Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement

(1) Background: Our aim was to develop robust and reliable systems for antimicrobial stewardship (AMS) in Keta Municipal Hospital and Ghana Police Hospital. Objectives were to build capacity through training staff in each hospital, establish AMS teams, collect data on antibiotic use and support loca...

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Published inAntibiotics (Basel) Vol. 9; no. 10; p. 636
Main Authors Sneddon, Jacqueline, Afriyie, Daniel, Sefah, Israel, Cockburn, Alison, Kerr, Frances, Byrne-Davis, Lucie, Cameron, Elaine
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.10.2020
MDPI
Subjects
Antibiotics
antibiotics use
Antimicrobial agents
Antimicrobial resistance
antimicrobial stewardship
Behavior
behavior change
Compliance
COVID-19
Data collection
Disease prevention
Drug stores
Education
Health facilities
Health promotion
Hospitals
Infectious diseases
Knowledge
Laboratories
Methods
Nurses
Police
Quality control
Surveillance
Teams
Training
Ghana
United Kingdom > UK
Scotland
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Summary:(1) Background: Our aim was to develop robust and reliable systems for antimicrobial stewardship (AMS) in Keta Municipal Hospital and Ghana Police Hospital. Objectives were to build capacity through training staff in each hospital, establish AMS teams, collect data on antibiotic use and support local quality improvement initiatives. (2) Methods: The Scottish team visited Ghana hospitals on three occasions and the Ghanaian partners paid one visit to Scotland. Regular virtual meetings and email communication were used between visits to review progress and agree on actions. (3) Results: Multi-professional AMS teams established and met monthly with formal minutes and action plans; point prevalence surveys (PPS) carried out and data collected informed a training session; 60 staff participated in training delivered by the Scottish team and Ghanaian team cascaded training to over 100 staff; evaluation of training impact demonstrated significant positive change in knowledge of antimicrobial resistance (AMR) and appropriate antibiotic use as well as improved participant attitudes and behaviours towards AMR, their role in AMS, and confidence in using the Ghana Standard Treatment Guidelines and antimicrobial app. (4) Conclusions: Key objectives were achieved and a sustainable model for AMS established in both hospitals.
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ISSN:2079-6382
2079-6382
DOI:10.3390/antibiotics9100636