INTEGRATED TRAINING PROGRAMS FOR ANTIMICROBIAL STEWARDSHIP AND INFECTION PREVENTION AND CONTROL FOR PRIMARY CARE PHYSICIANS: A REVIEW OF THE CURRENT LITERATURE

Melda Keçik; Muammer Çelik; Can Huseyin Hekımoglu; F. Nur Baran Aksakal

Article Details

INTEGRATED TRAINING PROGRAMS FOR ANTIMICROBIAL STEWARDSHIP AND INFECTION PREVENTION AND CONTROL FOR PRIMARY CARE PHYSICIANS: A REVIEW OF THE CURRENT LITERATURE

Authors:

Melda Keçik | Muammer Çelik | Can Huseyin Hekımoglu | F. Nur Baran Aksakal

Publisher:

Ankara University

Main Topics:

Farmasotik Mikrobiyoloji

Journal:

Ankara Üniversitesi Eczacılık Fakültesi Dergisi Vol.49 Issue 3, pp.766-772

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001356420

pISSN:

1015-3918

Keywords:

Abstract:

 Objective: Antimicrobial resistance AMR is a growing global threat, recognized by the World Health Organization WHO as a silent pandemic. Its impact endangers health systems worldwide, compromising progress toward Universal Health Coverage UHC and the Sustainable Development Goals SDGs. Primary health care PHC plays a crucial role in ensuring access to high-quality, affordable healthcare, disease prevention, and community health improvement. However, the risk of infection transmission in PHC settings highlights the need for robust infection prevention and control IPC measures alongside antimicrobial stewardship AMS to ensure responsible antibiotic use and optimal patient outcomes. Material and Method: This research examines the current literature on AMS and IPC training programs for primary care physicians. A systematic search using PubMed, Google Scholar, and Scopus identified 95 relevant articles, excluding settings outside PHC and specific AMS or IPC interventions beyond training. Result and Discussion: Despite the recognized importance of AMS and IPC, no integrated training programs addressing both strategies in PHC settings were identified. The findings suggest an urgent need for structured, evidence-based training programs to enhance AMS and IPC implementation in primary care. Developing and evaluating such programs could be a key step in combating AMR at the frontline of healthcare.

 Objective: Antimicrobial resistance AMR is a growing global threat, recognized by the World Health Organization WHO as a silent pandemic. Its impact endangers health systems worldwide, compromising progress toward Universal Health Coverage UHC and the Sustainable Development Goals SDGs. Primary health care PHC plays a crucial role in ensuring access to high-quality, affordable healthcare, disease prevention, and community health improvement. However, the risk of infection transmission in PHC settings highlights the need for robust infection prevention and control IPC measures alongside antimicrobial stewardship AMS to ensure responsible antibiotic use and optimal patient outcomes. Material and Method: This research examines the current literature on AMS and IPC training programs for primary care physicians. A systematic search using PubMed, Google Scholar, and Scopus identified 95 relevant articles, excluding settings outside PHC and specific AMS or IPC interventions beyond training. Result and Discussion: Despite the recognized importance of AMS and IPC, no integrated training programs addressing both strategies in PHC settings were identified. The findings suggest an urgent need for structured, evidence-based training programs to enhance AMS and IPC implementation in primary care. Developing and evaluating such programs could be a key step in combating AMR at the frontline of healthcare.

 Objective: Antimicrobial resistance AMR is a growing global threat, recognized by the World Health Organization WHO as a silent pandemic. Its impact endangers health systems worldwide, compromising progress toward Universal Health Coverage UHC and the Sustainable Development Goals SDGs. Primary health care PHC plays a crucial role in ensuring access to high-quality, affordable healthcare, disease prevention, and community health improvement. However, the risk of infection transmission in PHC settings highlights the need for robust infection prevention and control IPC measures alongside antimicrobial stewardship AMS to ensure responsible antibiotic use and optimal patient outcomes. Material and Method: This research examines the current literature on AMS and IPC training programs for primary care physicians. A systematic search using PubMed, Google Scholar, and Scopus identified 95 relevant articles, excluding settings outside PHC and specific AMS or IPC interventions beyond training. Result and Discussion: Despite the recognized importance of AMS and IPC, no integrated training programs addressing both strategies in PHC settings were identified. The findings suggest an urgent need for structured, evidence-based training programs to enhance AMS and IPC implementation in primary care. Developing and evaluating such programs could be a key step in combating AMR at the frontline of healthcare.

