2019 Zambia

Tracking antibiotic consumption at University Teaching Hospital, Lusaka, Zambia

Lead by Drs. Cassidy Claassen, MD, PhD; Emily Heil, PharmD; Neha Sheth Pandit, PharmD; Lottie Hachaambwa, MBChB

Student grantees: Benjamin Coleman (SOM) and Heather Wittkorn (SOP)


Project Summary

Antimicrobial resistance (AMR) is a growing global problem. An objective of the World Health Organization's (WHO) global action plan to combat AMR is to strengthen knowledge through surveillance and research. Collecting data on institution-specific antimicrobial use is vital for strengthening knowledge of antimicrobial usage as well as measuring stewardship interventions. Two standard, globally recognized methods of measuring antimicrobial use are Days of Therapy (DOT) and Defined Daily Dose (DDD); however, these metrics are often not employed in resource-limited healthcare settings. We sought to develop a sustainable system for tracking antimicrobial utilization at University Teaching Hospital (UTH) in Lusaka, Zambia, the largest academic hospital in the country. The students worked on an interprofessional team of pharmacists and physicians to identify a sustainable way to track antibiotic consumption using DDD/1000 patient days using pharmacy store room inventory cards. They created a data collection tool and trained pharmacists and ID physicians at UTH on how to update and maintain the tracking system.  The tool will be utilized as the primary tracking system for antibiotic consumption moving forward and will be valuable to the developing UTH antimicrobial stewardship program.