scholarly journals Awareness of antibiotic usage and antimicrobial resistance among interns in a tertiary care hospital

2017 ◽  
Vol 6 (9) ◽  
pp. 2159
Author(s):  
Suchitra D. Akalu ◽  
Niveditha G. Belavadi
Keyword(s):  
Antibiotic Resistance ◽  
Antimicrobial Resistance ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Antibiotic Use ◽  
Resistance Mechanisms ◽  
Antibiotic Usage ◽  
Care Hospital ◽  
Care Providers ◽  
Strongly Agree

Background: Antibiotic resistance is a global threat and new resistance mechanisms are emerging and spreading globally, threatening our ability to treat common infectious diseases. Reducing the incidence of drug resistant infections is crucial and is a top priority at global and national levels. A study was conducted among interns to assess the awareness related to antibiotic usage and resistance.Methods: The questionnaire was administered to a batch of 75 medical interns whereby their awareness regarding antibiotic use and resistance was assessed by a five point Likert scale, whose responses ranged from “strongly agree” to “strongly disagree”, and always to never. Some questions were of true and false type. The data was analysed by using simple descriptive statistics.Results: Out of the 78 interns, 75 participated in the study and completed the questionnaires. All the 75 (100%) interns believed that indiscriminate antibiotic use leads to antimicrobial resistance and 78.6% (n=59) believed that if antimicrobials are taken too often, they are less likely to work in the future. Majority (90.6%) of the interns knew of the fact that common cold and influenza are due to viral aetiology and not bacterial. Regarding the antibiotic practices of the interns, questionnaire addressed questions related to their practices related to use of antimicrobials, 66.6% (n=50) of the interns disagreed on the question that antibiotics are safe drugs, hence can be commonly used while 62.6% (n=47) do not believe that skipping one or two doses of the drug does not lead to antibiotic resistance.Conclusions: The antibiotic resistance crisis has been attributed to the overuse and misuse of these medications. Judicious use of antibiotics is the only solution for which awareness is required at the level of both health care providers and patients. Our study provides an important insight regarding the regarding awareness of antibiotic usage and antibiotic resistance among interns.

scholarly journals A questionnaire base survey on the knowledge, attitude and practices about antimicrobial resistance and usage among the faculty and resident doctor of teaching tertiary care hospital, Chittoor, India

2019 ◽  
Vol 8 (7) ◽  
pp. 1673
Author(s):  
Vishnu Priya G. ◽  
Sankara Babu Gorle ◽  
Madhav P.
Keyword(s):  
Antimicrobial Resistance ◽  
Tertiary Care ◽  
Daily Practice ◽  
Antibiotic Use ◽  
Care Hospital ◽  
Senior Faculty ◽  
Over The Counter ◽  
Antibiotic Resistant ◽  
Strongly Agree ◽  
Prescription Writing

Background: 10million could die every year due to antibiotic resistant infections by 2050 unless the threat is addressed. Irrational use of antibiotic use is a global phenomenon. So, 50% all anti bionics are prescribed, sold are dispensed inappropriately, while 50% of patients are not taking antibiotics correctly (WHO 2004).Methods: This was a cross section study it was a conducted in RVS institute, tertiary care teaching hospital. Chittoor. The questionnaire was distributed along the faculty resident doctors and senior faculty of this RVS institute Where their knowledge, attitude, practice regarding antibiotic prescription and resistance was assessed by a five point likert scale, whose response ranged from strongly agree to disagree. Some questionnaire were of useful or nor useful and yes or no.Results: Irrational prescription of antibiotics is worldwide problem and also in India was known to most of the physicians in our institute (n=95%) of participants. 80% subjects answered that prescription writing influenced by senior faculty and medical representatives. 50% subjects answered that antimicrobial resistance is a problem in daily practice.80 % subjects answered that most of the antibiotics available as over the counter drugs (OTC).Conclusions: This study concludes, prescription writing influences by senior faculty and medical representatives. It’s important to monitor and auditing prescription writing based on WHO Antibiotic guidelines to prevent resistance. Strict vigilance of OTC sales of antibiotics to prevent resistance.

