Post Detail

Location: CDC Conference room (Padma), DGHS, Mohakhali, Dhaka
Organized by: CAPTURA Bangladesh in collaboration with CDC and IEDCR, DGHS

Overview

The CAPTURA Project Activity Progress Sharing and NAPS Data Review Workshop brought together key stakeholders in Bangladesh working on antimicrobial resistance (AMR). The event focused on sharing progress from the CAPTURA 2 initiative and reviewing findings from the National Antimicrobial Prescribing Survey (NAPS) conducted in selected healthcare facilities. The workshop served as a collaborative platform for evidence-based discussion, capacity strengthening, and planning for future stewardship efforts.

Key Highlights

1. CAPTURA Progress Shared

• Milestones in capacity building, hospital engagement, and data collection were presented.
• Stakeholders appreciated the practical progress made to understand antimicrobial usage pattern in selected hospitals.

2. In-Depth NAPS Data Review

• Data from the first round of NAPS provided insights into antibiotic prescribing trends.
• Discussion centered on guideline compliance, overuse of broad-spectrum antibiotics, and documentation practices.

 3. Bias in Data Collection

• Concerns were raised about potential bias due to data collectors working within their own hospitals.
• Suggestions included rotating data collectors and involving external reviewers for improved objectivity.

 4. Strengthening AMS Committees

• All participating hospitals were encouraged to establish or reinforce AMS Committees.
• These bodies will be crucial for routine NAPS implementation and internal stewardship initiatives.

5. Feedback on NAPS Tool and Software

• Stakeholders recommended enhancements to the NAPS platform, such as:
  • Expanding disease name lists.
  • Clarifying the “clinical notes” field.
  • Revising poorly responded sections like “allergy mismatch.”

6. Demand for a Second NAPS Round

• There was strong interest in conducting a second round of NAPS, using lessons from the first to improve training, data quality, and institutional ownership.

7. Sustainability and Access Concerns

• Questions were raised about continued access to the NAPS software post-project.
• Discussions highlighted the need for clear transition plans, including local hosting or government integration.

Way Forward: The workshop concluded with a shared commitment to:

• Improve data quality and stewardship practices.
• Scale NAPS to additional facilities.
• Institutionalize AMS as a core hospital function across Bangladesh.

Conclusion

The workshop marked a significant step forward in strengthening Bangladesh’s efforts to combat AMR through data-driven stewardship. By aligning stakeholders, reviewing evidence, and planning for the future, the CAPTURA initiative continues to empower healthcare institutions to improve antimicrobial prescribing practices and protect public health.