Kpokiri Eneyi E, Ladva Misha, Dodoo Cornelius C, Orman Emmanuel, Aku Thelma Alalbila, Mensah Adelaide, Jato Jonathan, Mfoafo Kwadwo A, Folitse Isaac, Hutton-Nyameaye Araba, Okon-Ben Inemesit, Mensah-Kane Paapa, Sarkodie Emmanuel, Awadzi Benedict, Jani Yogini H
Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Joint Research Office, University College London, London W1T 7BN, UK.
Antibiotics (Basel). 2021 Dec 22;11(1):6. doi: 10.3390/antibiotics11010006.
Antimicrobial resistance (AMR) is a significant problem in global health today, particularly in low- and middle-income countries (LMICs) where antimicrobial stewardship programmes are yet to be successfully implemented. We established a partnership between AMR pharmacists from a UK NHS hospital and in Ho Teaching Hospital with the aim of enhancing antimicrobial stewardship knowledge and practice among healthcare providers through an educational intervention. We employed a mixed-method approach that included an initial survey on knowledge and awareness before and after training, followed by qualitative interviews with healthcare providers conducted six months after delivery of training. This study was carried out in two phases in Ho Teaching Hospital with healthcare professionals, including pharmacists, medical doctors, nurses and medical laboratory scientists. Ethical approval was obtained prior to data collection. In the first phase, we surveyed 50 healthcare providers, including nurses (33%), pharmacists (29%) and biomedical scientists (23%). Of these, 58% of participants had engaged in continuous professional development on AMR/AMS, and above 95% demonstrated good knowledge on the general use of antibiotics. A total of 18 participants, which included four medical doctors, five pharmacists, four nurses, two midwives and three biomedical scientists, were interviewed in the second phase and demonstrated greater awareness of AMS practices, particularly the role of education for patients, as well as healthcare professionals. We found that knowledge and practice with AMS was markedly improved six months after the training session. There is limited practice of AMS in LMICs; however, through AMR-focused training, we demonstrated improved AMS skills and practice among healthcare providers in Ho Teaching Hospital. There is a need for continuous AMR training sessions for healthcare professionals in resource-limited settings.
抗菌药物耐药性（AMR）是当今全球卫生领域的一个重大问题，在低收入和中等收入国家（LMICs）尤为突出，这些国家的抗菌药物管理计划尚未成功实施。我们在一家英国国民保健服务（NHS）医院的抗菌药物耐药性药剂师与霍教学医院之间建立了伙伴关系，旨在通过教育干预提高医疗服务提供者对抗菌药物管理的知识和实践水平。我们采用了混合方法，包括在培训前后对知识和意识进行初步调查，然后在培训结束六个月后对医疗服务提供者进行定性访谈。这项研究在霍教学医院分两个阶段对包括药剂师、医生、护士和医学实验室科学家在内的医疗专业人员进行。在数据收集之前获得了伦理批准。在第一阶段，我们调查了50名医疗服务提供者，其中护士占33%，药剂师占29%，生物医学科学家占23%。其中，58%的参与者参加过关于抗菌药物耐药性/抗菌药物管理的持续专业发展，超过95%的人对抗生素的一般使用表现出良好知识。在第二阶段，共采访了18名参与者，其中包括四名医生、五名药剂师、四名护士、两名助产士和三名生物医学科学家，他们对抗菌药物管理实践有了更高的认识，特别是对患者以及医疗服务专业人员的教育作用。我们发现，培训课程六个月后，抗菌药物管理的知识和实践有了显著改善。在低收入和中等收入国家，抗菌药物管理的实践有限；然而，通过以抗菌药物耐药性为重点的培训，我们证明了霍教学医院医疗服务提供者的抗菌药物管理技能和实践有所提高。在资源有限的环境中，需要为医疗专业人员持续开展抗菌药物耐药性培训课程。
