The Influence of Antibiotic Stewardship Program on Indoor Patients in Asia

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Altaf, M., Khan, R. M., Afzal, S., & Tufail, M. (2023). The Influence of Antibiotic Stewardship Program on Indoor Patients in Asia. Journal of Society of Prevention, Advocacy and Research KEMU, 2(3), 128–133. Retrieved from https://journalofspark.com/journal/index.php/JSpark/article/view/170 (Original work published July 24, 2023)

Abstract

Background: Antibiotic resistance is a growing global threat driven by antibiotic overuse. Antibiotic stewardship programs (ASPs) are a key strategy to optimize antibiotic prescribing and combat resistance. Objective: To systematically review the impact of ASPs on clinical and economic outcomes among hospitalized patients in Asia. Methods: We searched PubMed, Google Scholar, and PakMediNet for studies published in 2017-2021 that quantified ASP outcomes. Studies on costs, antibiotic use, length of stay, and mortality were included. Results: 18 studies met inclusion criteria. 13 (72%) reported decreased costs after ASP implementation, with net savings of up to $12,829 USD per patient. All studies showed reduced antibiotic use, especially carbapenems. 8 (44%) found shorter lengths of stay and 10 (56%) reported lower mortality rates with ASPs. Conclusions: ASPs improve clinical outcomes and reduce costs and antibiotic resistance in Asian hospitals. More research is needed on ASP knowledge and implementation in outpatient, primary, and secondary care settings.

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