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