scholarly journals Knowledge, Attitudes and Practices of Prescribers towards Antimicrobial Stewardship at Hospitals in Khartoum State - Sudan

Author(s):  
Alneima Salah Ali Alamin ◽  
Salah I. Kheder

Introduction Antimicrobial stewardship (ASP) is of the utmost importance as a way to optimize the use of antimicrobials to prevent the development of resistance and improve patient outcomes. So, it is worthwhile to assess the knowledge, attitude and awareness regarding antimicrobial stewardship in hospitals. Objective The aim of this study is to assess knowledge, attitudes and practices (KAP) of prescribers towards antimicrobial stewardship at hospitals in Khartoum state and to identify the associations between prescriber’s demographic information and their knowledge. Methodology This descriptive cross-sectional study multi-centered study conducted in 10 hospitals at Khartoum state -Sudan, during period from November to December 2018. Study population included all prescribers who is available at study’s hospitals during study period and willing to participate in the study. A self-administered questionnaire addressing participants’ knowledge, attitudes, and practice (KAP) regarding antibiotic resistance and ASP distributed in the selected hospitals among attending house-officers, registrars and consultants completed then analyzed. Results Of the 294 medical staff targeted, 287 responded to the survey (response rate 97.6%). Only (26.4%) were familiar with the term ASP and (31.5%) claimed that it is effective in reducing resistance. (43.0%) of respondents believe that ASP play vital role on antibiotic prescribing. Only (9.5%) had ASP in their hospital and (13.5%) having policy and team. (45.3%) of participants had good level of knowledge about antimicrobial stewardship, but majority show negative attitude (63.1%), and poor practices (92.0%) regarding ASP. There was no observed correlation between knowledge and attitude, knowledge with practice (p-value ≥ 0.05). Only attitude with practice shows significance correlation (P=0.0001), which means that prescribers with positive attitude had the better practices towards antimicrobial stewardship. Age, occupation and experience are the only significant predictors of prescriber's knowledge and attitude towards antibiotic stewardship, while no association between these factors and practice. Conclusion The present study concludes that the knowledge of prescribers regarding ASP is moderate and their attitude is negative. Unfortunately, practices regarding ASP were poor, despite, the good knowledge regarding the effects of ASP on antimicrobial resistance.

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e037125
Author(s):  
PV AshaRani ◽  
Edimansyah Abdin ◽  
Roystonn Kumarasan ◽  
Fiona Devi Siva Kumar ◽  
Saleha Shafie ◽  
...  

IntroductionThis study aims to establish the Knowledge, Attitudes and Practices (KAP) of the general population (people with and without diabetes) towards diabetes. The study will examine (a) recognition and understanding of causes, prevention and treatment strategies of diabetes; (b) identify the knowledge gaps and behavioural patterns that may hamper diabetes prevention and control; (c) stigma towards and stigma perceived by people with diabetes and (d) awareness of anti-diabetes campaigns.Methods and analysisThe study is a nationwide, cross-sectional study of Singapore’s general population aged 18 years and above (n=3000), comprising Chinese, Malay, Indian and other ethnic groups, who can understand English, Chinese, Malay or Tamil language. The sample was derived using a disproportionate stratified sampling using age and ethnicity. The proportion of respondents in each ethnic group (Chinese, Malay and Indian) was set to approximately 30%, while the proportion of respondents in each age group was set around 20% in order to ensure a sufficient sample size. The respondents will be administered questionnaires on diabetes KAP, stigma towards diabetes, lifestyle, diet and awareness of local anti-diabetes campaigns. The analysis will include descriptive statistics and multiple logistic and linear regression analyses to determine the socio-demographic correlates of correct recognition of diabetes, help-seeking preferences, as well as overall knowledge and attitudes among those with and without diabetes. We will consider a p value ≤0.05 as significant.Ethics and disseminationThis study protocol has been reviewed by the Institutional Research Review Committee and the National Healthcare Group Domain Specific Review Board (NHG DSRB Ref 2018/00430). The results of the study will be shared with policymakers and other stakeholders. There will be a local mass media briefing to disseminate the findings online, in print and on television and radio. The results will be published in peer-reviewed journals and presented in scientific meetings.


Author(s):  
Ossinga Bassandja ◽  
Issa Yakusu ◽  
Muyobela Kampunzu ◽  
Lofoli Bokota ◽  
Baelongandi Folo ◽  
...  

Objective: Our study aimed to determine the level of knowledge, attitudes and practices (KAP) of healthcare providers towards Covid-19 in general hospitals in the city of Kisangani. Methods: A descriptive cross-sectional study was undertaken among the providers of these general hospitals. KAP on Covid-19 were assessed using a survey questionnaire. Results: Female providers were predominant (64%). The majority of respondents were between 25 and 34 years old. 21 were general practitioners (16.7%). The majority had sufficient knowledge (92.2%) provided mainly by radio and television. 77 had a negative attitude towards the possibility of containing the disease; and 88.1% had good practices with regard to Covid-19.


