Introduction Antimicrobial-resistant HAI (Healthcare associated infection) are a global challenge due to their impact on patient outcome. Implementation of antimicrobial stewardship programmes (AMSP) is needed at institutional and national levels. Assessment of core capacities for AMSP is an important starting point to initiate nationwide AMSP. We conducted an assessment of the core capacities for AMSP in a network of Indian hospitals, which are part of the Global Health Security Agenda-funded work on capacity building for AMR-HAIs. Subjects and Methods The Centers for Disease Control and Prevention's core assessment checklist was modified as per inputs received from the Indian network. The assessment tool was filled by twenty hospitals as a self-administered questionnaire. The results were entered into a database. The cumulative score for each question was generated as average percentage. The scores generated by the database were then used for analysis. Results and Conclusion The hospitals included a mix of public and private sector hospitals. The network average of positive responses for leadership support was 45%, for accountability; the score was 53% and for key support for AMSP, 58%. Policies to support optimal antibiotic use were present in 59% of respondents, policies for procurement were present in 79% and broad interventions to improve antibiotic use were scored as 33%. A score of 52% was generated for prescription-specific interventions to improve antibiotic use. Written policies for antibiotic use for hospitalised patients and outpatients were present on an average in 72% and 48% conditions, respectively. Presence of process measures and outcome measures was scored at 40% and 49%, respectively, and feedback and education got a score of 53% and 40%, respectively. Thus, Indian hospitals can start with low-hanging fruits such as developing prescription policies, restricting the usage of high antibiotics, enforcing education and ultimately providing the much-needed leadership support.

中文翻译：

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印度医院抗菌药物管理实践核心能力评估：全球卫生安全议程多中心倡议的报告。


简介 抗菌药物耐药性 HAI（医疗相关感染）因其对患者预后的影响而成为一项全球性挑战。需要在机构和国家层面实施抗菌药物管理计划（AMSP）。 AMSP核心能力评估是启动全国AMSP的重要抓手。我们对印度医院网络中 AMSP 的核心能力进行了评估，这是全球卫生安全议程资助的 AMR-HAI 能力建设工作的一部分。主题和方法疾病控制和预防中心的核心评估清单根据从印度网络收到的输入进行了修改。该评估工具由二十家医院以自填问卷形式填写。结果被输入数据库。每个问题的累积分数以平均百分比形式生成。然后使用数据库生成的分数进行分析。结果和结论 医院包括公立和私立医院。对于问责制，领导力支持的网络平均积极回应率为 45%；得分为 53%，对 AMSP 的关键支持为 58%。 59% 的受访者制定了支持最佳抗生素使用的政策，79% 的受访者制定了采购政策，33% 的受访者制定了改善抗生素使用的广泛干预措施。改善抗生素使用的处方特定干预措施得分为 52%。平均 72% 和 48% 的患者有针对住院患者和门诊患者使用抗生素的书面政策。 过程测量和结果测量的得分分别为 40% 和 49%，反馈和教育的得分分别为 53% 和 40%。因此，印度医院可以从容易实现的目标入手，例如制定处方政策、限制高浓度抗生素的使用、加强教育并最终提供急需的领导支持。