scholarly journals Survey of knowledge and perceptions of antibiotic resistance and antibiotic stewardship among doctors and pharmacists in a tertiary hospital: a pilot study

2020 ◽  
Author(s):  
Mary Akpan ◽  
Idong Imo Kingsley ◽  
Agantem Ekuma ◽  
Arit Udoh
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Stewardship ◽  
Action Plan ◽  
Antibiotic Use ◽  
Tertiary Hospital ◽  
Global Public Health ◽  
Chi Square ◽  
Significant Difference ◽  
Global Action ◽  
Chi Square Analysis

Abstract Background: Antibiotic resistance poses a serious global public health threat and results in prolonged illness, increased mortality and cost. The WHO global action plan on antibiotic resistance emphasizes five strategic objectives, including improved awareness of antibiotic resistance and optimization of antibiotic use. The objectives of this study were to assess doctors’ and pharmacists’ knowledge and perceptions of antibiotic resistance and stewardship, and hospital’s preparedness to implement antibiotic stewardship programs (ASPs).Methods: One hundred and twenty-four doctors and 61 pharmacists were surveyed in University of Uyo Teaching Hospital, Akwa Ibom State, Nigeria. Descriptive and Pearson chi-square analysis were carried out to compare knowledge and perceptions between the two groups. Results: Both doctors and pharmacists perceived antibiotic resistance as a global and national problem (98% vs 97%), respectively. Both groups perceived excessive use of broad-spectrum antibiotics and antibiotics for common cold and cough increase resistance (84% vs 75%, 71% vs 82%, respectively). Only 47% of doctors and 53% of pharmacists correctly defined antibiotic stewardship with 77% and 85%, respectively, agreeing that restriction of certain antibiotics reduces resistance. There was with no significant difference in knowledge between the two groups in majority of questions/statements; however, there was association between length of practice and knowledge of causes of antibiotic resistance (F = 2.586; p = 0.028).Conclusion: Participants in this study showed good knowledge of the prevalence and causes of antibiotic resistance, as well as antibiotic stewardship strategies. There was however little awareness of the hospital’s plan to implement ASPs. Hospital management needs to emphasize optimizing antibiotic use through stewardship programs.

Qualitative Map of Salmonella Contamination on Young Chicken Carcasses†

2010 ◽  
Vol 73 (9) ◽  
pp. 1596-1603 ◽  
Author(s):  
T. P. OSCAR ◽  
G. K. RUTTO ◽  
J. B. LUDWIG ◽  
S. PARVEEN
Keyword(s):  
Public Health ◽  
Antibiotic Resistance ◽  
Public Health Problem ◽  
Global Public Health ◽  
Culture Methods ◽  
Chi Square ◽  
Conventional Culture ◽  
Chicken Carcass ◽  
Young Chicken ◽  
Chi Square Analysis

Salmonella contamination of poultry is a global public health problem. The objective of this study was to map the distribution of Salmonella on the young chicken carcass, to improve poultry inspection and food safety. Young chickens (n = 70) in the Cornish game hen class were obtained at retail over a 3-year period. Carcasses were aseptically sectioned into 12 parts, and then Salmonella was isolated from whole-part incubations by conventional culture methods. Isolates were characterized for serotype and antibiotic resistance, and by pulsed-field gel electrophoresis (PFGE). Salmonella incidence was 21.5% (181 of 840) for parts and 57.1% (40 of 70) for carcasses. The number of contaminated parts per carcass ranged from 0 to 12, with a mean of 4.5 among contaminated carcasses. Chi-square analysis indicated that Salmonella incidence differed (P < 0.05) among parts, with rib back (38.6%) and sacral back (34.3%) being the most contaminated. Among the 40 contaminated carcasses, there were 37 different patterns of contamination among parts. Of the 33 carcasses with more than one contaminated part, 12.1% contained two serotypes, 33.3% contained two or more antibiotic resistance profiles, and 100% contained two or more PFGE patterns. The most common serotype was Typhimurium (94.5%), and most (97.2%) isolates were resistant to multiple antibiotics. These results indicated a diverse pattern of Salmonella contamination among carcasses and that multiple subtypes of Salmonella were often present on contaminated carcasses. Thus, whole-carcass incubation succeeded by characterization of multiple isolates per carcass is needed to properly assess and manage this risk to public health.

