Nurses' involvement in antimicrobial stewardship: practices and experiences
DOI:
https://doi.org/10.29352/mill0216e.36080Keywords:
antimicrobial stewardship; nurses; drug resistance microbialAbstract
Introduction: Antimicrobial stewardship (AS) involves strategies and interventions aimed at optimizing antimicrobial prescription and clinical outcomes while minimizing adverse effects such as resistance. Nurses' participation is crucial in this process, although their contribution to antimicrobial management is still limited.
Objective: Analyze the antimicrobial stewardship practices performed by nurses and identify factors that influence these practices.
Methods: Cross-sectional analytical study with a sample of 182 nurses from internal medicine and intensive care services. A questionnaire was constructed and based on Padigos et al. (2022). Ethical guidelines were followed. Data were analyzed using IBM SPSS Statistics 24.0.
Results: The most frequent practices among nurses included verifying the duration of antimicrobial treatments (40.9%), consulting microbiological results (34.3%), and discussing with the team about switching from IV to oral antimicrobials (35.6%). Hospital antimicrobial guidelines were consulted occasionally by nurses (35.5%), as well as discussing with prescribers to review antimicrobial prescriptions (27.1%) and questioning the necessity of antibiotics (31.1%). Nurses in internal medicine and male nurses showed higher frequencies of AS practices (p value <0.05).
Conclusion: The study highlights the need for greater involvement of nurses in antimicrobial management, suggesting the creation of specific protocols and the importance of continuous training to ensure the effectiveness of AS and mitigate antimicrobial resistance.
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