 Amaç: Antimikrobiyal direnç AMD, Dünya Sağlık Örgütü DSÖ tarafından sessiz bir pandemi olarak tanımlanan ve giderek büyüyen küresel bir tehdittir. Bu durum, sağlık sistemlerini dünya genelinde tehlikeye atarak Evrensel Sağlık Kapsamı UHC ve Sürdürülebilir Kalkınma Amaçalarına SKAlar yönelik ilerlemeyi sekteye uğratmaktadır. Birinci basamak sağlık hizmetleri, yüksek kaliteli, erişilebilir ve uygun maliyetli sağlık hizmetleri sunarak hastalıkların önlenmesi ve toplum sağlığının iyileştirilmesinde kritik bir rol oynamaktadır. Ancak, birinci basamak sağlık hizmeti sunulan ortamlarda enfeksiyon yayılma riski, sorumlu antibiyotik kullanımı ve en iyi hasta sonuçlarını sağlamak için güçlü enfeksiyon önleme ve kontrol EÖK önlemlerinin yanı sıra AMD ile mücadele uygulamalarına duyulan ihtiyacı ortaya koymaktadır. Gereç ve Yöntem: Bu araştıma, birinci basamak hekimleri için AMY ve EÖK eğitim programlarına ilişkin mevcut literatürü incelemektedir. PubMed, Google Scholar ve Scopus veritabanlarında yapılan sistematik bir arama sonucunda birinci basamak sağlık hizmeti dışındaki ortamlar ve eğitim dışındaki spesifik AMY veya EÖK müdahaleleri hariç tutularak 95 ilgili makale belirlenmiştir. Sonuç ve Tartışma: AMY ve EÖKnın önemine dair güçlü kanıtlar bulunmasına rağmen, birinci basamak sağlık hizmeti sunulan ortamlarda her iki stratejiyi bir arada ele alan entegre eğitim programlarına rastlanmamıştır. Bulgular, birinci basamak sağlık hizmetlerinde AMY ve EÖK uygulamalarını güçlendirmek için yapılandırılmış, kanıta dayalı eğitim programlarına acil bir ihtiyaç olduğunu göstermektedir. Bu tür programların geliştirilmesi ve değerlendirilmesi, sağlık hizmetlerinde AMR ile mücadelede önemli bir adım olabilir.

Article Details

INTEGRATED TRAINING PROGRAMS FOR ANTIMICROBIAL STEWARDSHIP AND INFECTION PREVENTION AND CONTROL FOR PRIMARY CARE PHYSICIANS: A REVIEW OF THE CURRENT LITERATURE

Authors:

Melda Keçik | Muammer Çelik | Can Huseyin Hekımoglu | F. Nur Baran Aksakal

Publisher:

Ankara University

Main Topics:

Farmasotik Mikrobiyoloji

Journal:

Ankara Üniversitesi Eczacılık Fakültesi Dergisi Vol.49 Issue 3, pp.766-772

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001356420

pISSN:

1015-3918

Antibiotic resistance

antimicrobial stewardship

infection prevention and control

integrated training program

primary health careAntibiyotik direnci

antibiyotik yönetimi

birinci basamak sağlık hizmetleri

enfeksiyon önleme ve kontrolü

entegre eğitim programı

Issues

Article Details

Authors: Melda Keçik | Muammer Çelik | Can Huseyin Hekımoglu | F. Nur Baran Aksakal

Publisher: Ankara University

Main Topics: Farmasotik Mikrobiyoloji

Journal: Ankara Üniversitesi Eczacılık Fakültesi Dergisi Vol.49 Issue 3, pp.766-772

Document Type: Article

Publication Date: 9/2025

Document Language: English

Document ID (Org No.): 2001356420

pISSN: 1015-3918

Issues

Authors:

Melda Keçik | Muammer Çelik | Can Huseyin Hekımoglu | F. Nur Baran Aksakal

Publisher:

Ankara University

Main Topics:

Farmasotik Mikrobiyoloji

Journal:

Ankara Üniversitesi Eczacılık Fakültesi Dergisi Vol.49 Issue 3, pp.766-772

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001356420

pISSN:

1015-3918