An appraisal of the contextual drivers of successful antimicrobial stewardship implementation in Nigerian health care facilities

Aboderin, 2021, Antimicrobial use among hospitalized patients: a multi-center, point prevalence survey across public healthcare facilities, Osun State, Nigeria. Germs, 11, 523, 10.18683/germs.2021.1287 Amaha, 2019, Prescribing practices using WHO prescribing indicators and factors associated with antibiotic prescribing in six community pharmacies in Asmara, Eritrea: a cross-sectional study, Antimicrob Resist Infect Control, 8, 163, 10.1186/s13756-019-0620-5 Aslam, 2018, Antibiotic resistance: a rundown of a global crisis, Infect Drug Resist, 11, 1645, 10.2147/IDR.S173867 Kpokiri, 2020, Development of antimicrobial stewardship programmes in low and middle-income countries: a mixed-methods study in Nigerian Hospitals, Antibiotics (Basel), 9, 204, 10.3390/antibiotics9040204 Aryee, 2015, Antimicrobial stewardship - can we afford to do without it?, Br J Clin Pharmacol, 79, 173, 10.1111/bcp.12417 Dyar, 2017, What is antimicrobial stewardship?, Clin Microbiol Infect, 23, 793, 10.1016/j.cmi.2017.08.026 World Health Organisation. Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries: a WHO practical toolkit, https://www.who.int/publications/i/item/9789241515481; 2019 [accessed 6 September 2022]. Doernberg, 2018, essential resources and strategies for antibiotic stewardship programs in the acute care setting, Clin Infect Dis, 67, 1168, 10.1093/cid/ciy255 Stenehjem, 2017, Antibiotic stewardship in small hospitals: barriers and potential solutions, Clin Infect Dis, 65, 691, 10.1093/cid/cix407 Iregbu, 2021, Antimicrobial stewardship implementation in Nigerian hospitals: gaps and challenges, Afr J Clin Exp Microbiol, 22, 60, 10.4314/ajcem.v22i1.8 Fadare, 2019, Status of antimicrobial stewardship programmes in Nigerian tertiary healthcare facilities: findings and implications, J Glob Antimicrob Resist, 17, 132, 10.1016/j.jgar.2018.11.025 Ogunleye, 2019, Determinants of antibiotics prescribing among doctors in a Nigerian, Hosp Pract (1995), 47, 53, 10.1080/21548331.2018.1475997 Umeokonkwo, 2019, Point prevalence survey of antimicrobial prescription in a tertiary hospital in South East Nigeria: a call for improved antibiotic stewardship, J Glob Antimicrob Resist, 17, 291, 10.1016/j.jgar.2019.01.013 United Nations Population Fund. World Population Dashboard -Nigeria | United Nations Population Fund, https://www.unfpa.org/data/world-population/NG; [accessed 6 September 2022]. Saunders, 2018, Saturation in qualitative research: exploring its conceptualization and operationalization, Qual Quant, 52, 1893, 10.1007/s11135-017-0574-8 Braun, 2006, Using thematic analysis in psychology, Qual Res Psychol, 3, 77, 10.1191/1478088706qp063oa Pulcini, 2019, Developing core elements and checklist items for global hospital antimicrobial stewardship programmes: a consensus approach, Clin Microbiol Infect, 25, 20, 10.1016/j.cmi.2018.03.033 Cox, 2017, Antibiotic stewardship in low- and middle-income countries: the same but different?, Clin Microbiol Infect, 23, 812, 10.1016/j.cmi.2017.07.010 Guo, 2021, Exploring antibiotic prescribing in public and private primary care settings in Singapore: a qualitative analysis informing theory and evidence-based planning for value-driven intervention design, BMC Fam Pract, 22, 1, 10.1186/s12875-021-01556-z World Health Organization. Global action plan on antimicrobial resistance. https://www.who.int/publications/i/item/9789241509763; 2015 [accessed 7 October 2021]. Chukwu, 2021, Antimicrobial stewardship programmes in healthcare facilities in Lagos State, Nigeria: a needs assessment, J