THE SITUATION OF IMPLEMENTATION OF THE MANAGEMENT PROGRAM GUIDELINES OF THE MINISTRY OF HEALTH IN HEALTH FACILITIES IN HO CHI MINH CITY
Main Article Content
Abstract
Objective: To survey the implementation of the antimicrobial stewardship program at medical facilities in Ho Chi Minh City by 2020. Subjects and methods: Study cross-sectional descriptive survey of medical facilities in Ho Chi Minh City on antimicrobial stewardship program implementation. Results: The implementation of antimicrobial stewardship program in 57 medical facilities in Ho Chi Minh City was above average with an overall score of 63/100. 48/57 establishments have implemented, of which 47/48 establishments have implemented it according to Decision No. 772/QD-BYT. There is a lack of specialists in epidemiology and information technology. Activities of reporting drug resistance, warning of drug duplicated, and monitoring C.difficile infection rates have not been regularly implemented. Only 1 out of 7 indicators/metrics was implemented by more than 70% of establishments, three indicators/metrics on the rate of switching to oral antibiotics (30%), DOT (40%) and DDD (49%) were considered to be difficult in analysis. Much of the analysis of the new indicators/metrics is manual. Conclusion: Health facilities need to promote autonomy mechanisms to mobilize budget for antibiotic management activities and attract experts. In addition, the regulator needs to give more specific guidance on the evaluation criteria and at the same time need to study and apply information technology to automate the analysis of the criteria.
Article Details
Keywords
implementation of guidelines, antibiotic management program
References
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