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Cilt 38, Sayı 3

Opinion/Report

A Step-By-Step Guide to Establish Antimicrobial Stewardship Program in a Turkish Hospital and Accreditation

Ömrüm Uzun
Affiliations
  • Hacettepe Üniversitesi Tıp Fakültesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye
https://orcid.org/0000-0003-4721-0139
  • antibiotic consumption report
  • Antimicrobial stewardship program
  • cumulative antibiogram report
  • institutional guidelines

Abstract

In our country, high antibiotic resistance rates, especially in hospitals, adversely affect patient care services. Controlling resistance requires not only infection prevention practices and control but also the implementation of antimicrobial stewardship programs in hospitals. This article addresses the general principles for establishing such a program and adapts the recommendations of international organizations to the conditions of our country.

Show References

References

  1. Fleming A. Penicillin: Nobel lecture [Internet]. Stockholm: NobelPrize.org; 1945. [erişim 20 Mayıs 2025]. https://www.nobelprize.org/uploads/2018/06/fleming-lecture.pdf
  2. World Health Organization (WHO). WHO global antimicrobial resistance and use surveillance system (GLASS) report: 2024 [Internet]. Geneva: WHO; 2024. [erişim 20 Mayıs 2025]. https://www.who.int/publications/i/item/9789240093461
  3. World Health Organization (WHO). Antimicrobial resistance: fact sheet [Internet]. Geneva: WHO; 2024. [erişim 20 Mayıs 2025]. https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance
  4. World Health Organization (WHO). WHO releases report on state of development of antibacterials [Internet]. Geneva: WHO; 2024 Jun 14 [erişim 20 Mayıs 2025]. https://www.who.int/news/item/14-06-2024-who-releases-report-on-state-of-development-of-antibacterials
  5. World Bank. Antimicrobial resistance (AMR) [Internet]. Washington (DC): World Bank; [erişim 20 Mayıs 2025]. https://www.worldbank.org/en/topic/health/brief/antimicrobial-resistance-amr
  6. Türkiye Cumhuriyeti Sağlık Bakanlığı. Bulaşıcı hastalıklar: dokümanlar [Internet]. Ankara: Halk Sağlığı Genel Müdürlüğü. [erişim 20 Mayıs 2025]. https://hsgm.saglik.gov.tr/tr/dokumanlar-bulasicihastaliklar.html
  7. Organisation for Economic Co-operation and Development (OECD). Embracing a One Health framework to fight antimicrobial resistance: full report [Internet]. Paris: OECD Publishing; 2024. [erişim 20 Mayıs 2025]. https://www.oecd.org/en/publications/embracing-a-one-health-framework-to-fight-antimicrobial-resistance_ce44c755-en/full-report.html
  8. Dellit TH, Owens RC, McGowan JE Jr, et al; Infectious Diseases Society of America; Society for Healthcare Epidemiology of America. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis. 2007;44(2):159-77. [CrossRef]
  9. World Health Organization (WHO). Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries: A WHO practical toolkit [Internet]. Geneva: WHO; 2019. [erişim 20 Mayıs 2025]. Available from: https://iris.who.int/handle/10665/329404
  10. Türk Klinik Mikrobiyoloji ve İnfeksiyon Hastalıkları (Klimik) Derneği. How to prepare local guidelines [Internet]. İstanbul: KLİMİK; 2019. [erişim 20 Mayıs 2025]. Available from: https://www.klimik.org.tr/wp-content/uploads/2019/10/How-to-prepare-local-guidelines_compressed.pdf
  11. Klinik Mikrobiyoloji Uzmanlık Derneği (KLİMUD). Tıbbi mikrobiyoloji uzmanları için antibiyotik duyarlılık verilerinin analizi ve sunumu rehberi [Internet]. Ankara: KLİMUD; 2021. [erişim 20 Mayıs 2025]. https://www.klimud.org/uploads/content/Antibiyotik%20Duyarlılık%20Verilerinin%20Analizi%20ve%20Sunumu%20RRehberi.pdf
  • 173-80
  • Ömrüm Uzun
  • [email protected]
  • 10.36519/kd.2025.5293
  • May 20, 2025
  • July 3, 2025
  • September 27, 2025

  • Uzun Ö. [A step-by-step guide to establish antimicrobial stewardship program in a Turkish hospital and accreditation]. Klimik Derg. 2025;38(3):173-80. Turkish. 
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