Shimodaira Tomohide, Machida Masaki, Nakamura Itaru, Kuwata Hiroshi, Hara Shuntaro, Watanabe Hidehiro, Takeuchi Hironori
Department of Pharmacy, Tokyo Medical University Hospital, Tokyo, Japan.
Department of Infection Prevention and Control, Tokyo Medical University Hospital, Tokyo, Japan.
Glob Health Med. 2025 Aug 31;7(4):329-333. doi: 10.35772/ghm.2025.01071.
Knowledge gaps pertaining to antimicrobial stewardship (AMS) among different hospital professions can hinder program effectiveness. This study aimed to identify and comparatively analyze AMS knowledge levels at a Japanese hospital. We conducted a cross-sectional, internet-based survey of all hospital employees ( = 2,703) to assess their knowledge of the antimicrobial stewardship team (AST) and programs (ASPs). The survey response rate was 48.4% (1,307 of 2,703). Significantly lower proportions of nurses and administrative staff than medical doctors and pharmacists knew about the AST and ASPs ( < 0.001). Critically, a significantly lower proportion of nurses (62.5%) than medical doctors (97.4%) ( < 0.001) was aware of the importance of sample collection for bacterial cultivation before antibiotic administration. These findings reveal significant role-specific knowledge gaps and strongly suggest that educational interventions targeting nurses and administrative staff are needed for promoting hospital-wide ASPs and ensuring their effective implementation.
不同医院专业人员之间在抗菌药物管理（AMS）方面的知识差距可能会阻碍项目的有效性。本研究旨在识别并比较分析一家日本医院的AMS知识水平。我们对所有医院员工（n = 2703）进行了一项基于网络的横断面调查，以评估他们对抗菌药物管理团队（AST）和项目（ASPs）的了解。调查回复率为48.4%（2703人中的1307人）。护士和行政人员中了解AST和ASPs的比例显著低于医生和药剂师（P < 0.001）。关键的是，知晓在使用抗生素前采集细菌培养样本重要性的护士比例（62.5%）显著低于医生（97.4%）（P < 0.001）。这些发现揭示了显著的角色特定知识差距，并强烈表明需要针对护士和行政人员开展教育干预，以促进全院范围的ASPs并确保其有效实施。
