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Multilevel barriers to antimicrobial stewardship in tertiary care hospitals: A comparative systematic scoping review of high-income versus low-/middle-income countries evidence mapped by study design and healthcare professionals.

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Title: Multilevel barriers to antimicrobial stewardship in tertiary care hospitals: A comparative systematic scoping review of high-income versus low-/middle-income countries evidence mapped by study design and healthcare professionals.
Authors: Ishaqui AA; Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia. azfar.hd@hotmail.com., Saleem Z; Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraydah, Saudi Arabia., Mallhi TH; Discipline of Pharmacy, School of Dentistry & Medical Sciences, Faculty of Science and Health, Charles Sturt University, Orange, NSW, Australia., Alshahrani SM; Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia., Orayj K; Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia., Ahmad SA; Department of Pharmacy, Iqra University, Karachi, Pakistan., Asiri R; Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia., Alsaleh EA; Clinical Performance Department, Eastern Health Cluster, Dammam, Saudi Arabia., Imran M; Department of Pharmacy, Iqra University, Karachi, Pakistan., Kaddoura MA; Clinical Excellence Administration, King Fahad Specialist Hospital, Dammam, Saudi Arabia., Jawed B; Ente Ecclesiastico Ospedale Generale Regionale Francesco Miulli, Acquaviva delle Fonti, Italy.; Universita degli Studi Gabriele d'Annunzio Chieti Pescara, Chieti, Italy., Kumar N; Department of Pharmacy Practice, Faculty of Pharmacy, University of Sindh, Jamshoro, Pakistan. nkumar.bhojak@usindh.edu.pk., Khan YH; School of Pharmacy, Faculty of Health and Medical Sciences, Taylor's University, Selangor, Malaysia.; Medicines R Us Chemist, Gregory Hills, New South Wales, Australia., Iqbal A; Department of Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences, University of Karachi, Karachi, Pakistan., Maqsood MB; Quality and Performance Administration, Eastern Health Cluster, Health Holding Company, Dammam, Saudi Arabia.
Source: Naunyn-Schmiedeberg's archives of pharmacology [Naunyn Schmiedebergs Arch Pharmacol] 2026 Jul; Vol. 399 (10), pp. 14719-14741. Date of Electronic Publication: 2026 Apr 28.
Publication Type: Journal Article; Scoping Review; Comparative Study; Review
Journal Info: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 0326264 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1912 (Electronic) Linking ISSN: 00281298 NLM ISO Abbreviation: Naunyn Schmiedebergs Arch Pharmacol Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: Multilevel barriers to antimicrobial stewardship in tertiary care hospitals: A comparative systematic scoping review of high-income versus low-/middle-income countries evidence mapped by study design and healthcare professionals.
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  Data: <searchLink fieldCode="AU" term="%22Ishaqui+AA%22">Ishaqui AA</searchLink>; Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia. azfar.hd@hotmail.com.<br /><searchLink fieldCode="AU" term="%22Saleem+Z%22">Saleem Z</searchLink>; Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraydah, Saudi Arabia.<br /><searchLink fieldCode="AU" term="%22Mallhi+TH%22">Mallhi TH</searchLink>; Discipline of Pharmacy, School of Dentistry & Medical Sciences, Faculty of Science and Health, Charles Sturt University, Orange, NSW, Australia.<br /><searchLink fieldCode="AU" term="%22Alshahrani+SM%22">Alshahrani SM</searchLink>; Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia.<br /><searchLink fieldCode="AU" term="%22Orayj+K%22">Orayj K</searchLink>; Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia.<br /><searchLink fieldCode="AU" term="%22Ahmad+SA%22">Ahmad SA</searchLink>; Department of Pharmacy, Iqra University, Karachi, Pakistan.<br /><searchLink fieldCode="AU" term="%22Asiri+R%22">Asiri R</searchLink>; Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia.<br /><searchLink fieldCode="AU" term="%22Alsaleh+EA%22">Alsaleh EA</searchLink>; Clinical Performance Department, Eastern Health Cluster, Dammam, Saudi Arabia.<br /><searchLink fieldCode="AU" term="%22Imran+M%22">Imran M</searchLink>; Department of Pharmacy, Iqra University, Karachi, Pakistan.<br /><searchLink fieldCode="AU" term="%22Kaddoura+MA%22">Kaddoura MA</searchLink>; Clinical Excellence Administration, King Fahad Specialist Hospital, Dammam, Saudi Arabia.<br /><searchLink fieldCode="AU" term="%22Jawed+B%22">Jawed B</searchLink>; Ente Ecclesiastico Ospedale Generale Regionale Francesco Miulli, Acquaviva delle Fonti, Italy.; Universita degli Studi Gabriele d'Annunzio Chieti Pescara, Chieti, Italy.<br /><searchLink fieldCode="AU" term="%22Kumar+N%22">Kumar N</searchLink>; Department of Pharmacy Practice, Faculty of Pharmacy, University of Sindh, Jamshoro, Pakistan. nkumar.bhojak@usindh.edu.pk.<br /><searchLink fieldCode="AU" term="%22Khan+YH%22">Khan YH</searchLink>; School of Pharmacy, Faculty of Health and Medical Sciences, Taylor's University, Selangor, Malaysia.; Medicines R Us Chemist, Gregory Hills, New South Wales, Australia.<br /><searchLink fieldCode="AU" term="%22Iqbal+A%22">Iqbal A</searchLink>; Department of Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences, University of Karachi, Karachi, Pakistan.<br /><searchLink fieldCode="AU" term="%22Maqsood+MB%22">Maqsood MB</searchLink>; Quality and Performance Administration, Eastern Health Cluster, Health Holding Company, Dammam, Saudi Arabia.
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              Text: 2026 Jul
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