Antimicrobial stewardship solutions with a smart innovative tool

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• 18 Jan, 2023

• 2 Minute(s) to read

CLINIcare Pro® – an in-house developed integrated healthcare digital solution The Group’s digitalization agenda recognizes the need to manage the surge in demand for quality healthcare services through innovative digital healthcare solutions that help ensure rational, safe and cost-effective service delivery. The Group developed an inhouse web-based healthcare solution, CLINIcare pro® , an innovative antimicrobial stewardship module that aims to reduce irrational antimicrobial use effectively, leading to an improvement against antimicrobial resistance and other antimicrobials related complications.

As a pre-implementation phase, the project was rolled out at Nile Badrawi Hospital to test its viability and efficacy. This led the Group to the privilege of contributing to the global medical research field by producing the first accredited medical research study out of a private hospitals group in Egypt. The study focused on evaluating the impact of CLINIcare pro® as an integrated Healthcare solution on the consumption and cost of antimicrobials in comparison to conventional paper-based antimicrobial stewardship systems, in addition to its impact on lengths of stay, infectious diseases in relation to mortality, and drug related problems detection.

The study was published by one of the most renowned research journals specialized in the field of Pharmacy Practice, the Journal of the American Pharmacists Association “JAPhA”. Upon implementing the application at Nile Badrawi Hospital, and its effective use by 38 healthcare professionals, 23 pharmacist, 11 physicians and 4 nurses, participants reported that they would recommend the application to other healthcare professionals: -

• Total Antimicrobials consumption decreased by 15% in one year upon the implementation of CLINIcare Pro ® as a clinical decision supporting tool.
• A reduction of 21% in total Antibiotics expenses upon the implementation of CLINIcare Pro ®
• All antimicrobial agents showed a decrease in their resistance patterns upon the implementation of CLINIcare Pro ® as a clinical decision supporting tool
  
  

Amikacin	Colistin	Gentamicin	Imipenem	Meropenem	Piperacillin /Tazobactam	Tigecycline
-11%	-75%	-30%	-30%	-10%	-14%	-75%

 

• A reduction of 1.63 days in the mean length of ICU stays by virtue of applying our digital version of the stewardship program when compared to the manual pre-implementation stewardship program.
• A reduction in 30-day infectious disease related mortality rates, from 1.17% to 0.83%.
• The frequency of DRPs (Drug Related Problems) detected by Clinical pharmacists increased from 0.54/100 bed-days to 3.23/100 bed-days by virtue of applying CLINIcare Pro ®

Title	Antimicrobial Stewardship Solutions with a Smart Innovative Tool
Access	Antimicrobial stewardship solutions with a smart innovative tool - ScienceDirect
Authors	May A. Shawki, PhD, Lecturer, Clinical Pharmacy Department, Faculty of Pharmacy, Ain Shams University, Cairo, Egyp
	Watheq M. AlSetohy, PharmD, FEBCP, Group Clinical Pharmacy Lead, Cleopatra Hospitals Group, Cairo, Egypt
	Kareem A. Ali, MBA, CSCP, Head of CHG Pharma, Cleopatra Hospitals Group, Cairo, Egypt
	Mohamed R. Ibrahim, MBA, Head of the Pharmacy Department, El-Nile Badrawi Hospital, Cleopatra Hospitals Group, Cairo, Egypt
	Nagwa El-Husseiny, MD, Professor, Internal Medicine Department, Faculty of Medicine, Cairo University, Giza, Egypt
	Nirmeen A. Sabry, PhD, Professor, Clinical Pharmacy Department, Faculty of Pharmacy, Cairo University, Giza, Egypt

 

As the application has passed its pre-implementation phase and is currently being rolled out across the Group, we are very excited to witness its further development as it runs on each facility to the next, and ultimately become the first of its kind medical management tool that will effectively guide medical health professionals on rational antimicrobial use.