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抗菌药物原型:评估三级医院医护人员、住院医师和实习医生对抗菌药物耐药性(AMR)和抗菌药物管理计划(AMSP)的知识、态度和实践(KAP)趋势。

Antimicrobial Archetypes: Assessing the Knowledge, Attitude, and Practice (KAP) Trends in Antimicrobial Resistance (AMR) and Antimicrobial Stewardship Program (AMSP) Among Faculties, Residents, and Interns in a Tertiary Care Hospital.

作者信息

Balaji Lavanya, V K Abiramasundari, Nandhagopal Manivannan, Subramaniam Jayakumar

机构信息

Department of Microbiology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Jul 17;16(7):e64722. doi: 10.7759/cureus.64722. eCollection 2024 Jul.

Abstract

Background Antimicrobial resistance (AMR) is caused by inappropriate use of antimicrobials. India's high antibiotic use contributes significantly to AMR. Antimicrobial Stewardship Programs (AMSPs) are crucial for optimizing antimicrobial use. Knowledge, Attitude, and Practice (KAP) studies are essential for evaluating healthcare professionals' beliefs and conduct regarding AMR and AMSPs. Materials and methods A cross-sectional study at Saveetha Medical College and Hospital evaluated doctors' knowledge, attitudes, and practices regarding AMR and stewardship programs. The study involved 202 participants, including faculty members, postgraduates, and interns. Results The study involved 202 participants, with residents being the majority at 51.4%, followed by faculty at 26.7% and interns at 21.7%. Faculty members showed the highest overall knowledge, followed by residents and interns. Despite possessing knowledge, practitioners did not consistently implement their knowledge in their daily practices, with a statistically significant difference of p < 0.01. There was a substantial disparity in attitude between the departments, as evidenced by a statistically significant p-value of less than 0.01. Conclusion Positive trends in knowledge and attitudes exist, but there are areas for improvement in translating attitudes into clinical practices. There is a significant disparity among faculty members, residents, and interns, highlighting the urgent need for interventions to bridge the gap. Implementing antibiotic prescribing guidelines at the institutional level and enhancing knowledge, attitudes, and practices among healthcare professionals are crucial to addressing AMR.

摘要

背景 抗菌药物耐药性(AMR)是由抗菌药物的不当使用引起的。印度抗生素的高使用量对AMR有很大影响。抗菌药物管理计划(AMSPs)对于优化抗菌药物的使用至关重要。知识、态度和实践(KAP)研究对于评估医疗保健专业人员对AMR和AMSPs的信念及行为至关重要。

材料与方法 在萨维塔医学院和医院进行的一项横断面研究评估了医生对AMR和管理计划的知识、态度和实践。该研究涉及202名参与者,包括教职员工、研究生和实习生。

结果 该研究涉及202名参与者,其中住院医师占多数,为51.4%,其次是教职员工,占26.7%,实习生占21.7%。教职员工的总体知识水平最高,其次是住院医师和实习生。尽管具备知识,但从业者在日常实践中并未始终如一地应用他们的知识,p < 0.01,差异具有统计学意义。各科室之间在态度上存在很大差异,p值小于0.01,具有统计学意义。

结论 在知识和态度方面存在积极趋势,但在将态度转化为临床实践方面仍有改进空间。教职员工、住院医师和实习生之间存在显著差异,凸显了采取干预措施弥合差距的迫切需求。在机构层面实施抗生素处方指南并提高医疗保健专业人员的知识、态度和实践对于应对AMR至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63fb/11328157/4e53e397e9ec/cureus-0016-00000064722-i01.jpg

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