scholarly journals UNDERSTANDING REGARDING ANTIBIOTIC RESISTANCE AMONG HEALTH CARE PROFESSIONALS IN GOVERNMENT SECTOR OF TEHSIL GUJAR KHAN

2020 ◽  
Vol 9 (3) ◽  
pp. 144-148
Author(s):  
Saadia Basharat ◽  
Ramesh Kumar ◽  
Mudassar Mushtaq ◽  
Muhammad Mohsin

Background: Antibiotic resistance is found to be a continuous threat to effective prevention and treatment of infections and it is a common problem the world facing these days. The severity of problem has increased especially in developing countries with lack of understanding. The objective of the study was to assess the Knowledge, Attitude and Practices of antibiotic resistance among different types of health care professionals working in governmental sector of Punjab, Pakistan. Methods: A Cross sectional study was conducted by distributing questionnaire with 136 healthcare professionals working in Tehsil Head Quarter Hospital Gujar Khan, Rural Health Centre Qazian, Rural Health Centre Mandra and Rural Health Centre Daultala. Ethical approval was granted by the Institutional Review Board of Health Services Academy Islamabad. Questions were of true or false type in knowledge section. A Likert scale was used to assess of participants regarding use of antibiotics and its resistance developed among the patients. The responses of this scale ranged "from strongly agreed to strongly disagree, from always to never" and Practices were measured by different factors and drivers. Results: The total number of participants was 136, out of which there were (35%) males and 88 (65%) females. 80 respondents were from THQ Hospital Gujar khan and 56 participants were from three RHCs. It was found in the study that majority 79% (n=107) respondents were demanding by themselves to prescribe them antibiotics. It was found that more than half or 60% (n=81) people strongly agreed that antibiotic resistance is one of the biggest issue worldwide that needs to be addressed. The overall knowledge was found to be good but there were attitude and practice problems. Conclusion: The findings of this study indicate a diverse level of understanding of antibiotics resistance among different health care professionals. Therefore, serious concerns and efforts are still needed to develop, education and trainings to implement strategies to minimize the future risks of antibiotic resistance.

2015 ◽  
Vol 7 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Elayarani Elavarasan ◽  
Manasi S. Padhyegurjar ◽  
Shekhar B. Padhyegurjar

Aims and Objective: Mother and child together form the majority of the population in developing countries. Though they have maximum number of health services attributed to them, morbidity and mortality rates for antenatal women and children are very high. Lack of comprehensionof preventive services is one of the important reasons for this. This study was planned with the aim of assessing the knowledge and awareness levels among pregnant women about antenatal care and regarding various aspects of new born and infant care among mothers of under three.Materials and Methods:This is a community based cross- sectional study involving beneficiaries attending the Rural Health Centre of a teaching Medical College, in Tamil Nadu.Results: Awareness about routine antenatal care, danger signs of pregnancy and preparation for emergency labour were observed to be poor among antenatal women. Knowledge about new born care, infant feeding practices, immunization, newborn and childhood illnesses were all found inadequate among mothers of under three. All the aspects were better in antenatal women who were educated, could read Tamil, and belonged to joint family. But these factors had no effect of mothers of under three. Health workers and family members were the major source of information for both the groups.Conclusion: Knowledge is observed to be poor, inspite of all the participants being beneficiaries of Rural Health Centre and the majority of them being educated up to secondary standard. Efficient use of existing health services, giving health education sessions with precise messages will help to increase awareness.Asian Journal of Medical Sciences Vol.7(1) 2015 59-65


2020 ◽  
Vol 27 (06) ◽  
pp. 1157-1164
Author(s):  
Safia Khatoon ◽  
Sarang Suresh ◽  
Muhammad Ilyas ◽  
Priya Rani ◽  
Maimuna Khokhar ◽  
...  

Objectives: The objective of this study is to evaluate the prevalence and severity of TMJD and distribution of associated symptoms with respect to gender and age among the patients visiting Dental Clinic of a Rural Health Centre (RHC). Study Design: Descriptive cross-sectional study. Setting: Dental Clinic of Rural Health Centre (RHC) Nasirabad, District Kambar Shadadkot, Sindh, Pakistan. Period: December 2018 to May 2019. Material & Method: The study sample comprises of total 132 patients meeting the inclusion and exclusion criteria. Fonseca’s questionnaire and Fonseca’s Anamnestic Index are employed to assess the subjective response and severity of TMJD symptoms respectively vis-a-vis age and gender of patients. Data collected from patients is entered in SPSS ® version 16.0 for statistical analysis. Results: The results are arranged and statistically evaluated. Overall 43% answered positive to questions with respect to symptoms. Majority of patients reported positive for neck pain or stiff neck (15%) and muscular fatigue while chewing (15%). 50 % of patients suffering from TMJD symptoms belong to Age Group 1 (15 – 35 years). 94.3 % female patients suffer from some degree of TMJD. Based on Fonseca’s Anamnestic Index of severity, 65.9% of patients have Mild TMJD symptoms, 18.9% with Moderate severity and 1.5% with severe symptoms of TMJD. Conclusion: This study concludes that TMJD are more common in females with age group of 15 – 35 years of age. The most prevalent symptom is muscular pain / tiredness of jaws during chewing and stiffness of neck. In this study sample, majority of patients suffer from Mild TMJD symptoms.


