A one health approach to strengthening antimicrobial stewardship in Wakiso District, Uganda

Musoke, D., Eric Kitutu, F., Mugisha, L., Amir, S., Brandish, C., Ikhile, D. ORCID: 0000-0002-4343-1674, Kajumbula, H., Musoke Kizito, I., Lubega, G.B., Niyongabo, F., Ng, B.Y., O’Driscoll, J., Russell-Hobbs, K., Winter, J. ORCID: 0000-0003-3582-7596 and Gibson, L. ORCID: 0000-0002-1220-8680, 2020. A one health approach to strengthening antimicrobial stewardship in Wakiso District, Uganda. Antibiotics, 9 (11): 764.

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Abstract

Antimicrobial stewardship (AMS), as one of the global strategies to promote responsible use of antimicrobials to prevent antimicrobial resistance (AMR), remains poor in many low-and middle-income countries (LMICs). We implemented a project aimed at strengthening AMS in Wakiso district, Uganda using a One Health approach. A total of 86 health practitioners (HPs), including animal health workers, and 227 community health workers (CHWs) participated in training workshops, and over 300 pupils from primary schools were sensitized on AMR, AMS, and infection prevention and control (IPC). We further established two multidisciplinary online communities of practice (CoPs) for health professionals and students, with a current membership of 321 and 162, respectively. In addition, a Medicine and Therapeutics Committee (MTC) was set up at Entebbe Regional Referral Hospital. The project evaluation, conducted three months after training, revealed that the majority of the HPs (92.2%) and CHWs (90.3%) reported enhanced practices, including improved hand washing (57.3% and 81.0%, respectively). In addition, 51.5% of the HPs reported a reduction in the quantity of unnecessary antibiotics given per patient. This project demonstrates that AMS interventions using a One Health approach can promote understanding of the prudent use of antimicrobials and improve practices at health facilities and in communities.

Item Type: Journal article
Publication Title: Antibiotics
Creators: Musoke, D., Eric Kitutu, F., Mugisha, L., Amir, S., Brandish, C., Ikhile, D., Kajumbula, H., Musoke Kizito, I., Lubega, G.B., Niyongabo, F., Ng, B.Y., O’Driscoll, J., Russell-Hobbs, K., Winter, J. and Gibson, L.
Publisher: MDPI AG
Date: 31 October 2020
Volume: 9
Number: 11
Identifiers:
NumberType
10.3390/antibiotics9110764DOI
1384245Other
Rights: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Divisions: Schools > School of Science and Technology
Schools > School of Social Sciences
Record created by: Linda Sullivan
Date Added: 17 Nov 2020 09:50
Last Modified: 17 Nov 2020 09:50
URI: http://irep.ntu.ac.uk/id/eprint/41650

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