Evaluation of Parental Knowledge, Attitudes and Practices Regarding Antibiotic Use in Acute Upper Respiratory Tract Infections in Children in a Tertiary Care Hospital in Turkey

2021 ◽  
Author(s):  
Aslınur Albayrak ◽  
Nazmi Mutlu Karakaş ◽  
Bensu Karahalil
Keyword(s):  
Antibiotic Resistance ◽  
Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Tertiary Care ◽  
Antibiotic Use ◽  
Upper Respiratory Tract Infections ◽  
Care Hospital ◽  
Upper Respiratory Tract ◽  
Upper Respiratory ◽  
Tract Infections

Abstract BackgroundUpper respiratory tract infections (URTIs) are common in children. Most URTIs have been shown to be of viral origin. Inappropriate use of antibiotics is one of the main causes of antibiotic resistance. The problem of unnecessary antibiotic use among children is a concern for antibiotic resistance in low- and middle-income developing countries.MethodsOur study is a cross-sectional survey study. It was carried out between 14 December 2020 and 1 April 2021 for parents over 18 years of age with a child under 18 years’ old who applied to the general pediatrics outpatient clinics of Gazi University Faculty of Medicine Hospital Department of Pediatrics.Results554 parents responded to the questionnaire. A total of 15.7% of parents stated to use antibiotics in any child with fever. 37% of parents believed that antibiotics could cure infections caused by viruses. 6.3% of parents declared that they put pressure on pediatricians to prescribe antibiotics. 85.6% of the parents stated that they never gave their children non-prescription antibiotics when they had a high fever. 80.9% of them declared that they never used past antibiotics in the presence of a new infection. Female gender, high level of education, high income level and low number of antibiotics used in the last 1 year were found to be statistically significant with the better knowledge level of the parents (p <0.05).ConclusionAccording to the results of our study of parents' lack of knowledge about antibiotics in Turkey, though generally it shows proper attitude and behavior. It shows that some of the restrictions imposed by the National Action Plan are partially working. However, it is still necessary to continue to inform parents, pediatricians and pharmacists about the use of antibiotics, and to be more sensitive about the prescribing of antibiotics, and if necessary, sanctions should be imposed by the state in order to prevent unnecessary antibiotic prescriptions.

scholarly journals Outcome and complications of self-administration of over-the-counter abortion pills: an observational study in a tertiary care hospital of a medical college in New Delhi

2021 ◽  
Vol 10 (8) ◽  
pp. 3148
Author(s):  
Anjali Singh ◽  
Sruthi Bhaskaran ◽  
Anshuja Singla
Keyword(s):  
Observational Study ◽  
Health Care Providers ◽  
Tertiary Care ◽  
New Delhi ◽  
Care Hospital ◽  
Care Providers ◽  
Self Administration ◽  
Over The Counter ◽  
Gynecology And Obstetrics ◽  
Medical Termination

Background: Due to unrestricted free availability of abortion pills, despite of national policies, guidelines and medical termination of pregnancy (MTP) act, unsafe abortions by self-administration of these drugs for termination of unwanted pregnancies without prescription are becoming common in our country, leading to associated morbidity and mortality.Methods: A prospective Observational study was done at Guru Teg Bahadur hospital, university college of medical sciences, New Delhi, from November 2019 to April 2020, in the department of gynecology and obstetrics, on women visiting the outpatient department and casualty department with the history of self-administration of medical termination pills without prescription. This study was done to study the outcome and complications occurring due to self-administration of over-the-counter abortion pills that are freely available in the market. 95 women were included in study and data was collected regarding age, education level, parity, presenting complaints, complications and their management. Descriptive analysis of the collected data was done.Results: In this study 95 women were included 71.6% took pills before 8 weeks of gestation, 1% took in second trimester. 46.3% landed up in incomplete abortion and 33.68% needed surgical evacuation, 8.42% had ectopic out, 2.1% had scar site pregnancy and 7.36% needed laparotomy, 1.05% had rupture uterus followed by abortion pill intake while 1.05% suffered from acute kidney injury (AKI). There was no ICU admission nor any mortality.Conclusions: There is urgent need of strict legislation to curtail this bad practice and free availability of over-the-counter abortion pills which leads to unexpected morbidity and mortality, such drugs should be given only by health care providers under supervision, there is need of community level awareness so as to impart knowledge regarding this problem. 

scholarly journals Vancomycin-resistance Enterococcal Colonization in Hospitalized Patients in Relation to Antibiotic Usage in a Tertiary Care Hospital of North India

2015 ◽  
Vol 7 (02) ◽  
pp. 108-111 ◽  
Author(s):  
Tuhina Banerjee ◽  
Shampa Anupurba ◽  
Joel Filgona ◽  
Dinesh K Singh
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Tertiary Care ◽  
Significant Risk ◽  
Antibiotic Use ◽  
Antibiotic Usage ◽  
Hospitalized Patients ◽  
University Hospital ◽  
North India ◽  
Care Hospital