2020 ◽  
Vol 1 (1) ◽  
pp. 57-63
Author(s):  
Silke Heuse ◽  
Cathrin Dietze ◽  
Daniel Fodor ◽  
Edgar Voltmer

Background: Future health-care professionals face stress both during education and in later professional life. Next to educational trainings, many students are forced to assume part-time employment. Objective: Applying the Job Demands-Resources Model to the educational context, we investigate which role part-time employment plays next to health-care professional students’ education-specific demands and resources in the prediction of perceived stress. Method: In this cross-sectional study, data from N = 161 health-care students were analysed, testing moderation models. Results: Education-specific demands were associated with higher and education-specific resources with lower amounts of perceived stress. Part-time employment functioned as moderator, i.e. demands were less associated with stress experiences in students who were employed part-time. Conclusion: Identifying part-time employment as a resource rather than a demand illustrates the need to understand students’ individual influences on stress. Both educators and students will benefit from reflecting these resources to support students’ stress management.


Author(s):  
Amarjot Singh Gill ◽  
Nistara Singh Chawla ◽  
Sandeep Singh Saini

Background: The practices of various health-care professionals have been improvised to accommodate the on-going covid-19 pandemic situation. Different guidelines have been set in place to ease the process of re-opening of non-elective healthcare services like out-patient physiotherapy clinics. Although the measures taken should be guided by evidence based information, major consensus amongst practicing therapists needs to guide the India physiotherapy clinics. Objective: To identify and present the opinions of different physiotherapists about the various strategies for re-opening the out-patient physiotherapy clinics. Methods: An online cross-sectional survey was conducted. Over 169 participants were selected to participate in the survey according to the pre-decided inclusion and exclusion criteria. The data was collected and saved via google forms. Result and conclusion: A majority of respondents had a consensus over different strategies for re-opening the physiotherapy OPDs. These were regarding different measures to be adapted including modifications in the clinic infrastructure and the practice pattern. This would help in smoothly re-instating the physiotherapy services post the covid-19 lockdown.


Author(s):  
Sushma I. ◽  
Nivin Simon ◽  
A. J. S. Pravin ◽  
M. K. Padmaprasad ◽  
M. Vijayabharathi ◽  
...  

<p class="abstract"><strong>Background: </strong>Mask induced dermatitis is common among health care workers now because of the obligatory use of facemask for a longer period during COVID-19, the clinical features vary. Very few studies could be conducted due to the COVID induced constraints. Studies regarding reactions to face masks in health workers published to date are limited and hence we decided to do this study. The objective of this study was to find out the clinical presentations of mask induced dermatitis due to long term use of facemask on healthcare workers during COVID-19 pandemic.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was conducted among 40 healthcare workers attend our OPD with face mask for 6 months. After getting informed written consent clinical evaluation was made by history and dermatologic examination.<strong></strong></p><p class="abstract"><strong>Results:</strong> Total 40 health care professionals between the age group of 21-50 years (17 females and 23 males) came to our OPD with complaints of itching and dryness with signs of erythema, scaling, papules for 6 months duration. Out of them, 15 (37.5%) patients had exacerbation of pre-existing dermatoses like atopic dermatitis, seborrheic dermatitis, chronic urticaria, acne. 10 patients (25%) had irritant contact dermatitis 7 patients (17.5%) had sweat-induced dermatitis, 4 patients (10%) had dermatitis due to sponge strip at the nasal bridge, 4 patients (10%) had dermatitis due to vehement use of ear loop involving retroauricular region.</p><p class="abstract"><strong>Conclusions:</strong> This study showed that wearing face masks results in the development and aggravation of other skin diseases due to various causes. Itch can induce scratching and thus lead to inappropriate use of face masks, which could compromise their function.</p>


2020 ◽  
pp. 1-3
Author(s):  
Syed Waseem Tahir ◽  
Sahila Nabi ◽  
Shazia Javaid

