南非医生、药剂师和护士对抗菌药物、抗菌药物耐药性和抗菌药物管理的认识、态度和做法。

IF 1.4 Q4 INFECTIOUS DISEASES Southern African Journal of Infectious Diseases Pub Date : 2021-04-21 eCollection Date: 2021-01-01 DOI:10.4102/sajid.v36i1.262
Reshma Balliram, Wilbert Sibanda, Sabiha Y Essack
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引用次数: 0

摘要

背景:抗菌药物的持续滥用和乱用为抗菌药物耐药性(AMR)的产生带来了选择压力,这就要求医疗保健专业人员(HCPs)根据其对抗菌药物、AMR和抗菌药物管理(AMS)的知识、态度和实践(KAP)改变行为:2017 年 11 月至 2018 年 1 月,在全国范围内对医生、药剂师和护士进行了一次基于在线问卷的横断面调查。问卷包括人口统计学信息和 KAP 问题:受访者包括 1120 名医生、744 名药剂师和 659 名护士。大多数高级保健人员认为抗菌药耐药性是全球和国内的一个严重问题。对知识的自我评估表明,他们对抗菌药物、AMR 和 AMS 的理解存在差距。医生、药剂师和护士对处方的信心指数分别为 57.82%、32.88% 和 45.28%。441名医生(45.2%)表示对使用联合疗法没有信心。436 名医生、9 名药剂师和 107 名护士对正确处方的信心分别为 33.99%、41.88% 和 35.23%。医疗保健专业人员(1600 [91.22%])表示,教育活动将有助于防治 AMR。只有 842 名医护人员(40.13%)参加了有关这些主题的培训,1712 名医护人员(81.60%)要求开展更多的教育和培训:这是首次对南非执业医生、药剂师和护士的 KAP 进行比较调查。医生的知识得分最高,其次是护士和药剂师。实践得分与知识和较高的态度得分并不相符。KAP 的差距显而易见。医疗保健专业人员表示需要更多的教育和培训,因此除了针对执业医疗保健人员的持续专业发展计划之外,还需要对职前和在职教育和培训进行审查。
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The knowledge, attitudes and practices of doctors, pharmacists and nurses on antimicrobials, antimicrobial resistance and antimicrobial stewardship in South Africa.

Background: Sustained injudicious and indiscriminate use of antimicrobials has exerted selection pressure for developing antimicrobial resistance (AMR), requiring behaviour change from healthcare professionals (HCPs) based on their knowledge, attitudes and practices (KAP) on antimicrobials, AMR and antimicrobial stewardship (AMS).

Methods: A cross-sectional online questionnaire-based survey was conducted nationally amongst doctors, pharmacists and nurses from November 2017 to January 2018. The questionnaire comprised demographic information and KAP questions.

Results: Respondents comprised of 1120 doctors, 744 pharmacists and 659 nurses. Antimicrobial resistance was considered a severe problem globally and nationally by majority of HCPs. Self-assessment of knowledge revealed gaps in understanding of antimicrobials, AMR and AMS. Confidence scores in prescribing by doctors, pharmacists and nurses were 57.82%, 32.88% and 45.28%, respectively. Doctors, 441 (45.2%) indicated no confidence in using combination therapy. Prescribing correctly showed a confidence level of 33.99% from 436 doctors, 41.88% from nine pharmacists and 35.23% from 107 nurses. Healthcare professionals (1600 [91.22%]) stated educational campaigns would combat AMR. Only 842 (40.13%) HCPs attended training on these topics and 1712 (81.60%) requesting more education and training.

Conclusion: This is the first comparative survey on KAP of practising doctors, pharmacists and nurses in South Africa. Doctors had the highest knowledge score followed by nurses and pharmacists. Practice scores did not corroborate knowledge and the higher attitude scores. Gaps in KAP were evident. Healthcare professionals indicated the need for more education and training, thus requiring a review of pre-service and in-service education and training in addition to continued professional development programmes for practising HCPs.

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自引率
11.10%
发文量
50
审稿时长
52 weeks
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