Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
Int J Occup Med Environ Health. 2009;22(4):363-72. doi: 10.2478/v10001-009-0034-3.
To assess the level of medical staff awareness of bacterial resistance and characterize the most common resistant bacterial species, the factors contributing to the development of such resistance, and the possible measures to limit the increasing rate of resistance to current antibacterial therapies.
A questionnaire was administered to 352 health care professionals including physicians, pharmacists and nurses at four central university hospitals in Jordan.
Our results indicate that most of the responding physicians and pharmacists considered Pseudomonas aeruginosa and methicilin-resistant Staphylococcus aureus the most frequently encountered resistant bacterial species. However, nurses recognized both methicilin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococci (VRE) as the most prevalent resistant species. Physicians and nurses (50.0% and 61.6%, respectively) reported prolonged hospitalization as a factor likely to contribute to the increased incidence of bacterial resistance. About 58% of pharmacists indicated the use of antibiotics without prescription as a significant reason for the development of bacterial resistance. Most of physicians (61.2%) reported that appropriate infection control is the most important measure to reduce bacterial resistance. Pharmacists (58.1%) recognized better adherence to the infection control guidelines as the most important factor that could reduce the risk of bacterial resistance.
The findings of this study indicate a varying level of awareness of bacterial resistance among the health care professionals. Thus, serious efforts are still needed to develop and implement strategies to decrease the future risk of bacterial resistance to antibiotics.
评估医务人员对细菌耐药性的认识水平，并描述最常见的耐药细菌种类、导致耐药性产生的因素，以及可能用于限制当前抗菌治疗耐药率上升的措施。
在约旦的 4 所中心大学医院，向 352 名医护专业人员（包括医生、药剂师和护士）发放了一份问卷。
我们的结果表明，大多数接受调查的医生和药剂师认为铜绿假单胞菌和耐甲氧西林金黄色葡萄球菌是最常见的耐药细菌种类。然而，护士认为耐甲氧西林金黄色葡萄球菌（MRSA）和万古霉素耐药肠球菌（VRE）也是最常见的耐药菌种类。医生和护士（分别为 50.0%和 61.6%）报告住院时间延长是导致细菌耐药性增加的一个可能因素。约 58%的药剂师表示，没有处方就使用抗生素是导致细菌耐药性产生的一个重要原因。大多数医生（61.2%）认为适当的感染控制是减少细菌耐药性的最重要措施。药剂师（58.1%）认为更好地遵守感染控制指南是降低细菌耐药风险的最重要因素。
本研究的结果表明，医护人员对细菌耐药性的认识水平存在差异。因此，仍然需要认真努力制定和实施策略，以降低未来抗生素耐药的风险。