ABSTRACT Background: Alarming rise of vancomycin-resistant enterococci (VRE) is a global cause of concern. Several factors have been held responsible for such rise, of which antibiotic usage is a prominent one. Objectives: This study was undertaken to determine the intestinal VRE colonization rate amongst hospitalized patients in relation to use of various antibiotics in the Intensive Care Unit (ICU) of a tertiary care university hospital, India. Materials and Methods: Stool samples were collected weekly from all the patients in the adult ICU for a period of 6 months and processed for isolation and phenotypic and genotypic characterization of VRE isolates. Patient and treatment details were noted and cases (those with VRE in stool) and controls (those without VRE in stool) were compared statistically. Further, a multivariate analysis was done to identify those antibiotics as independent risk factors for VRE colonization. Results: VRE colonization was found in 34.56% (28/81) of the patients studied, with the majority 75% (21/28) carrying the vanA gene. The cases had significantly more (P < 0.05) duration of hospital stay and antibiotic exposure. Intake of metronidazole, vancomycin, and piperacillin-tazobactam were identified as significant risk factors both in univariate and multivariate analysis. Conclusion: A potential reservoir of VRE was thus revealed even in low VRE prevalence setting. Based on this high colonization status, restriction of empirical antibiotic use, reviewing of the ongoing antibiotic policy, and active VRE surveillance as an integral part of infection control strategy were suggested.

Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country

2016 ◽  
Vol 44 (7) ◽  
Author(s):  
Samina Ismail ◽  
Shemila Abbasi ◽  
Sobia Khan ◽  
Abdul Monem ◽  
Gauhar Afshan
Keyword(s):  
Epidural Analgesia ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Sources Of Information ◽  
Hospital Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Natural Birth

AbstractAims:The aim of this study was to evaluate the factors responsible for epidural analgesia (EA) refusal among parturient patients.Methods:In this prospective cross-sectional study of six months, we included all consenting postpartum patients having a non-operative delivery in the obstetric unit of our hospital. Data were collected on a predesigned questionnaire and included information such as parity, education, reasons for delivering with or without EA, source of information and patient satisfaction. Knowledge regarding EA was assessed from patients delivering without EA.Results:From 933 patients enrolled, 730 (78.2%) delivered without EA, and 203 (21.7%) with EA. Only 11 (1.5%) patients refused EA for the reason of having natural birth process. Otherwise common reasons were misconceptions (65.9%) and lack of awareness about EA (20.5%); 70.5% had no knowledge of common side effects of EA. Among patients delivering with EA, 92.6% were offered EA by health care providers and had obstetricians and anesthesiologists as their sources of information.Conclusions:Patients in developing countries are laboring without EA, even in centers where there is a provision for it. The main reasons for not availing themselves of EA are lack of awareness and knowledge and misconceptions, rather than the desire to have un-medicated natural birth.

scholarly journals P023: Code Resus - using a quality improvement approach to improve health care provider response during resuscitations

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S86-S86
Author(s):  
L.B. Chartier ◽  
S. Hansen ◽  
D. Lim ◽  
S. Yi ◽  
B. McGovern ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Care Providers ◽  
Rating Scale ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Change Initiatives ◽  
Chi Square ◽  
Before And After

