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Antimicrobial resistance (AMR) is one of the greatest public health challenges of our time, primarily due to inappropriate antimicrobial use. Addressing this threat is a public health priority that requires a collaborative global approach in all areas. The rational use of antimicrobials is the main strategy for the prevention of antimicrobial resistance, which can be achieved by changing the behavior and knowledge of the prescribers. So, for the success of any problem management program, the most important prerequisite is community participation. Therefore, this study aimed to assess the knowledge and attitude of the samples of community members, pharmacists and health professionals in the city of Al-Suwaria, in the province of Wasit, in the Middle East of Iraq, with respect to antimicrobial resistance, which helps to rationalize the use of antimicrobials. In this survey, a cross-sectional study of 102 random contributing samples was performed. From January to March 2020. Knowledge and attitudes were assessed using a typical self-administered questionnaire. Descriptive analyzes were used to express the results. A total of 102 participants answered the questionnaire. Overall, collaborators have established good knowledge and positive attitudes toward antimicrobial resistance based on 13 knowledge questions and nine attitude statements. Gaps were identified in the knowledge of the possibility of addressing resistance through the discovery of a new drug (21.6%), the possibility of using antibiotics as an effective drug against viral diseases (36.3%) and the possibility of accelerate the treatment of diseases with antibiotics (38.2%). The majority of respondents (72.5%) agreed that antibiotic resistance induces serious global problems that affect public health. Furthermore, the majority of those interviewed (69.6%) believe that this phenomenon affects our health and that of our families. Similarly, (13.7%) of the participants totally agreed, while (65.7%) agreed that pharmacists played an important role in the appearance of this problem, and (37, 3%) of the participants fully agreed, while (58.8%) agreed that it is necessary to follow the recommendations and guidelines for life-saving antibiotics in the hospital. In contrast, 27.5% of the participants expressed a weak attitude towards the possibility of fighting antimicrobial resistance in their region through infection control practices by health professionals. Contributors in this study had good knowledge and positive attitudes toward antimicrobial resistance. Although the data is indicative of gaps in the knowledge of residents of the city of Al-Suwaria/Wasit province.
Antimicrobial resistance (AMR) is one of the greatest public health challenges of our time, primarily due to inappropriate antimicrobial use. Addressing this threat is a public health priority that requires a collaborative global approach in all areas. The rational use of antimicrobials is the main strategy for the prevention of antimicrobial resistance, which can be achieved by changing the behavior and knowledge of the prescribers. So, for the success of any problem management program, the most important prerequisite is community participation. Therefore, this study aimed to assess the knowledge and attitude of the samples of community members, pharmacists and health professionals in the city of Al-Suwaria, in the province of Wasit, in the Middle East of Iraq, with respect to antimicrobial resistance, which helps to rationalize the use of antimicrobials. In this survey, a cross-sectional study of 102 random contributing samples was performed. From January to March 2020. Knowledge and attitudes were assessed using a typical self-administered questionnaire. Descriptive analyzes were used to express the results. A total of 102 participants answered the questionnaire. Overall, collaborators have established good knowledge and positive attitudes toward antimicrobial resistance based on 13 knowledge questions and nine attitude statements. Gaps were identified in the knowledge of the possibility of addressing resistance through the discovery of a new drug (21.6%), the possibility of using antibiotics as an effective drug against viral diseases (36.3%) and the possibility of accelerate the treatment of diseases with antibiotics (38.2%). The majority of respondents (72.5%) agreed that antibiotic resistance induces serious global problems that affect public health. Furthermore, the majority of those interviewed (69.6%) believe that this phenomenon affects our health and that of our families. Similarly, (13.7%) of the participants totally agreed, while (65.7%) agreed that pharmacists played an important role in the appearance of this problem, and (37, 3%) of the participants fully agreed, while (58.8%) agreed that it is necessary to follow the recommendations and guidelines for life-saving antibiotics in the hospital. In contrast, 27.5% of the participants expressed a weak attitude towards the possibility of fighting antimicrobial resistance in their region through infection control practices by health professionals. Contributors in this study had good knowledge and positive attitudes toward antimicrobial resistance. Although the data is indicative of gaps in the knowledge of residents of the city of Al-Suwaria/Wasit province.
Introduction Antimicrobial resistance (AMR) is a global public health problem that has led to increased morbidity and mortality, especially in low- and middle-income countries such as Zambia. This study evaluated AMR knowledge, attitudes and practices among pharmacy personnel and nurses at Ndola Teaching Hospital, Zambia’s second-largest hospital. Methods A descriptive cross-sectional study was conducted among 263 participants using a structured questionnaire. Data analysis was performed with IBM SPSS version 23.0. All statistical tests were conducted at a 95% confidence level. Univariate analysis was used to determine differences in knowledge, attitudes and practices on AMR between pharmacy personnel and nurses. Results Of the 263 participants, 225 (85.6%) were nurses and 38 (14.4%) were pharmacy personnel. Compared with nurses, pharmacy personnel had better knowledge of the spread of resistant bacteria from one person to another (P = 0.001) and the use of antibiotics in livestock as a contributing factor to AMR (P = 0.01). Pharmacy personnel had better attitudes towards AMR as a public health problem (P = 0.001) and the use of antibiotics in livestock as a source of resistant pathogens (P = 001). Lastly, more pharmacy personnel than nurses participated in awareness campaigns (P = 0.029), continued professional development (P = 0.001) and courses on the use of antibiotics and AMR (P = 0.028). Conclusions The study showed that most participants had adequate knowledge, a positive attitude and good practices towards AMR. Significant differences in knowledge, attitudes and practices were observed between pharmacy personnel and nurses in AMR, highlighting a need for increased educational programmes for these healthcare personnel.
Background Antimicrobial resistance (AMR) poses a threat to public health globally. Despite its consequences, there is little information about the knowledge, awareness, and practices towards AMR among healthcare workers (HCWs). Therefore, this study assessed the knowledge, awareness and practices regarding antimicrobial use (AMU), AMR and antimicrobial stewardship (AMS) among HCWs who are involved in the implementation of AMS activities across eight hospitals in Zambia. Methods A cross-sectional study was conducted among 64 HCWs from October to December 2023 using a semi-structured questionnaire. Data were analysed using IBM SPSS version 25.0. Results Of the 64 HCWs, 59.4% were females, 60.9% were aged between 25 and 34 years, 37.5% were nurses, 18.7% were pharmacists, 17.2% were medical doctors and only one was a microbiologist. Overall, 75% of the HCWs had good knowledge, 84% were highly aware and 84% had good practices regarding AMU, AMR and AMS. Most of the HCWs (90.6%) responded that they had a multidisciplinary AMS team at their hospitals and were implementing the use of the WHO AWaRe classification of antibiotics. Conclusion This study found good knowledge levels, high awareness and good practices regarding AMU, AMR and AMS among HCWs who were involved in the implementation of AMS activities in hospitals in Zambia. Additionally, most hospitals have been conducting AMS training and implementing the use of the WHO AWaRe classification of antibiotics. However, there is still a need to address some identified gaps in AMU and AMR through the strengthening of AMS activities in hospitals.
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