesh, Bhutan, and Nepal
Rattachement africain : au, np, kr, bt, bd. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Objectives: Surveillance of antimicrobial prescribing quality is a core element of national antimicrobial resistance containment strategies. The National Antimicrobial Prescribing Survey (NAPS) programme was implemented in Bangladesh, Bhutan, and Nepal under the Fleming Fund-supported Capturing Data on Antimicrobial Resistance Patterns and Trends in Use in Regions of Asia project to strengthen national surveillance and stewardship capacity. The programme comprises setting-specific modules using standardized indicators including documentation quality, guideline concordance, and appropriateness. Methods: Between September 2024 and September 2025, Hospital NAPS point-prevalence audits were conducted in Bangladesh and Nepal, and Surgical NAPS was piloted in Bhutan. Audits were conducted in two phases to enable local interventions between rounds, incorporating stakeholder engagement, structured auditor training, and central quality assurance. Results: Ten hospitals completed audits encompassing 1299 patients (Hospital NAPS), 236 procedures (Surgical NAPS), and 2308 prescriptions. The programme produced baseline prescribing appropriateness data for the first time to inform stewardship priorities across district to tertiary settings. Key enablers included national engagement and establishment of antimicrobial stewardship committees; barriers included incomplete documentation, infrastructure limitations, and coordination challenges. Conclusion: The NAPS programme demonstrated feasibility across diverse health system contexts in three South-East Asia Region countries. Sustained leadership, routine practice integration, local ownership, and committed cross-institutional collaboration are critical for long-term stewardship impact.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Practical insights from implementing a national programme for monitoring appropriateness of antimicrobial prescribing in the South-East Asia Region: experience from the CAPTURA project in Bangladesh, Bhutan, and Nepal
- Date Crossref
- 01/09/2026
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The Royal Melbourne Hospital RMH Guidance Group pays non établi dans la noticeOrganisme public
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Peter Doherty Institute Department of Infectious Diseases pays non établi dans la noticeStructure de recherche
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Royal Dental Hospital of Melbourne pays non établi dans la noticeÉtablissement de santé
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Bir Hospital pays non établi dans la noticeÉtablissement de santé
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International Vaccine Institute pays non établi dans la noticeOrganisation à but non lucratif
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Ministry of Agriculture and Forests pays non établi dans la noticeOrganisme public
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Royal University of Bhutan pays non établi dans la noticeUniversité ou école supérieure
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Directorate General of Health Services pays non établi dans la noticeOrganisme public
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Ministry of Health and Family Welfare Directorate General of Health Services pays non établi dans la noticeOrganisme public
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Phuentsholing General Hospital pays non établi dans la noticeÉtablissement de santé
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Jigme Dorji Wangchuck National Referral Hospital pays non établi dans la noticeÉtablissement de santé
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Anweshan Private Limited pays non établi dans la noticeInstitution
RMH Guidance Group — The Royal Melbourne Hospital, Department of Infectious Diseases — Peter Doherty Institute et Royal Dental Hospital of Melbourne, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.