Introduction: In order to achieve the best possible outcomes for patients requiring resuscitation (PRRs) in the emergency department (ED), health care providers (HCPs) must provide an efficient, multi-disciplinary and coordinated response. A quality improvement (QI) project was undertaken to improve HCP response to PRRs at two tertiary care hospital EDs in Toronto. Methods: We conducted a before-and-after mixed-method survey to evaluate the perception of the adequacy of HCP response and clarity of HCP role when responding to PRRs. The results were compared using the Chi-square test. Qualitative responses to the first survey were also used to inform the development of the QI project. Through interviews of key stakeholders and with continuous input from front-line ED HCPs, a multi-disciplinary team modified the ED resuscitation protocol. This included standardized pre-hospital communication form with paramedics, ED-wide overhead announcement of ‘Code Resus’, dedicated HCPs assigned to respond to PRRs, and specific duties assigned to each responder. Change initiatives were reinforced through education and posters in the ED. Six months after implementation, a second survey was conducted to evaluate the sustained effects of the intervention. Results: Baseline measures indicated that 16 of 52 (30.8%) nurses surveyed believed their role was often or always apparent to themselves and others when they attended to a PRR (on a 5-point rating scale). This proportion increased to 35 of 55 (63.6%) nurses in the post-implementation survey (p < 0.001). Regarding adequacy of the number of HCPs responding to PRRs, 17 of 39 (43.6%) physicians and 23 of 53 (43.4%) nurses surveyed thought the appropriate number of HCPs responded to PRRs; the remainder thought that there were too few or too many HCPs. In the post-implementation survey, 34 of 41 (82.9%) physicians (p < 0.001) and 36 of 56 (64.3%) nurses (p = 0.029) surveyed felt that the appropriate number of HCPs attended to PRRs. Conclusion: Using a quality improvement approach, we identified and quantified perceived deficiencies in HCP response to PRRs in the ED. Through feedback-based modifications of the ED resuscitation protocol and by engaging HCP stakeholders, change initiatives were implemented to improve HCP response. As a result, this project achieved significant and sustained improvements in HCPs’ perceived response to PRRs.

scholarly journals Antenatal determinants of maternal weight gain during pregnancy in nulliparous women of urban and suburban parts of Maharashtra

2020 ◽  
Vol 7 (2) ◽  
pp. 642
Author(s):  
Swati T. Dahake ◽  
Uzma Shaikh
Keyword(s):  
Weight Gain ◽  
Health Care Providers ◽  
Educational Level ◽  
Statistical Tests ◽  
Tertiary Care ◽  
Care Hospital ◽  
Maternal Weight Gain ◽  
Care Providers ◽  
Maternal Weight ◽  
Weight Gain During Pregnancy

Background: Weight gain in pregnancy remains a matter of great concern for women and health care providers.  Adherence to a balanced diet throughout pregnancy, influences maternal body weight as well as short- and long-term health of mother and child. Objective of this study was to study antenatal maternal and social factors affecting maternal weight gain among Nulliparous women.Methods: study was carried out in antenatal clinics of tertiary care hospital and a suburban health center with sample size 197 and 97 respectively. Maternal weight was measured at the first antenatal clinic visit and at delivery. Statistical analysis was done with SPSS version 20. Statistical tests used were mean, percentages and chi square.Results: The antenatal determinants of maternal weight gain were: being underweight at the booking visit, maternal complications during pregnancy, passive cigarette smoking during third trimester, low educational level and low per capita income, controlling for the effect of gestational age.Conclusions: maternal educational level, per capital income, passive smoking, caloric and protein deficiency, early pregnancy body mass index determines the weight gain during pregnancy.

scholarly journals Antibiotic Resistance - Knowledge, Attitude And Practice Based Survey Amongst Dental Health Care Providers In An Institution​

2021 ◽  
Author(s):  
Gaur Shivangi ◽  
◽  
Marimuthu Madhulaxmi
Keyword(s):  
Health Care ◽  
Antibiotic Resistance ◽  
Health Care Providers ◽  
Survey Methods ◽  
Dental Health ◽  
Antibiotic Usage ◽  
Care Providers ◽  
Dental Health Care ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Introduction: Antibiotic resistance is definitely one of the most dreaded outcomes of injudicious use of antibiotics in a developing country like India. The prevalence of Over the counter (OTC) availability of antibiotics has also contributed to this bane and burden of antibiotic resistance in our country. Aim: The aim of this survey based study was to examine the knowledge on antibiotic usage, resistance, attitudes, perceptions and practices among dental health care providers using an online survey. Methods and Methodology: An Eighteen point online close ended questionnaire based survey was conducted amongst 100 randomly selected postgraduate stu- dents in various dental specialities from our institution, whereby their Knowledge, attitude and Practice regard- ing antibiotic resistance and usage was assessed. The questionnaire was designed to include demographic information of the participants along with questions based on frequency of antibiotic usage, resistance and interest of participants to attend educational seminars as a part of continuing education. Results: 76.47% participants agreed that antibiotic resis- tance is a major public health burden in India and glob- ally. Participants who had never attended seminars on antibiotic resistance were 82.35% and 89.41% were willing to attend seminars. Conclusions: Our survey showed few mis-prescriptions of antibiotics in cases of resistance to penicillin groups of drugs and use of broad versus narrow spectrum antibiotics. However, the overall awareness and prescription protocols were appropriate, thereby concluding that post graduates had a good knowledge of antibiotics, their use and risks involved.

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