National survey of practices adopted for reconstitution, storage, administration, and disposal of antibacterial agents in neonatal units in Sri Lanka

Abstract

Introduction: Optimal use of antibacterial agents (ABAs) includes correct practices of reconstitution, storage, administration, and disposal of leftovers. Inappropriate practices contribute to emergence and spread of antibacterial resistance. These practices are challenging in neonatal units (NUs) due to the small volume required and administration difficulties. This survey was done to describe the practices adopted for reconstitution, storage, administration and disposal of ABAs in NUs in Sri Lanka. Methods: This cross-sectional descriptive national survey included all the public hospitals having a NU. Study participants were nurses working in neonatal intensive care and special care baby units in these hospitals. From each unit, the in-charge nursing officer, and one or more nurses selected by the in-charge nursing officer provided the data. Data were collected by trained data collectors in 2020/21 using a pre-tested content and face validated structured self-administered questionnaire. Descriptive statistics were used in analysing the data.