Knowledge, attitude, and practice of health care workers towards antibiotic resistance and antimicrobial stewardship programmes: A cross-sectional study
Knowledge, attitude, and practice of health care workers towards antibiotic resistance and antimicrobial stewardship programmes: A cross-sectional study
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DOI：
10.1111/jep.13177
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发表时间：
2020-02-01
影响因子：
2.4
通讯作者：
Mahmoudi, Laleh
中科院分区：
文献类型：
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作者：
Firouzabadi, Dena;Mahmoudi, Laleh
原理和目的：抗生素的发展是战胜感染的一项重大突破；然而，它们的广泛使用导致了抗菌素耐药性(AMR)，在世界范围内造成了死亡率、发病率和经济负担。考虑到较新的抗菌药用于克服耐药性模式的引入有限，充分了解它们的使用可以帮助管理这一问题。以教育为支柱的抗微生物管理方案(ASP)可以是一个很好的解决办法。这项研究的目的是寻找我们机构缺乏抗生素知识的方面。材料和方法：这项横断面研究在伊朗南部的设拉子进行，设计为一项知识、态度和实践(KAP)研究。设计了一份包含15个问题的自填式问卷，发放给传染病专科医生、外科医生、内科专科医生和住院医生、全科医生、医学生、微生物学实验室技术人员和博士毕业生。结果：收集到完整问卷126份。结果显示，大多数参与者(88.1%)同意制定地方指南。大多数人(94.4%)还认为有关抗生素的教育有助于减少AMR。良好的病人护理不会因限制使用抗生素而受到影响(72.2%)。实践者与非实践者在练习成绩上有显著差异。结论：在本研究中，在AMR的某些方面观察到知识缺失。因此，要想在减少抗性模式方面取得更好的效果，还需要更多的实践和教育。
Rationale and Aims: Antibiotic development was a major breakthrough in defeating infections; however, their vast use has led to antimicrobial resistance (AMR) causing mortality, morbidity, and financial burden worldwide. Considering the limited introduction of newer antimicrobials to overcome resistance patterns, sufficient knowledge of their use can help manage this issue. Antimicrobial stewardship programmes (ASPs) with the mainstay of education can be a good resolution. The aim of this study was to seek aspects in which knowledge regarding antibiotics is lacking at our institutions.Materials and Methods: This cross-sectional study performed in Shiraz, South of Iran, was designed as a knowledge, attitude, and practice (KAP) study. A self-administered questionnaire consisting of 15 questions was designed and handed out to health care workers including infectious disease practitioners, surgeons, internal medicine specialists and residents, general practitioners, medical students, and microbiology lab technicians and PhD graduates. Difference in response to questions was evaluated between the practitioner and nonpractitioner groups.Results: Completed questionnaires were collected (n = 126). According to the results, most participants (88.1%) agreed on establishment of local guidelines. Majority (94.4%) also believed that education regarding antibiotics can help reduce AMR. Good patient care was not believed to be impaired by limiting use of antibiotics (72.2%). A significant difference in the practitioner and nonpractitioner groups' practice score was observed.Conclusion: In our study, knowledge deficit was observed in some aspects of AMR. We can conclude that more practice and education are needed in ASP for the better performance in reducing resistant patterns.