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印度尼西亚医疗保健提供者对抗微生物药物耐药性、处方和管理计划的认知和态度。

Indonesian healthcare providers' perceptions and attitude on antimicrobial resistance, prescription and stewardship programs.

机构信息

University of Queensland Centre for Clinical Research (UQCCR), Faculty of Medicine, The University of Queensland, Brisbane, 4006, Australia.

Department of Clinical & Community Pharmacy, and Center for Medicines Information & Pharmaceutical Care (CMIPC), Faculty of Pharmacy, University of Surabaya, 60293, Surabaya, East Java, Indonesia.

出版信息

Future Microbiol. 2022 Mar;17:363-375. doi: 10.2217/fmb-2021-0193. Epub 2022 Feb 25.

Abstract

A successful antimicrobial stewardship program (ASP) is sustained through improving antimicrobial prescribing by changing prescribing behavior. This requires a better understanding of hospital stakeholders' views regarding antimicrobial resistance (AMR), antimicrobial use and participation in ASP activities. Identify perceptions and attitudes among physicians and pharmacists in a public hospital toward AMR, prescription and ASP. A questionnaire consisting of 45 items was distributed to physicians and pharmacists in a 320-bed public hospital. All responses were formatted into the Likert scale. A total of 78 respondents (73% response rate) completed the questionnaire. The majority of the respondents perceived AMR within hospital as less of a severe problem, and factors outside hospital were considered to be greater contributors to AMR. In addition, interprofessional conflict was identified as a serious concern in relation to implementing ASP. This finding indicates the need to address existing perceptions and attitudes toward ASP activities that may hamper its successful implementation in Indonesia.

摘要

一个成功的抗菌药物管理项目(ASP)是通过改变处方行为来持续提高抗菌药物的处方率。这需要更好地了解医院利益相关者对抗菌药物耐药性(AMR)、抗菌药物使用和参与 ASP 活动的看法。本研究旨在确定公立医院医生和药剂师对 AMR、处方和 ASP 的看法和态度。我们向一家拥有 320 张床位的公立医院的医生和药剂师发放了一份包含 45 个项目的问卷。所有的回答都采用了李克特量表的形式。共有 78 名受访者(73%的回复率)完成了问卷。大多数受访者认为医院内的 AMR 问题不太严重,认为医院外的因素对抗菌药物耐药性的产生有更大的影响。此外,专业间的冲突被认为是实施 ASP 的一个严重问题。这一发现表明,有必要解决目前对抗菌药物管理项目活动的看法和态度,这些看法和态度可能会阻碍其在印度尼西亚的成功实施。

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