Department of Clinical Microbiology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Department of Clinical Microbiology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark and at the Department of Public Health, Research Unit for General Practice, University of Copenhagen, Copenhagen, Denmark.
Prim Health Care Res Dev. 2021 Apr 5;22:e12. doi: 10.1017/S1463423621000025.
The aim was to determine the association between healthcare workers' (HCWs) country of birth and their knowledge of appropriate use of antibiotics, and whether the association changed after an educational intervention.
Older residents in nursing homes have been recognized to receive excessively antibiotic treatments. HCWs often represent an important link between the older resident and the general practitioner prescribing the antibiotics, thus their knowledge of appropriate use of antibiotics is important.
This study was conducted as a prospective pre-post study. Totally, 312 HCWs from 7 nursing homes in Denmark were included. For statistical analyses, χ2 test and a linear mixed regression model were applied.
Native HCWs were more likely to have a higher percentage of correct responses to single statements related to knowledge of appropriate use of antibiotics. Native HCWs had a significantly higher knowledge-of-antibiotic score compared to foreign HCWs (-7.53, P < 0.01). This association remained significant after adjusting for relevant covariates (-5.64, P < 0.01). Native HCWs' mean change in knowledge-of-antibiotic score after the intervention did not differ from the foreign HCWs' mean change in knowledge-of-antibiotic score.
Our findings indicate that HCWs born outside Denmark reveal a lower knowledge-of-antibiotic score than HCWs born in Denmark despite comparable educational backgrounds. All participants increased their knowledge from baseline to follow-up. Our findings also indicate that an educational seminar cannot equalize the difference in knowledge between native and foreign HCWs. Studies with larger sample size and a more detailed measurement of cultural identity should investigate this association further.
旨在确定医护人员（HCWs）的出生地与其对抗生素合理使用知识之间的关联，并在教育干预后，观察这种关联是否发生变化。
养老院的老年居民接受过度抗生素治疗的问题已得到认识。医护人员通常是老年居民与开具抗生素的全科医生之间的重要联系纽带，因此他们对抗生素合理使用的知识非常重要。
本研究采用前瞻性前后研究设计。共纳入丹麦 7 家养老院的 312 名 HCWs。采用卡方检验和线性混合回归模型进行统计分析。
土生土长的 HCWs 更有可能答对与抗生素合理使用知识相关的单项陈述的更高比例。与外国 HCWs 相比，土生土长的 HCWs 抗生素知识得分显著更高（-7.53，P<0.01）。调整相关协变量后，这种关联仍然显著（-5.64，P<0.01）。干预后，土生土长的 HCWs 抗生素知识得分的平均变化与外国 HCWs 抗生素知识得分的平均变化没有差异。
尽管具有相似的教育背景，但我们的研究结果表明，丹麦出生的 HCWs 比丹麦出生的 HCWs 抗生素知识得分更低。所有参与者的知识水平均从基线提高到随访。我们的研究结果还表明，教育研讨会无法弥补土生土长和外国 HCWs 之间的知识差异。具有更大样本量和更详细文化身份测量的研究应进一步探讨这种关联。