scholarly journals Antibiotic resistance in European wastewater treatment plants mirrors the pattern of clinical antibiotic resistance prevalence

2019 ◽  
Vol 5 (3) ◽  
pp. eaau9124 ◽  
Author(s):  
Katariina M. M. Pärnänen ◽  
Carlos Narciso-da-Rocha ◽  
David Kneis ◽  
Thomas U. Berendonk ◽  
Damiano Cacace ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Wastewater Treatment ◽  
Wastewater Treatment Plants ◽  
Action Plan ◽  
Quantitative Polymerase Chain Reaction ◽  
Antibiotic Use ◽  
Control Measures ◽  
World Health ◽  
Global Action ◽  
Health Organization

Integrated antibiotic resistance (AR) surveillance is one of the objectives of the World Health Organization global action plan on antimicrobial resistance. Urban wastewater treatment plants (UWTPs) are among the most important receptors and sources of environmental AR. On the basis of the consistent observation of an increasing north-to-south clinical AR prevalence in Europe, this study compared the influent and final effluent of 12 UWTPs located in seven countries (Portugal, Spain, Ireland, Cyprus, Germany, Finland, and Norway). Using highly parallel quantitative polymerase chain reaction, we analyzed 229 resistance genes and 25 mobile genetic elements. This first trans-Europe surveillance showed that UWTP AR profiles mirror the AR gradient observed in clinics. Antibiotic use, environmental temperature, and UWTP size were important factors related with resistance persistence and spread in the environment. These results highlight the need to implement regular surveillance and control measures, which may need to be appropriate for the geographic regions.

scholarly journals Influence of historical use of antibiotics toward antibiotic resistance

2019 ◽  
Vol 4 (1) ◽  
pp. 9
Author(s):  
Fawandi Fuad Alkindi ◽  
Rika Yulia ◽  
Fauna Herawati ◽  
Abdul Kadir Jaelani
Keyword(s):  
Antibiotic Resistance ◽  
Antimicrobial Resistance ◽  
Antibiotic Use ◽  
Descriptive Study ◽  
Primary Objective ◽  
Resistance Rate ◽  
Chi Square ◽  
Microbiological Test ◽  
Chi Square Analysis ◽  
The Relationship

A WHO’s Global Surveillance of Antibiotic Resistance showed there is an increase of antimicrobial resistance in Asia between 2013 until 2014. Many studies showed that there is a correlation between prior antibiotic use with antimicrobial resistance case. The primary objective of this study is to analyze the relationship between prior antibiotic use with antimicrobial resistance. İt was a retrospective and descriptive study conducted at Bangil Regional General Hospital. The data collected from the medical record and microbiological test from the patient at the internal ward. Chi-square analysis used for the statistic. This study showed that prior antibiotic use increased 0,399 bigger for antimicrobial resistance rate (p=0,001). 

scholarly journals Antibiotic stewardship in Norway: are strategies for rational use of antibiotics followed in Norwegian healthcare system?

2021 ◽  
Author(s):  
Girma Gutema ◽  
Helle Håkonsen ◽  
Ephrem Engidawork ◽  
Else-Lydia Toverud
Keyword(s):  
Antibiotic Resistance ◽  
Healthcare System ◽  
Antibiotic Stewardship ◽  
Infection Prevention ◽  
Positive Impact ◽  
Action Plan ◽  
Antibiotic Use ◽  
Healthcare Facilities ◽  
Healthcare Settings ◽  
National Strategic Plan

AbstractObjectiveResistance has been a major challenge since the development of antibiotics and countries have been working to curb it. As part of this effort, Norway has been striving to maintain low consumption of antibiotics and drug resistance. This paper aims to review the findings of studies in this regard as an attempt to investigate if the impacts of the country’s antibiotic stewardship strategies are in line with the intention.MethodA literature review was performed by searching MEDLINE/PubMed to identify peer reviewed articles which dealt with antibiotic use and resistance in Norway. Studies conducted after the year 2000, when a comprehensive national action plan against antibiotic resistance was initiated, were included and the search terms were antibiotic, antimicrobials, resistance and Norway.ResultsA total of 229 articles were identified of which 75 were included in the review. In primary healthcare settings, hospitals and nursing homes, research themes like adherence to specific institutional guidelines, consumption of antibiotics, patterns of antibiotic resistance, infection prevention/control, as well as resistance profiling were taken up by investigators. Most of the findings highlighted that healthcare facilities are striving to adhere to guidelines and implement strategies outlined in the national strategic plan, despite some challenges. This has resulted in restricting the use of antibiotics thereby maintaining favorable environment to promote their prudent use.ConclusionBy and large, the findings affirm that the Norwegian healthcare system is characterized by a conservative use of antibiotics that has a positive impact on resistance containment. The authorities need to work further on issues such as adherence to guidelines and infection prevention/control so as to further maximize the prevailing good conditions.

