Application of the Hub-and-Spoke Model in Antimicrobial Stewardship Programmes: A Scoping Review
Abstract
:1. Background
2. Methods
2.1. Search Strategy
- A.
- How many studies has the HSM been applied to to deliver AMS programmes?
- B.
- What has been the efficacy of the HSM in the AMS context?
- C.
- What are the barriers and facilitators experienced with the application of HSM in the AMS context?
2.2. Identification of Relevant Studies
2.3. Selection of Relevant Studies
2.4. Data Extraction and Reporting of Findings
3. Results
3.1. Characteristics of the Included Studies
3.2. Application of the HSM in AMS Programmes
3.2.1. Clinical Outcomes
3.2.2. Training and Knowledge of Healthcare Professionals
3.2.3. Establishment of AMS Programme
3.2.4. Development of Antibiograms
3.2.5. Development of Antimicrobial Guidelines and Resources
3.3. Intervention Implementation Facilitators
3.3.1. Facilitators Targeting Individual-Level Factors
3.3.2. Facilitators Targeting Interpersonal-Level Factors
3.3.3. Facilitators Targeting Organisational-Level Factors
3.3.4. Facilitators Targeting System-Level Factors
3.4. Intervention Implementation Barriers
3.4.1. Barriers Targeting Individual-Level Factors
3.4.2. Barriers Targeting Interpersonal Factors
3.4.3. Barriers Targeting Organisational-Level Factors
3.4.4. Barriers Targeting System-Level Factors
4. Discussion
4.1. Comparative Assessment of HSM in AMS Programmes
4.2. Efficacy of HSM in Various Healthcare Contexts
4.3. Barriers to HSM Implementation
4.4. Facilitators of Successful Implementation
4.5. Strengths and Limitations
5. Conclusions
Implications for Future Research and Practice
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Inclusion Criteria | Exclusion Criteria |
---|---|
|
|
Article | Country | Type of Care | Number of Hub (s) and Spokes | Interventions Delivered through the HSM | |||||
---|---|---|---|---|---|---|---|---|---|
Identification of Pattern of Use of Medication | Training of Healthcare Professionals via Learning Modules, Case-Based Learning, or Case Conferences | Establishment of AMS Programme | Development of Antibiogram | Development of Policies or Guidelines | List of All Interventions | ||||
Nakamachi et al. (2015) [24] | Canada | Antimicrobial stewardship | Hub(s) = 4 Spokes = 12 | ✓ | ✓ | ✓ | ✓ |
| |
Agarwal et al. (2022) [25] | India | Antimicrobial stewardship | Hub(s) = 1 Spokes = 115 | ✓ |
| ||||
Zacchaeus et al. (2023) [23] | India | Antimicrobial stewardship | Hub(s) = 1 Spokes = 4 | ✓ | ✓ | ✓ | ✓ | ✓ |
|
Level | Facilitators | Barriers |
---|---|---|
Individual |
|
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Interpersonal |
|
|
Organisational |
|
|
System |
|
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Iqbal, A.; Kumaradev, Y.; Gülpinar, G.; Brandish, C.; Nabiryo, M.; Garraghan, F.; Rosado, H.; Rutter, V. Application of the Hub-and-Spoke Model in Antimicrobial Stewardship Programmes: A Scoping Review. BioMed 2024, 4, 372-394. https://doi.org/10.3390/biomed4040030
Iqbal A, Kumaradev Y, Gülpinar G, Brandish C, Nabiryo M, Garraghan F, Rosado H, Rutter V. Application of the Hub-and-Spoke Model in Antimicrobial Stewardship Programmes: A Scoping Review. BioMed. 2024; 4(4):372-394. https://doi.org/10.3390/biomed4040030
Chicago/Turabian StyleIqbal, Ayesha, Yuhashinee Kumaradev, Gizem Gülpinar, Claire Brandish, Maxencia Nabiryo, Frances Garraghan, Helena Rosado, and Victoria Rutter. 2024. "Application of the Hub-and-Spoke Model in Antimicrobial Stewardship Programmes: A Scoping Review" BioMed 4, no. 4: 372-394. https://doi.org/10.3390/biomed4040030