Correction to: The knowledge, attitudes and practices of doctors regarding antibiotic resistance at a tertiary care institution in the Caribbean

Nicholson, Alison; Tennant, I; White, Livingston A.; Thoms-Rodriguez, Camille-Ann; Cook, Loraine D.; Johnson, Simon R.; Thompson, Tamara; Barnett, Jasper; Richards, Lundie

doi:10.1186/s13756-018-0358-5

Cited by 10 publications

(2 citation statements)

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“…Most of the respondents were aware that antibiotic resistance is a global and national problem, although few admitted that it is a problem in their local facilities. These results mirror previously reported studies where the respondents rated lower existence of antibiotic resistance in their facilities compared with either nationally or globally [12][13][14] . This signals a dangerous trend given that these are the primary levels from where antibiotic resistance begins.…”

Section: Discussionsupporting

confidence: 89%

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A survey on knowledge, attitude, and practice about antibiotic prescribing and resistance among medical practitioners in Kenya

Kamita¹,

Mutungi²,

Mungai³

et al. 2022

Open Res Africa

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Background Antibiotic resistance is a growing global health threat worldwide and especially in developing countries. Irrational antibiotic prescription as well as lack of the requisite knowledge and awareness of proper antibiotic use are major drivers of antibiotic resistance. In Kenya, although the Ministry of Health has developed antibiotic use guidelines, these guidelines are not widely followed. Antibiotic prescription is, therefore, hugely at the discretion of the clinician. It is thus necessary to understand the knowledge, attitude, and practices (KAP) of antibiotic prescription among medical practitioners in the country. This study aimed to evaluate the knowledge, attitude, and practices (KAP) among antibiotic prescribers in three counties (Kiambu, Nakuru, and Bungoma) in Kenya. Methods This was a cross-sectional study using a self-administered questionnaire. Simple descriptive statistics were used to generate frequencies, percentages, and proportions. Where necessary, univariate analyses such as Pearson’s chi-square were performed to compare proportions for statistical significance. Results From the three counties, 240 respondents recorded their responses: 30% from Kiambu, 34.6% from Nakuru, and 35.4% from Bungoma. The respondents included 19 (7.9%) consultants, 66 (27.4%) medical officers, 135 (56.3%) clinical officers and 20 (8.3%) pharmacists. Of all respondents, more than 90% agreed or strongly agreed that antibiotic resistance (ABR) is a catastrophe worldwide and in Kenya. However, the proportion of the respondents who either agreed or strongly agreed (71.6%) that antibiotic resistance is a problem in their respective health facilities was significantly lower (ρ=0.013). Conclusion This study revealed that most medical practitioners were aware and knowledgeable about antibiotic resistance. However, there was a disconnect with mitigation measures such as active antibiotic stewardship and laboratory analyses to support judicious prescription. There is, therefore, a need for continuous education and stewardship interventions.

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Section: Discussionsupporting

confidence: 89%

“…This also highlights the importance of targeting the clinical officers for future educational interventions on antibiotic use. Similar findings have been reported in Ghana where senior physicians had better knowledge on those bacteria that have developed resistance in their setting compared with junior physicians 12 .…”

Section: Discussionsupporting

confidence: 82%

A survey on knowledge, attitude, and practice about antibiotic prescribing and resistance among medical practitioners in Kenya

Kamita¹,

Mutungi²,

Mungai³

et al. 2022

Open Res Africa

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Antibiotic prescribing practices and perceptions on antimicrobial resistance among healthcare practitioners in Russia

Fedotova,

Chigrina,

Shirinskaya

et al. 2023

Public Health

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The clinical usefulness of guideline-based strategies with and without the role of nonspecific symptoms to predict urinary tract infections in nursing homes: a decision curve analysis

Kuil,

de Jong,

Schneeberger

et al. 2024

ASHE

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Objective: The aim of this study was to assess the clinical value of urinary tract infections (UTIs) guideline algorithms and the role of nonspecific symptoms to support clinical decision-making in nursing home residents. Design: In a preplanned secondary analysis of a cross-sectional study including nursing home residents with a presumed UTI, 2 prediction models were used in a decision curve analysis (DCA): (1) guideline-based and (2) extended: nonspecific symptom(s) added to the guideline model. The stringent outcome definition for “true UTIs” included symptom improvement during adequate antimicrobial therapy, based on susceptibility test results. The outcome of a DCA is the Net Benefit to quantify the performance of the prediction models, visualized in a decision curve. Setting: Dutch nursing homes (n = 13). Patients: Nursing home residents with a presumed UTI. Results: Of the 180 residents with a presumed UTI, 43 fulfilled the definition of “true UTI” (23.9%). The Net Benefit of the guideline-based model was low and the corresponding threshold range was small (21%–28%). The extended model improved the prediction of UTIs. However, the clinical usefulness of the extended model was still limited to a small threshold range (10%–28%). Conclusions: The clinical usefulness of the current guideline-based algorithm to diagnose UTI in nursing home residents seems limited, and adding nonspecific symptoms does not further improve decision-making due to the small threshold probability. Given the poor performance of the guideline-based model, refinement of the guidelines may be required. Trial registry: Dutch trial registry: NTR6467; date of first registration, 25/05/2017.

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Correction to: The knowledge, attitudes and practices of doctors regarding antibiotic resistance at a tertiary care institution in the Caribbean

Abstract: The original article [1] contains a major error whereby the present title does not display the correct wording as intended by the authors.

Cited by 10 publications

References 1 publication

A survey on knowledge, attitude, and practice about antibiotic prescribing and resistance among medical practitioners in Kenya

A survey on knowledge, attitude, and practice about antibiotic prescribing and resistance among medical practitioners in Kenya

Antibiotic prescribing practices and perceptions on antimicrobial resistance among healthcare practitioners in Russia

The clinical usefulness of guideline-based strategies with and without the role of nonspecific symptoms to predict urinary tract infections in nursing homes: a decision curve analysis

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