Comparison of ELISA and RT-PCR assays for the detection of Tomato spotted wilt virus in peanut

2009 ◽  
Vol 36 (2) ◽  
pp. 133-137 ◽  
Author(s):  
P. M. Dang ◽  
D. L. Rowland ◽  
W. H. Faircloth
Keyword(s):  
Tomato Spotted Wilt Virus ◽  
Enzyme Linked Immunosorbent Assay ◽  
Infection Rates ◽  
Rt Pcr ◽  
Chi Square ◽  
Tomato Spotted Wilt ◽  
Significant Difference ◽  
Pcr Assays ◽  
Chi Square Analysis ◽  
Wilt Virus

Abstract Diagnosis of Tomato spotted wilt virus (TSWV) in peanut can be accomplished by enzyme-linked immunosorbent assay (ELISA) or reverse transcription polymerase chain reaction (RT-PCR) but there has been no report of a direct comparison of the success of the two assays in evaluating infection rates of field-grown peanut. We collected peanut root samples from field-grown plants, 76 in 2006 and 48 in 2007, and tested these samples by both ELISA and RT-PCR assays for the presence of TSWV. Out of 124 samples, 50 (40.3%) and 57 (46.0%) were positive for TSWV by ELISA and RT-PCR respectively. In 13.7% of these samples, ELISA and RT-PCR differed in their results. However, Chi square analysis showed no significant difference between the results for these two assays. This result supports the conclusion that ELISA and RT-PCR are comparable for detecting TSWV infection rates in field-grown peanuts.

scholarly journals Parasitology and urban livestock farming in Nigeria : prevalence of ova in faecal and soil samples and animal ectoparasites in Makurdi

2007 ◽  
Vol 78 (1) ◽  
Author(s):  
E.A. Omudu ◽  
E.U. Amuta
Keyword(s):  
Test Tube ◽  
Soil Samples ◽  
Helminth Parasites ◽  
Livestock Farming ◽  
Chi Square ◽  
Zoonotic Infections ◽  
Faecal Samples ◽  
Significant Difference ◽  
Flotation Technique ◽  
Chi Square Analysis

Domestic environmental pollution resulting from urban livestock farming was investigated in Makurdi using parasitological techniques. The test tube flotation technique was used for the parasitological analysis of animal faecal matter and soil samples collected from residential premises. Ectoparasitic fauna of dogs, goats, sheep and cattle cohabiting with humans within the same residential compound were also collected and identified. The hand-picking and body brushing methods were employed to search for ticks, fleas, lice and mites. Of the 150 soil samples examined, 55 (36.7 %) were positive for 1 or more eggs of helminth parasites. There was no significant difference in the distribution of eggs in the soil samples from the 3 areas sampled (c2=0.046, df=2, P>0.05). Ascaris species were the dominant parasite eggs found. Of the 180 faecal samples examined, 107 (59.4 %) were positive for 1 or more eggs of helminth parasites. Chi-square analysis showed no significant difference in the level of infection of different animal faeces sampled (c2=5.74, df=4, P>0.05). Ascaris species were again the dominating helminth parasite eggs found. There was also no significant difference in the prevalence of helminth eggs in the animal faecal samples from the 3 areas sampled (c2=5.99, df=4, P>0.05). A total of 1908 ectoparasites was recovered (ticks: 32.80 %; lice: 22.43 %; fleas: 22.06% and mite: 22.69 %). There was no significant difference in infestation animals between sexes (c2=0.10, df=4, P>0.05). The predominant genus encountered for ticks were Amblyomma, while Linognathus (43.90%), Ctenocephalides (97.38%) and Sarcoptes (58.89 %) were most predominant for lice, fleas and mites respectively. The public health implications of the findings, especially as these relate to the increasing incidence and prevalence of zoonotic infections, are discussed.

scholarly journals Effect of Different Doses of 17 Α -Methyltestosterone on Masculinization, Pre-Post Treatment Growth Parameters and Condition Factor of Sarotherodon Melanotheron in Pond System