Author(s):  
Chandrashekhar G Unakal ◽  
Anoop Nathaniel ◽  
Bajnath Keagan ◽  
Bharat Alexandria ◽  
Burgess Lauralee ◽  
...  

Background: The objective of the study was assessment of knowledge, attitudes, and practices (KAP) towards infection prevention among healthcare workers (HCW) in Trinidad and Tobago.Methods: A cross-sectional study was conducted among 300 HCWs from three regional hospitals in Trinidad and Tobago about their knowledge, attitude, and practice towards infection prevention in the country. All information’s were collected through interview using structured questionnaires. The data was collected from April to June 2016; thoroughly checked and cleaned for completeness before analysis with SPSS version 20 statistical software. The 95% confident interval and the p value were used to check for association between the dependent and independent variables. A p value of <0.05 was considered statistically significant. Finally, the findings of the study were explained using tables.Results: A total of 300 HCW participated in the study, with a 100% response rate. In this study only 20.3% respondents were knowledgeable, 46.7% had good attitude and 44% had good practices toward infection prevention, suggesting less than satisfactory scores in this study.Conclusions: The results highlight generally poor knowledge, attitudes and practices towards infection prevention in the three hospitals in Trinidad and Tobago. Therefore, policies and measures should be put in place to ensure regular training programs for HCW, providing strong understanding and a positive outlook on infection prevention.


Author(s):  
Ahmed Elnadif Elmanssury ◽  
Safa Abdalla Dafaalla

Background: Globally, about 2 thousand million people are affected by iodine deficiency. The aim of this study is to Knowledge, attitudes and practices regarding goiter among population in Shendi Provence. River Nile State of Suda. Methods: This study was conducted as a community based descriptive Cross – sectional study. In this study 636 households were included .Questionnaire were used as tools for data collection. The households were selected through a multistage cluster-sampling technique, three cluster stage was used (The locality was divided into four administrative units, All administrative units were divided  into cluster villages or block and The required number of households in each village and block was selected by following the systemic random sampling technique)  636 respondents were selected. Results: The study was found that (58.5%) of respondents were recognize goiter disease as an enlargement of thyroid gland.  More than sixty (63.4%) were aware of the causes of goiter and its symptoms, (56%) were aware of iodine. More than half of respondents (55.8%) were aware of sources of iodine, (47%) of respondents were aware of foods contain iodine and its types. In addition, study revealed that (41%) of participant were aware of iodized salt. Moreover (48%) of respondents consider that iodized salt is necessary. The results revealed that only 82 (12.9%) were applied Preventive measures. Conclusions: The overall knowledge of respondent regarding goiter were found to be good, they had negative attitude towards goiter and they had proper practice in consumption of food contain.


2019 ◽  
Author(s):  
Stephen Banda

BACKGROUND Occupational conditions are deadly health hazards especially where dust exposure is inevitable causing chronic disabilities, impaired respiratory function and ultimately leading to death if no intensive measures are put in place. Unhealthy practices and negative attitudes rise in the number of cases of pneumoconiosis due to poor health education and awareness strategies. Pneumoconiosis is not only a health problem but also a social and economic burden on the livelihood of people living in mining areas around the globe. OBJECTIVE to assess knowledge, attitude and practices of miners and post-occupational miners towards pneumoconiosis in Wusakile Township, Kitwe, Zambia. METHODS A cross-sectional study was employed to conduct a research in Wusakile Township and a questionnaire was customized in order to syphon data relevant to the study as well to be brief. The study was conducted among 73 participants who were randomly selected among miners and post-occupational miners and all satisfied the inclusion criteria. Both quantitative and qualitative methods were used to collect data. The data was entered and analysed using IBM SPSS software version 23. RESULTS Among 73 participants interviewed, 33.99% of participants had poor knowledge on the complications of pneumoconiosis. However, despite this poor knowledge, all participants had an idea about pneumoconiosis particularly silicosis. 13.70% of the respondents had bad practices towards pneumoconiosis while 86.30% had some good practices towards pneumoconiosis. Of the total participants, 19.18% of the participants had a negative attitude towards pneumoconiosis. Correlation between the level of education and practices of participants using Pearson Chi-Square, a p value of 0.021 (significant) was found ruling out the null hypothesis. CONCLUSIONS Information about pneumoconiosis and awareness programs towards pneumoconiosis are not widely disseminated among miners and post-occupational miners. There is still a significant number of participants who need to be educated more about pneumoconiosis and its complications so that attitude and practices are improved and also promote full community participation by involving competent health professionals to help in implementing preventive measures.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Paul Owono Etoundi ◽  
Junette Arlette Metogo Mbengono ◽  
Ferdinand Ndom Ntock ◽  
Joel Noutakdie Tochie ◽  
Dominique Christelle Anaba Ndom ◽  
...  

2021 ◽  
pp. 100184
Author(s):  
Maria de Fátima Carvalho Alves ◽  
Maria da Luz Lima Mendonça ◽  
Janice de Jesus Xavier Soares ◽  
Silvânia Leal ◽  
Menilita dos Santos ◽  
...  

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