Expert-proposed European strategies to monitor and control infection, antibiotic use, and resistance in health-care facilities

Background: Health care workers have critical roles to play in breaking the chain of infections in health care settings. The outbreak of Lassa Fever and Ebola Virus Disease in the West African sub-region in recent times is a rationale for a dire need for a strong epidemic preparedness system. The objective of the study is to assess the knowledge and practice of preparedness for infectious disease prevention and control among healthcare workers in secondary health care facilities in Osogbo, Nigeria.Methods: It was a Descriptive cross sectional study and 340 healthcare workers were selected using a multistage sampling technique. Research instrument used were semi structured pre-tested interviewer-administered questionnaire. Data was analyzed using the SPSS software version 17 .0.Results: The mean age of the respondents was 42 + 8.9 years. Out of the 340 healthcare workers studied 88.7% had good knowledge, while 72% and 67% had favorable attitude and good practice towards preparedness for infectious disease prevention and control respectively. Three hundred and eight (90.6%) said they washed their hands regularly before and after procedures. Only 37.4% said they still recap used needles and 31.8% said they have Infectious Disease Prevention and Control committee in their health facility. One hundred and ninety eight (58.2%) said they normally practice quarantine for eligible suspected cases and 77.4% perceived themselves to be at occupational risk of contracting infectious diseases. Having more than ten years of working experience was the major predictor of likelihood to have good knowledge, attitude and practice of preparedness on binary logistic regression analysis.Conclusion: The gap between knowledge and practice of preparedness for Infectious Disease and prevention Control calls for improved awareness and training among health workers, and their consistent monitoring towards behavioural change.

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The Epidemiology and Control of Acinetobacter baumannii in Health Care Facilities

Clinical Infectious Diseases ◽

10.1086/500202 ◽

2006 ◽

Vol 42 (5) ◽

pp. 692-699 ◽

Cited By ~ 485

Author(s):

P. E. Fournier ◽

H. Richet ◽

R. A. Weinstein

Keyword(s):

Health Care ◽

Acinetobacter Baumannii ◽

Health Care Facilities ◽

Care Facilities ◽

And Control

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Infection prevention and control in health-care facilities in which hematopoietic cell transplant recipients are treated

Bone Marrow Transplantation ◽

10.1038/bmt.2009.261 ◽

2009 ◽

Vol 44 (8) ◽

pp. 495-507 ◽

Cited By ~ 54

Author(s):

D Yokoe ◽

C Casper ◽

E Dubberke ◽

G Lee ◽

P Muñoz ◽

...

Keyword(s):

Health Care ◽

Prevention And Control ◽

Infection Prevention ◽

Health Care Facilities ◽

Infection Prevention And Control ◽

Cell Transplant ◽

Transplant Recipients ◽

Hematopoietic Cell Transplant ◽

Care Facilities ◽

And Control

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Antibiotic stewardship in health care facilities across Gujarat: A cross-sectional descriptive study

IP International Journal of Periodontology and Implantology ◽

10.18231/j.ijpi.2021.028 ◽

2021 ◽

Vol 6 (3) ◽

pp. 165-170

Author(s):

Varshal J. Barot ◽

Krupa A. Pandya

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Antibiotic Stewardship ◽

Antibiotic Use ◽

Descriptive Study ◽

Health Care Facilities ◽

P Value ◽

Cross Sectional ◽

Dental Practitioners ◽

Care Facilities

Irrational use of antibiotics is the key contributor to antibiotic resistance. To improve the administration of antibiotics, many programs have been designed at national and international levels; and antibiotic stewardship (ABS) is one of them.The aim of this study was to create awareness and understanding of antibiotic stewardship by estimating its knowledge, attitude and practice (K.A.P) among health care professionals in health care facilities across Gujarat. A cross-sectional descriptive study was carried out among health care professionals in health care facilities across Gujarat. For which a self-administered questionnaire with 15 closed-ended questions with two sections: “Optimal antibiotic use” (no.1-7 questions); and “Responsible antibiotic use” (no.8-15 questions) was disseminated online/ in electronic form. In Dental practitioners, mean scores of knowledge, attitude, practice (K.A.P) regarding “Optimal antibiotic use” and “Responsible antibiotic use” are 6.3682 ± 0.96, 6.2139 ± 1.07, 4.5672 ± 1.51 and 7.1692 ± 1.09, 6.9104 ± 1.25, 5.1443 ± 1.81 respectively.In Medical practitioners, mean scores of knowledge, attitude, practice (K.A.P) regarding “Optimal antibiotic use” and “Responsible antibiotic use” are 6.8201 ± 0.41, 6.7090 ± 0.56, 5.1270 ± 1.62 and 7.6032 ± 0.69, 7.4233 ± 0.82, 5.3492 ± 1.94 respectively.Between the groups, knowledge and attitude regarding “Optimal antibiotic use” and “Responsible antibiotic use” are statistically highly significant (p-value = <0.001). Health care professionals showed higher knowledge as compared to attitude with least practice (K>A>P) regarding antibiotic stewardship in health care facilities across Gujarat. Antibiotic stewardship is fulcrum for the dual face of antibiotics. Equilibrium between individual and societal benefit/risk ratio while making clinical antibiotic decisions will benefit both; individual patients as well as the community.

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