Implementing antimicrobial stewardship in South Africa – how well prepared are pharmacists for their role?

  • Y Khan Nelson Mandela University
  • L Kritiotis Nelson Mandela University
  • R Coetzee University of the Western Cape
  • J McCartney University of the Western Cape
  • S Boschmans

Abstract

Antimicrobial resistance is a global health crisis that diminishes the therapeutic benefit of antimicrobial agents in the treatment of infections.1,2,3 Since antimicrobial resistance decreases the response of infecting microorganisms to antimicrobial therapy, resistant infections are associated with longer durations of hospital stay and higher mortality rates when compared with antimicrobial-sensitive infections.1,3,4

The rising threat of antimicrobial resistance has emphasised the importance of ensuring appropriate  antimicrobial prescribing, through antimicrobial stewardship (AMS) initiatives.1,5 The practice of AMS involves implementation of coordinated strategies which aim to improve the judicious use of antimicrobial agents. Optimisation of antimicrobial prescribing has the following potential healthcare benefits: minimisation of the progression of antimicrobial resistance, improvement in patient therapeutic outcomes, minimisation of adverse effects experienced by patients, and reductions in healthcare costs.3,6,7,8,9,10

Author Biographies

Y Khan, Nelson Mandela University

Nelson Mandela University, South Africa

L Kritiotis, Nelson Mandela University

Nelson Mandela University, South Africa

R Coetzee, University of the Western Cape

University of the Western Cape, South Africa

J McCartney, University of the Western Cape

University of the Western Cape, South Africa

S Boschmans

Pharmacy Education Consultant

Published
2019-09-16
Section
Forum