Background: Hand hygiene is one of the most effective ways to control health care related infection. Every year millions of patients around the world are affected by infections that are transmitted by the health-care professionals(HCPs).(2)(3). Rationale: Nurses and physicians are the main health care workers contacting with patients, representing the vector in the chain of infection. Thus, assessing their knowledge, attitude and practice regarding hand hygiene is very important to decrease the incidence of health care related infection and to improve quality of care. Objective: The objective of our study was to assess the knowledge, attitude and practices of handwashing among healthcare professionals of Kashmir Division. Methods: This study was an institutional based cross sectional study, conducted in various healthcare institutions of Kashmir Division which were selected randomly. A predesigned questionnaire was used to collect the data from the participants. The questionnaires contained questions about four different parts which included sociodemographic characteristics, knowledge of hand washing, attitude and practice of hand washing among healthcare professionals. The questionnaires were distributed to various healthcare professionals working in wards, emergency department, laboratories, outpatient departments, injection and dressing rooms, EPI unit and others. The distributed questionnaires were then collected back. Results: A total of 110 participants were included. Out of total 110 participants,53% were male ,36% were nurses 36% of health professionals were working in IPD (In Patient Department). 89% of the participants agreed that, direct or indirect contacts are the most important routes for transmission of hospital-acquired infections,97% agreed that
 proper and consistent hand washing prevents infections in health facilities,100% agreed that health professionals should always wash their hands immediately when they arrive at health institutions,98% said that they knew steps of handwashing(WHO)/rules of hand hygiene,91% agreed that hand washing is the single most effective mechanism to prevent spread of infection and 95% agreed that wearing jewellery, artificial fingernails, damaged skin and regular use of hand cream are associated with increased likelihood of colonisation of hands with harmful germs. 83% of the participants said that they are committed to the proper rules of hand hygiene all the time,78% said they comply with rules of hand hygiene even in emergencies,80% said that they think when they are wearing gloves it is not necessary to wash hands,92% feel irritated when others don’t follow hand hygiene rules,95% advice others to follow the rules of hand hygiene and 97% said it is easy for you to follow rules of hand hygiene. 40%(each) of the participants said that they always and usually wash hands before touching a patient,100% of the participants said that they always wash hands before performing aseptic and clean procedures, 100% of the participants said that they always wash hands after being at risk of exposure to body fluids and 95% of patients said that they wash hands after coming to and before leaving the hospital. DISCUSSION In this study we had a total of 110 participants. Health professionals had a satisfactory knowledge of hand hygiene but some lacunae are still there as is evident in the result part. Thus from this study we conclude adherence to handwashing is lacking among health professionals, so we need to have regular handwashing sessions for health professionals which will regularly sensitize them, also we need to address the reasons of this poor adherence both at the administrative and personal level. We also recommend to conduct more studies in this field so as to highlight the shortcomings in hand hygiene and then to improve upon them.


2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Belete Kassa Alemu ◽  
Tessema Tsehay Biru

Background. The role of health care professionals among other stakeholders in early detection, assessment, documentation, and reporting as well as preventing suspected adverse reactions is very crucial to mitigate drug-related problems in health facilities. Previous reports from literatures have indicated that adverse drug reaction reporting is highly linked to the knowledge and attitude of the health care professionals. Objective. To assess knowledge, attitude, and practice of health care professionals about adverse drug reactions and the associated factors at selected public hospitals in Northeast Ethiopia. Methods. A hospital-based quantitative cross-sectional study design was employed. A structured self-administered questionnaire was used to collect data on KAP of selected health care providers by the convenience sampling method. Data were entered into Epi info version 3.5.3 and analyzed using SPSS Version 20. Association between dependent and independent variables was found by using bivariate and multivariate logistic regression analysis where p<0.05 was considered to be statistically significant. Results. Out of 120 questionnaires distributed, 114 respondents filled and returned, giving a 95% response rate. From total, 49 (43%) were nurses, 26 (22.8%) physicians, 17 (14.9%) pharmacy professionals, 12 (10.5%) health officers, and 10 (8.8%) midwives. About 86 (75.44%) study participants had an inadequate knowledge towards ADR reporting, and half of participants failed to report the adverse drug reactions they encountered. But the majority of participants (84, 73.68%) had a favorable attitude towards ADR reporting. Nurses [AOR = 0.069, 95% CI (0.018–0.275)], health officers [AOR = 0.10, 95% CI (0.015–0.647)], and physicians [AOR = 0.14, 95% CI (0.03–0.64)] were found to be less likely to have adequate knowledge on ADR reporting compared to pharmacy professionals. Conclusion. Even though the majority of health care professionals had a positive attitude, they had inadequate knowledge and poor practice towards ADR reporting.


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