Imperial College London
Alternate

Dr Enrique Castro Sánchez

Faculty of Medicine, Department of Infectious Disease

Honorary Lecturer
 
 
 
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Contact

 

+44 (0)20 3313 2072e.castro-sanchez Website

 
 
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Location

 

8.N17Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Nampoothiri:2022:jacamr/dlab186,
author = {Nampoothiri, V and Bonaconsa, C and Bonaconsa, S and Mbamalu, O and Nambatya, W and Ahabwe, Babigumira P and Ahmad, R and Castro-Sanchez, E and Broom, A and Szymczak, J and Zingg, W and Gilchrist, M and Holmes, A and Mendelson, M and Singh, S and McLeod, M and Charani, E},
doi = {jacamr/dlab186},
journal = {JAC-Antimicrobial Resistance},
title = {What does antimicrobial stewardship look like where you are? Global narratives from participants in a massive open online course},
url = {http://dx.doi.org/10.1093/jacamr/dlab186},
volume = {4},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background:Whilst antimicrobial stewardship (AMS) is being implemented globally, contextual differences exist. We describe how the use of a massive open online course (MOOC) platform provided an opportunity to gather diverse narratives on AMS from around the world.Methods:A free 3 week MOOC titled ‘Tackling antimicrobial resistance: a social science approach’ was launched in November 2019. Learners were asked specific questions about their experiences of AMS via 38 optional free-text prompts dispersed throughout the modules. Content analysis was used to identify key emerging themes from the learners’ responses in the first three runs of the MOOC.Results:Between November 2019 and July 2020, 1464 learners enrolled from 114 countries. Overall, 199 individual learners provided a total of 1097 responses to the prompts. The diverse perspectives describe unique challenges present in different contexts including ill-defined roles for pharmacists and nurses in AMS; inadequate governance and policy inconsistencies in surveillance for antibiotic consumption and antimicrobial resistance (AMR) in some countries; lack of ownership of antibiotic decision-making and buy-in from different clinical specialties; and human resource and technological constraints. Patients’ knowledge, experiences and perspectives were recognized as a valuable source of information that should be incorporated in AMS initiatives to overcome cultural barriers to the judicious use of antibiotics.Conclusions:Analysis of learner comments and reflections identified a range of enablers and barriers to AMS implementation across different healthcare economies. Common challenges to AMS implementation included the role of non-physician healthcare workers, resource limitations, gaps in knowledge of AMR, and patient engagement and involvement in AMS.
AU  - Nampoothiri,V
AU  - Bonaconsa,C
AU  - Bonaconsa,S
AU  - Mbamalu,O
AU  - Nambatya,W
AU  - Ahabwe,Babigumira P
AU  - Ahmad,R
AU  - Castro-Sanchez,E
AU  - Broom,A
AU  - Szymczak,J
AU  - Zingg,W
AU  - Gilchrist,M
AU  - Holmes,A
AU  - Mendelson,M
AU  - Singh,S
AU  - McLeod,M
AU  - Charani,E
DO  - jacamr/dlab186
PY  - 2022///
SN  - 2632-1823
TI  - What does antimicrobial stewardship look like where you are? Global narratives from participants in a massive open online course
T2  - JAC-Antimicrobial Resistance
UR  - http://dx.doi.org/10.1093/jacamr/dlab186
UR  - http://hdl.handle.net/10044/1/97317
VL  - 4
ER  -
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