Physicians’ knowledge, attitudes, and practice concerning antimicrobial resistance &amp; prescribing: a survey in Fayoum Governorate, Egypt

Wahed, Wafaa Y. Abdel; Ahmed, Eman Ibrahim; Hassan, Safaa Khamis; Ibrahim, Enas G.; Eid, Hanaa M.

doi:10.1007/s10389-019-01027-x

Cited by 6 publications

(10 citation statements)

References 13 publications

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“…In our study, more than eighty percentage (80–96%) of the HCWs had the knowledge on antibiotics, and AMR, and mechanisms leading to the emergence of resistance. This finding was slightly higher than a previous finding in Nepal 67 , India 68 , and was similar to other previous studies conducted in Egypt 69 , Zambia 70 and Pakistan 71 . Improving knowledge and practice related to antibiotics might be attributable to the improved education and mass awareness carried out by media, activists, government, and NGO(s)/INGOs.…”

Section: Discussionsupporting

confidence: 89%

“…Similar findings were reported in USA in which 88% and 72% of the physicians agreed that AMR was a challenge in general and in their hospital 72 . In Egypt, 94% and 80% of the clinicians believed the AMR as a problem in their country and in their hospital 69 . Similar finding was reported in Nepal in which 87% of the physicians believed that antibiotics were overused throughout the country 67 .…”

Section: Discussionmentioning

confidence: 99%

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Use of antimicrobials and antimicrobial resistance in Nepal: a nationwide survey

Rijal

Banjara

Dhungel

et al. 2021

Sci Rep

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Nepal suffers from high burden of antimicrobial resistance (AMR) due to inappropriate use of antibiotics. The main objective of this study was to explore knowledge, attitude and practices of antibiotics uses among patients, healthcare workers, laboratories, drug sellers and farmers in eight districts of Nepal. A cross-sectional survey was conducted between April and July 2017. A total of 516 individuals participated in a face-to-face interview that included clinicians, private drug dispensers, patients, laboratories, public health centers/hospitals and, livestock and poultry farmers. Out of 516 respondents, 62.8% (324/516) were patients, 16.9% (87/516) were clinicians, 6.4% (33/516) were private drug dispensers. A significant proportion of patients (42.9%; 139/324) thought that fever could be treated with antibiotics. Majority (79%; 256/324) of the patients purchased antibiotics over the counter. The knowledge of antibiotics used among patients increased proportionately with the level of education: literate only [AOR = 1.4 (95% Cl = 0.6–4.4)], versus secondary education (8–10 grade) [AOR = 1.8 (95% Cl = 1.0–3.4)]. Adult patients were more aware of antibiotic resistance. Use of antibiotics over the counter was found high in this study. Knowledge, attitude and practice related to antibiotic among respondents showed significant gaps and need an urgent effort to mitigate such practice.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Use of antimicrobials and antimicrobial resistance in Nepal: a nationwide survey

Rijal

Banjara

Dhungel

et al. 2021

Sci Rep

View full text Add to dashboard Cite

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“…The physician’s years of experience affected the physician’s answers, physicians with less than 10 years of experience were more confident, this is in contrast to a previous study done in Ghanaian tertiary care hospitals which stated that senior physicians had a better knowledge rather than junior ones [ 29 ]. However our finding is consistent with another studies which found no association with previous experience, training level, and knowledge of physician [ 13 , 17 ]. This is supported in our study by finding no difference in the confidence level of physicians who previously received formal training from who didn’t.…”

Section: Discussionsupporting

confidence: 93%

“…The majority of the surveyed physician agreed that antibiotic resistance is a worldwide problem. Moreover, more than 50% of physicians agreed that AMR is a problem in their hospitals this was similar to the findings of a previous study done in Fayoum government [ 17 ]. On the other hand, this was opposite to what was found by another studies, where physicians approved that the problem is worldwide but underrated the problem in their hospitals, perceiving the risk as more theoretical than the real one [ 14 , 18 ].…”