2021 ◽  
pp. 56-62
Author(s):  
Theophilus Apenuvor ◽  
John Blay ◽  
Joseph Aggreyfynn ◽  
Simon Drafor
Keyword(s):  
Condition Factor ◽  
Growth Parameters ◽  
Post Treatment ◽  
Optimum Level ◽  
Male Population ◽  
Chi Square ◽  
Significant Difference ◽  
The Individual ◽  
Chi Square Analysis ◽  
Sarotherodon Melanotheron

Over-population and stunted growth had been major challenges in the culture of tilapia. The use of synthetic androgen 17- α Methyl Testosterone (MT) was a breakthrough. However, its optimum level towards effective masculinization and growth is a concern. The aim of this research was to ascertain the optimum level of MT towards effective all-male population production and growth of Black-Chinned tilapia. In the present study, the effect of different dose rates of synthetic androgen 17-α Methyl Testosterone (MT) i.e., 0, 30, 60, and 120 mg of the hormone per kg of feed on sex, growth, and condition of Black-Chinned tilapia was evaluated. MT was administered orally by using powdered dry starter feed (Crude Protein 40 %) and Ethanol. The fry was fed for 30 days in the experimental tanks. At the end of the experiment, the sex ratios were determined by examining the operculum coloration as a means of sex identification. Growth performance was monitored by measuring and recording the morphometric characteristics. Bodyweight and total length of the fish on the start of feeding, end of feeding (one month sex reversal period), and two months after feeding were measured. The results of the present study showed that all MT receiving treatment showed a significantly higher male proportion than the control (0 mg MT/kg feed individuals). In all MT treatments groups, the control expects the 30 mg MT/kg in feed individuals’ deviate significantly from the normal 1:1 sex ratio (Chi-square analysis). The dose rate of 120 mg MT /kg feed resulted in the maximum male population (92.7%). Hence, for an effective high percentage of all-male population production in Black-Chinned tilapia, 120 mg MT /kg in feed is recommended. In terms of growth and condition factor, all the individual treatments, as well as the control, showed no significant difference. All the treated individuals showed similar condition factors during the pre and post-treatment, however, the individuals treated with 30 mg MT /kg feed exhibited better condition during the pre-treatment than the post-treatment period. Temperature, pH and dissolved oxygen recorded in this study were within the desirable limit for tilapia.

scholarly journals Global Governance of Anti-microbial Resistance: A Legal and Regulatory Toolkit

2020 ◽  
pp. 401-420
Author(s):  
Calvin W. L. Ho ◽  
Tsung-Ling Lee
Keyword(s):  
Public Health ◽  
System Approach ◽  
Action Plan ◽  
World Health ◽  
Health Concern ◽  
Global Public Health ◽  
Agricultural Industry ◽  
Treatment And Prevention ◽  
Global Action ◽  
Health Organization

Abstract Recognizing that antimicrobial resistance (AMR) poses a serious threat to global public health, the World Health Organization (WHO) has adopted a Global Action Plan (GAP) at the May 2015 World Health Assembly. Underscoring that systematic misuse and overuse of drugs in human medicine and food production is a global public health concern, the GAP-AMR urges concerted efforts across governments and private sectors, including pharmaceutical industry, medical professionals, agricultural industry, among others. The GAP has a threefold aim: (1) to ensure a continuous use of effective and safe medicines for treatment and prevention of infectious diseases; (2) to encourage a responsible use of medicines; and (3) to engage countries to develop their national actions on AMR in keeping with the recommendations. While the GAP is a necessary step to enable multilateral actions, it must be supported by effective governance in order to realize the proposed aims. This chapter has a threefold purpose: (1) To identify regulatory principles embedded in key WHO documents relating to AMR and the GAP-AMR; (2) To consider the legal and regulatory actions or interventions that countries could use to strengthen their regulatory lever for AMR containment; and (3) To highlight the crucial role of the regulatory lever in enabling other levers under a whole-of-system approach. Effective AMR containment requires a clearer understanding of how the regulatory lever could be implemented or enabled within health systems, as well as how it underscores and interacts with other levers within a whole-of-system approach.

