Antimicrobial Stewardship Program: actions and education in Brazilian pediatric intensive care units
DOI:
https://doi.org/10.1590/1518-8345.7582.4657Keywords:
Antimicrobial Stewardship; Health Resources; Drug Resistance, Microbial; Education; Efficacy; Surveys and QuestionnairesAbstract
Objective: to evaluate the educational elements and actions of the Antimicrobial Stewardship Program (ASP) in Pediatric Intensive Care Units (PED-ICU) in Brazil. Method: this was a multicenter, prospective study carried out between October 2022 and January 2023, using an electronic form. Educational actions for professionals and patients on microbial resistance were analyzed, as well as interventions to improve prescribing, such as prospective audits, feedback and pre-authorization. The data was grouped by location, care profile and number of beds and analyzed using parametric and non-parametric statistical methods. Results: of the 219 PED-ICUs with ASP in place, 44.7% were in the Southeast and 58.9% carried out continuing education for professionals. Only 6.8% promoted educational activities for patients and companions, concentrated in public hospitals with more than 200 beds. The education component showed weaknesses, especially in smaller hospitals, while actions to improve prescribing were more consolidated, with 70.8% implemented. Private hospitals and those in the Southeast and South stood out in terms of adherence to management practices. Conclusion: the study revealed significant disparities in the implementation of ASPs in Brazilian PED-ICUs, highlighting the need to strengthen continuing education and engage all those involved in order to increase adherence, reduce antimicrobial resistance and improve pediatric care.
Downloads
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Revista Latino-Americana de Enfermagem
This work is licensed under a Creative Commons Attribution 4.0 International License.
RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.
