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印度医护人员对抗微生物药物耐药性认知的知识、态度和实践：系统评价。

Knowledge, attitudes and practices of antimicrobial resistance awareness among healthcare workers in India: a systematic review.

机构信息

Division of Development Research, Indian Council of Medical Research (ICMR), New Delhi, India.

Amity Institute of Public Health and Hospital Administration (AIPH&HA), Amity University, Noida, India.

出版信息

Front Public Health. 2024 Jul 22;12:1433430. doi: 10.3389/fpubh.2024.1433430. eCollection 2024.

DOI:10.3389/fpubh.2024.1433430
PMID:39104891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11298436/
Abstract

OBJECTIVES

The study was conducted to identify and compile gaps in the Knowledge, Attitudes, and Practices (KAP) regarding Antimicrobial Resistance (AMR) among healthcare workers in India.

METHODS

A systematic review of published literature from PubMed, Google Scholar, and Scopus databases was conducted in compliance with the PRISMA guidelines. The inclusion criteria focused on studies evaluating KAP toward AMR among various healthcare workers in India without restricting context to specific diseases. We included articles published from inception to December 2023.

RESULTS

Following the inclusion criterion, 19 studies were selected for the review. The study has a cumulative sample size of 4,544 healthcare providers across India. We found that doctors and medical students have significant knowledge about AMR, followed by nurses and pharmacists. However, the attitudes toward AMR were higher among informal providers, followed by doctors and medical students. The study also observed a gap between theoretical knowledge and practical application of AMR principles among healthcare providers in India.

CONCLUSION

The study highlights the need for targeted training and policy interventions to bridge the gap between KAP regarding AMR. Healthcare providers can significantly contribute to mitigating AMR threat by improving KAP related to AMR. This systematic review provides a foundation for developing and implementing effective evidence-based strategies to enhance AMR containment in India.

摘要

目的

本研究旨在确定并编制印度医护人员在抗菌药物耐药性（AMR）方面的知识、态度和实践（KAP）方面的差距。

方法

根据 PRISMA 指南，对 PubMed、Google Scholar 和 Scopus 数据库中已发表的文献进行了系统回顾。纳入标准侧重于评估印度不同医护人员对 AMR 的 KAP 的研究，而不受特定疾病背景的限制。我们纳入了从成立到 2023 年 12 月发表的文章。

结果

根据纳入标准，选择了 19 项研究进行综述。该研究在印度的累积样本量为 4544 名医护人员。我们发现，医生和医学生对抗菌药物耐药性的知识水平较高，其次是护士和药剂师。然而，非正式医护人员对抗菌药物耐药性的态度较高，其次是医生和医学生。研究还观察到印度医护人员在理论知识和抗菌药物耐药性原则的实际应用之间存在差距。

结论

本研究强调需要有针对性的培训和政策干预措施来弥合 AMR 方面的 KAP 差距。医护人员可以通过提高与 AMR 相关的 KAP，为减轻 AMR 威胁做出重大贡献。本系统评价为在印度制定和实施有效的基于证据的策略以加强抗菌药物耐药性控制提供了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d841/11298436/40a65cf5649c/fpubh-12-1433430-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d841/11298436/196c7f2ad107/fpubh-12-1433430-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d841/11298436/5bb48391b5d6/fpubh-12-1433430-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d841/11298436/40a65cf5649c/fpubh-12-1433430-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d841/11298436/196c7f2ad107/fpubh-12-1433430-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d841/11298436/355282a7b834/fpubh-12-1433430-g002.jpg
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