Bokhary Hamid, Barasheed Osamah, Abd El Ghany Moataz, Khatami Ameneh, Hill-Cawthorne Grant A, Rashid Harunor
School of Public Health, The University of Sydney, NSW 2006, Australia.
University Medical Center, Umm Al-Qura University, Al Jamiah, Makkah, Makkah Region 24243, Saudi Arabia.
Trop Med Infect Dis. 2020 Jan 29;5(1):18. doi: 10.3390/tropicalmed5010018.
Antimicrobial resistance (AMR) is a global public health issue. Upper respiratory tract infections (URTIs) are common illnesses during Hajj, for which antibiotics are often inappropriately prescribed. Hajj healthcare workers' (HCW) knowledge, attitudes and perceptions (KAP) about AMR and antibiotic use for URTIs are not known. We conducted a survey among HCWs during Hajj to explore their KAP regarding antibiotic use for URTIs in pilgrims. Electronic or paper-based surveys were distributed to HCWs during the Hajj in 2016 and 2017. A total of 85 respondents aged 25 to 63 (median 40) years completed the surveys. Most participants were male (78.8%) and were physicians by profession (95.3%). Around 85% and 19% of respondents claimed to have heard about AMR and antimicrobial stewardship programs, respectively, among whom most had obtained their knowledge during their qualification. Implementation of URTI treatment guidelines was very low. In conclusion, HCWs at Hajj have significant knowledge gaps regarding AMR, often do not use standard clinical criteria to diagnose URTIs and display a tendency to prescribe antibiotics for URTIs.
抗菌药物耐药性（AMR）是一个全球公共卫生问题。上呼吸道感染（URTIs）是朝觐期间的常见疾病，针对这些疾病，抗生素的处方往往并不恰当。目前尚不清楚朝觐医护人员（HCW）对抗菌药物耐药性以及用于治疗上呼吸道感染的抗生素的知识、态度和认知（KAP）情况。我们在朝觐期间对医护人员进行了一项调查，以探究他们对朝圣者上呼吸道感染使用抗生素的知识、态度和认知情况。2016年和2017年朝觐期间，我们向医护人员发放了电子或纸质调查问卷。共有85名年龄在25至63岁（中位数40岁）的受访者完成了调查。大多数参与者为男性（78.8%），职业为医生（95.3%）。分别约有85%和19%的受访者声称听说过抗菌药物耐药性和抗菌药物管理计划，其中大多数人是在获得资格期间了解到这些知识的。上呼吸道感染治疗指南的实施率非常低。总之，朝觐期间的医护人员在抗菌药物耐药性方面存在重大知识缺口，常常不使用标准临床标准来诊断上呼吸道感染，并且表现出对上呼吸道感染开具抗生素的倾向。
