Briquet Caroline, Khaouch Youssra, Yombi Jean Cyr
Antimicrobial Stewardship, Cliniques Universitaires Saint-Luc, UCLouvain, 10 Avenue Hippocrate, 1200, Brussels, Belgium.
Department of Pharmacy, Cliniques Universitaires Saint-Luc, UCLouvain, 10 Avenue Hippocrate, 1200, Brussels, Belgium.
Antimicrob Resist Infect Control. 2023 Mar 19;12(1):19. doi: 10.1186/s13756-023-01228-w.
This study aimed to identify barriers to the proper use of antibiotics by healthcare professionals and to help the hospital Antimicrobial Stewardship develop suitable actions for the staff.
In a Belgian teaching hospital, a survey was conducted among physicians, pharmacists, and nurses involved in antibiotherapy. Questions from the 2019 European Center for Disease Prevention and Control (ECDC) survey were analyzed based on components of the COM-B model (capabilities, opportunities, and motivations). First, collected data were reviewed with the Ethnos software to analyze the different COM-B model components. For statistical analyses, responses were grouped into three clear-cut answers in a Fisher's exact test.
Overall, 400 staff members were included. We found that our professions, combined, have a good perception of antibiotic resistance (97.8%). For capabilities, however, only 77.2% state that they have sufficient knowledge, with 91.3%, 71.5%, and 63.0% for physicians, nurses, and pharmacists, respectively. For opportunities (access to resources, information, and training), it is observed that 72.2% report having easy access to the guidelines they need to manage infections. In comparison, for 64.2% of the respondents, this information changed their opinion on the useless or inappropriate prescription, administration, and delivery of antibiotics. For 55.0%, this information has enabled them to change their practices. Finally, for motivations, 92.8% of respondents state that they know about the link between their practices and the emergence and spread of antibiotic resistance. However, only 65.0% of participants say they have a role in managing antibiotic resistance. We found that 5 out of 8 questions are significantly dependent on the profession: 2 inquiries related to capability, 1 to opportunity, and 2 to motivation.
We found that responses to the ECDC questionnaire are related to the profession. While some topics are universal/cross-functional, others must be explicitly tailored to each professional category. Information is useless if not accessible. Communication and provision of documents are thus paramount.
本研究旨在确定医疗保健专业人员在正确使用抗生素方面的障碍，并帮助医院抗菌药物管理部门为工作人员制定合适的行动方案。
在比利时一家教学医院，对参与抗菌治疗的医生、药剂师和护士进行了一项调查。基于COM-B模型（能力、机会和动机）的组成部分，对2019年欧洲疾病预防控制中心（ECDC）调查中的问题进行了分析。首先，使用Ethnos软件对收集到的数据进行审查，以分析COM-B模型的不同组成部分。对于统计分析，在Fisher精确检验中，将回答分为三个明确的答案类别。
总共纳入了400名工作人员。我们发现，我们这些职业总体上对抗生素耐药性有良好的认知（97.8%）。然而，在能力方面，只有77.2%的人表示他们有足够的知识，医生、护士和药剂师的这一比例分别为91.3%、71.5%和63.0%。在机会方面（获取资源、信息和培训），观察到72.2%的人报告能够轻松获取管理感染所需的指南。相比之下，64.2%的受访者表示，这些信息改变了他们对抗生素无用或不适当处方、给药和发放的看法。55.0%的人表示，这些信息使他们能够改变自己的做法。最后，在动机方面，92.8%的受访者表示他们知道自己的行为与抗生素耐药性的出现和传播之间的联系。然而，只有65.0%的参与者表示他们在管理抗生素耐药性方面发挥作用。我们发现，8个问题中有5个显著依赖于职业：2个与能力相关的询问、1个与机会相关的询问和2个与动机相关的询问。
我们发现对ECDC问卷的回答与职业有关。虽然有些主题是通用的/跨职能的，但其他主题必须针对每个专业类别进行明确调整。如果无法获取，信息就毫无用处。因此，沟通和提供文件至关重要。