Glob Antimicrob Resist, 25, 162, 10.1016/j.jgar.2021.02.034 World Health Organization. (2021). WHO policy guidance on integrated antimicrobial stewardship activities, https://www.who.int/publications/i/item/9789240025530; 2021 [accessed 6 September 2022]. Nigeria Centre for Disease Control. Antimicrobial use and resistance in Nigeria, http://www.ncdc.gov.ng/themes/common/docs/protocols/56_1510840387.pdf; 2017, [accessed 14 March 2018] Nigeria Centre for Disease Control. National action plan on antimicrobial resistance 2017–2022, https://www.who.int/publications/m/item/nigeria-national-action-plan-for-antimicrobial-resistance; 2017 [accessed 14 March 2018]. Broom, 2015, The path of least resistance? Jurisdictions, responsibility and professional asymmetries in pharmacists’ accounts of antibiotic decisions in hospitals, Soc Sci Med, 146, 95, 10.1016/j.socscimed.2015.10.037 Broom, 2017, Clinical and social barriers to antimicrobial stewardship in pulmonary medicine: a qualitative study, Am J Infect Control, 45, 911, 10.1016/j.ajic.2017.03.003 Laxminarayan, 2016, Access to effective antimicrobials: a worldwide challenge, Lancet, 387, 168, 10.1016/S0140-6736(15)00474-2 Petti, 2006, Laboratory medicine in Africa: a barrier to effective health care, Clin Infect Dis, 42, 377, 10.1086/499363 Patel, 2018, Diagnostic stewardship: opportunity for a laboratory-infectious diseases partnership, Clin Infect Dis, 67, 799, 10.1093/cid/ciy077 Messacar, 2017, Implementation of rapid molecular infectious disease diagnostics: the role of diagnostic and antimicrobial stewardship, J Clin Microbiol, 55, 715, 10.1128/JCM.02264-16 Davari, 2018, Factors influencing prescribing decisions of physicians: a review, Ethiop J Health Sci, 28, 795 Spurling, 2010, Information from pharmaceutical companies and the quality, quantity, and cost of physicians’ prescribing: a systematic review, PLoS Med, 7, 10.1371/journal.pmed.1000352 Ezeome, 2021, Conflict of interest in physician–pharmaceutical industry interactions: possible interventions in Nigeria medical practice, Int J Med Health Dev, 26, 1, 10.4103/ijmh.IJMH_26_20 Lieb, 2014, Contact between doctors and the pharmaceutical industry, their perceptions, and the effects on prescribing habits, PLoS ONE, 9, 10.1371/journal.pone.0110130 Chen, 2022, Pharmaceutical sales representatives in the United States and China: the need for professional public space, Health Care Anal, 30, 35, 10.1007/s10728-021-00438-w Rönnerstrand, 2017, Corruption and use of antibiotics in regions of Europe, Health Policy, 121, 250, 10.1016/j.healthpol.2016.12.010 Gharbi, 2016, A needs assessment study for optimising prescribing practice in secondary care junior doctors: The Antibiotic Prescribing Education among Doctors (APED), BMC Infect Dis, 16, 456, 10.1186/s12879-016-1800-z Silverberg, 2017, A review of antimicrobial stewardship training in medical education, Int J Med Educ, 8, 353, 10.5116/ijme.59ba.2d47 Bucklin, 2015, The influence of a continuing medical education campaign on new strategies to improve appropriate use of antibiotics, J Biomed Educ, 2015, 1, 10.1155/2015/579726 Federal Minsitry of Health (2019). Nigeria Health Facility. https://www.hfr.health.gov.ng/facilities/hospitals-list. World Health Organisation. Antimicrobial resistance and primary health care, https://apps.who.int/iris/bitstream/handle/10665/326454/WHO-HIS-SDS-2018.56-eng.pdf%0Ahttps://www.who.int/docs/default-source/primary-health-care-conference/amr.pdf?sfvrsn=8817d5ba_2; 2018 [accessed 21 March 2022] World Health Organization. Declaration of Astana, https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf; 2018. [accessed 22 March 2022].