Section: Discussionsupporting

confidence: 89%

Perceptions and attitudes of ICU physicians toward antibiotics prescribing and resistance: A cross-sectional study

et al. 2022

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Background and aim Antibiotic resistance is a major emphasis in intensive care units (ICUs). Better understanding of ICU physicians’ perceptions, attitudes, and knowledge about antimicrobial prescribing practices could facilitate more effective interventions in fighting antimicrobial resistance in Egyptian ICUs and establishing a proper Antimicrobial Stewardship Program. Methods A cross-sectional questionnaire study was conducted including 92 physicians distributed across the different types of Egyptian healthcare institutions in two cities of Egypt; Cairo and El Monufia. Over a period of three months, started in December 2019 and ended in February 2020. Results A total of 92 Egyptian physicians were included in the study. Seventy (76.1%) of the surveyed physician strongly agreed and 22 (23.9%) agreed that antibiotic resistance is a worldwide problem. Moreover, 50 (54.3%) strongly agreed and 40 (43.4%) agreed that it is a problem in their hospitals while only 2 (2.1%) disagreed. Poor hand hygiene (67.5%), poor infection control practices by healthcare professionals (63.9%) as well as wrong practices in the management of invasive devices (68.7%), and poor environmental cleaning practices (63.4%) were considered very important causes of AMR by the majority of the surveyed ICU physicians. Almost all of the physicians (95%) rated an advice from a clinical pharmacist as very or moderately helpful intervention, while (52%) declared an advice from a microbiologist or an infectious disease specialist as very helpful. Conclusion The results of the present study showed that the Egyptian ICU physicians have remarkable knowledge regarding antibiotic resistance as a worldwide problem and a high sensibility toward the problem in their hospitals. The study also showed that implementation of proper AMS is an urgent need as physicians answers for the different questions in the survey showed that their attitudes and perceptions regarding antibiotic resistance and their way in prescription could be modified and improved if AMS programs with suitable training programs and local guidelines are provided among different types of Egyptian hospitals.

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“… 43 In contrast, in Egypt, the mean (standard deviation) of physicians’ knowledge towards antibiotics was 8.65 (±1.69) out of 11. 44 …”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and practice of healthcare workers towards antibiotic resistance during the COVID-19 pandemic

Al Sulayyim,

Ismail,

Hamid

et al. 2023

JAC-Antimicrobial Resistance

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Background During the novel Coronavirus 2019 (COVID-19) outbreak, there was an overuse of antibiotics in hospitals. The improper use of antibiotics during COVID-19 has increased antibiotic resistance (AR), which has been reported in multiple studies. Objectives To assess the healthcare workers’ (HCWs) knowledge, attitude and practice (KAP) in relation to AR during the era of COVID-19, and identify the associated factors with good knowledge, positive attitude and good practice. Methods A cross-sectional design was used to assess the KAP of HCWs in Najran, Kingdom of Saudi Arabia (KSA). A validated questionnaire was used to collect participants’ data, which consisted of the following information; socio-demographics, knowledge, attitude and items for practice. Data were presented as percentages and median (IQR). Mann–Whitney and Kruskal Wallis tests were used to compare them. Logistic regression was used to identify the associated factors linked to KAP. Results The study included 406 HCWs. Their median (IQR) knowledge score was 72.73% (27.27%–81.82%), attitude score was 71.43% (28.57%–71.43%) and practice score was 50% (0%–66.67%). About 58.1% of the HCWs stated that antibiotics could be used to treat COVID-19 infection; 19.2% of the participants strongly agreed and 20.7% agreed that during the COVID-19 pandemic, antibiotics were overused at their healthcare institutions. Only 18.5% strongly agreed and 15.5% agreed when asked whether antibiotics used properly for the right indication and duration can still result in AR. The significantly associated factors with good knowledge were nationality, cadre and qualification. A positive attitude was significantly associated with age, nationality and qualification. Good practice was significantly associated with age, cadre, qualification and working place. Conclusion Although the HCWs had a positive attitude regarding AR during COVID-19, their knowledge and practice need significant improvement. Implementation of effective educational and training programmes are urgently needed. In addition, further prospective and clinical trial studies are needed to better inform these programmes.

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Physicians’ knowledge, attitudes, and practice concerning antimicrobial resistance & prescribing: a survey in Fayoum Governorate, Egypt

Cited by 6 publications

References 13 publications

Use of antimicrobials and antimicrobial resistance in Nepal: a nationwide survey

Use of antimicrobials and antimicrobial resistance in Nepal: a nationwide survey

Perceptions and attitudes of ICU physicians toward antibiotics prescribing and resistance: A cross-sectional study

Knowledge, attitude and practice of healthcare workers towards antibiotic resistance during the COVID-19 pandemic

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