A UK-based survey of cat owners’ perceptions and experiences of antibiotic usage

2019 ◽  
Vol 22 (2) ◽  
pp. 69-76 ◽  
Author(s):  
Jennifer Stallwood ◽  
Alex Shirlow ◽  
Angie Hibbert
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Stewardship ◽  
Diagnostic Tests ◽  
Bacterial Infections ◽  
Viral Infections ◽  
Diagnostic Testing ◽  
Antibiotic Use ◽  
Good Communication ◽  
Long Acting ◽  
Veterinary Antibiotic

Objectives The aim of this study was to explore owners’ knowledge of antibiotics, experience of antibiotic use in their cats and involvement in decision-making regarding antibiotic prescriptions. Methods Cat owners were recruited via social media and veterinary practices to complete a survey designed to evaluate general knowledge of antibiotics, attitudes to antibiotic stewardship and experiences of antibiotic use in their own cat between November 2017 and March 2018. Data were analysed descriptively. Results A total of 1436 surveys were completed; 247 respondents (17.2%) had a veterinary background. The majority of the remaining respondents correctly identified that antibiotics treat bacterial infections (84.0%; n = 999) but do not treat viral infections (72.8%; n = 865). A minority (n = 338; 28.4%) agreed that antibiotic resistance was a problem in cats in the UK; 92.3% (n = 1097) identified that resistance was a problem in human medicine. Seventy percent (n = 832) of the respondents’ cats had received antibiotics; 29.6% (n = 246) received a long-acting injectable antibiotic (14 days’ duration). Diagnostic tests were performed before antibiotic prescription in 38.7% (n = 322) of cats; 1.4% (n = 7) of respondents reported declining suggested tests and 65.8% (n = 778) indicated that they would be happy to pay for diagnostic tests to allow selection of the most appropriate antibiotic. Most respondents (95.8%; n = 792) indicated that they were happy to follow their veterinarian’s advice and recommendations; however, 49.2% (n = 405) had expected antibiotics to be prescribed. Conclusions and relevance Cat owners demonstrated good knowledge of antibiotic action; however, greater owner education regarding the potential for veterinary antibiotic resistance, requirement for diagnostic testing and training in the administration of oral medication with first-line antibiotics, as well as the use of veterinary antibiotic guidelines, will improve antibiotic stewardship. Good communication between veterinarians and owners is necessary for rational antibiotic use.

scholarly journals Straight Line Scoring by Clinical Competency Committees Using Emergency Medicine Milestones

2017 ◽  
Vol 9 (6) ◽  
pp. 716-720 ◽  
Author(s):  
Michael S. Beeson ◽  
Stanley J. Hamstra ◽  
Melissa A. Barton ◽  
Kenji Yamazaki ◽  
Francis L. Counselman ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Descriptive Analysis ◽  
Chi Square ◽  
Residency Programs ◽  
Reporting Requirement ◽  
Straight Line ◽  
Significant Difference ◽  
Chi Square Analysis ◽  
Academic Year ◽  
Nominal Variables

ABSTRACT Background  In 2013, milestone ratings became a reporting requirement for emergency medicine (EM) residency programs. Programs rate each resident in the fall and spring on 23 milestone subcompetencies. Objective  This study examined the incidence of straight line scoring (SLS) for EM Milestone ratings, defined as a resident being assessed the same score across the milestone subcompetencies. Methods  This descriptive analysis measured the frequencies of SLS for all Accreditation Council for Graduate Medical Education (ACGME)–accredited EM programs during the 2015–2016 academic year. Outcomes were the frequency of SLS in the fall and spring milestone assessments, changes in the number of SLS reports, and reporting trends. Chi-square analysis compared nominal variables. Results  There were 6257 residents in the fall and 6588 in the spring. Milestone scores were reported for 6173 EM residents in the fall (99% of 6257) and spring (94% of 6588). In the fall, 93% (5753 residents) did not receive SLS ratings and 420 (7%) did, with no significant difference compared with the spring (5776 [94%] versus 397 [6%]). Subgroup analysis showed higher SLS results for residents' first ratings (183 of 2136 versus 237 of 4220, P < .0001) and for their final ratings (200 of 2019 versus 197 of 4354, P < .0001). Twenty percent of programs submitted 10% or more SLS ratings, and a small percentage submitted more than 50% of ratings as SLS. Conclusions  Most programs did not submit SLS ratings. Because of the statistical improbability of SLS, any SLS ratings reduce the validity assertions of the milestone assessments.

Sign in / Sign up

Export Citation Format

Share Document