Knowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship program

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dc.contributor.authorAdegbite, Bayode R
dc.contributor.authorEdoa, Jean R
dc.contributor.authorSchaumburg, Frieder
dc.contributor.authorAlabi, Abraham S
dc.contributor.authorAdegnika, Ayola A
dc.contributor.authorGrobusch, Martin P
dc.date.accessioned2022-04-11T21:03:31Z
dc.date.available2022-04-11T21:03:31Z
dc.date.issued2022-03-03
dc.date.updated2022-03-06T04:09:36Z
dc.description.abstractBackground Africa is challenged by the emergence of antimicrobial resistance (AMR). In order to improve patient management and to optimise approaches to curb the spread of antimicrobial resistance, we examined knowledge and perceptions of AMR and antibiotics prescription practices of HCW (healthcare workers) in Lambaréné, Gabon. Methods We conducted a self-administered, questionnaire-based survey in HCW at the regional referral hospital, a medical research centre, and peripheral health care facilities. The proportions of correct responses to questions were determined and compared between physicians and nurses using Fisher’s Exact test. Results A total of 47 HCW took part in the survey. Of those, 64% (30/47) recognised antibiotic resistance as a major public health issue in Gabon, but only 14/47 (30%) recognised it as a problem in their health facility. Of note, 37/47 (79%) recognised excessive use of antibiotics without microbiological confirmation in case of infection, and buying antibiotics without a prescription, as possible cause of antimicrobial resistance. Some HCW (28%; 13/47) reported having prescribed antibiotics because the patients asked for them; and a total of 15/47 (32%) responded that antibiotics could help patients recover faster when added to malaria treatment. Compared to nurses, most of the physicians recognised that excessive use of antibiotics without microbiological confirmation of infection could contribute to AMR spread (18/19 (95%) vs 19/28 (68%); p = 0.028). Conclusion Most HCW recognised AMR as public health issue. However, a quarter of the participants did not know about the causes fostering the emergence of antimicrobial resistance. There is a need to perform regular HCW training in antimicrobial prescription, and to set up an antimicrobial stewardship program.en_US
dc.identifier.apacitationAdegbite, B. R., Edoa, J. R., Schaumburg, F., Alabi, A. S., Adegnika, A. A., & Grobusch, M. P. (2022). Knowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship program. <i>Antimicrobial Resistance & Infection Control</i>, 11(1), 44. http://hdl.handle.net/11427/36335en_ZA
dc.identifier.chicagocitationAdegbite, Bayode R, Jean R Edoa, Frieder Schaumburg, Abraham S Alabi, Ayola A Adegnika, and Martin P Grobusch "Knowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship program." <i>Antimicrobial Resistance & Infection Control</i> 11, 1. (2022): 44. http://hdl.handle.net/11427/36335en_ZA
dc.identifier.citationAdegbite, B.R., Edoa, J.R., Schaumburg, F., Alabi, A.S., Adegnika, A.A. & Grobusch, M.P. 2022. Knowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship program. <i>Antimicrobial Resistance & Infection Control.</i> 11(1):44. http://hdl.handle.net/11427/36335en_ZA
dc.identifier.ris TY - Journal Article AU - Adegbite, Bayode R AU - Edoa, Jean R AU - Schaumburg, Frieder AU - Alabi, Abraham S AU - Adegnika, Ayola A AU - Grobusch, Martin P AB - Background Africa is challenged by the emergence of antimicrobial resistance (AMR). In order to improve patient management and to optimise approaches to curb the spread of antimicrobial resistance, we examined knowledge and perceptions of AMR and antibiotics prescription practices of HCW (healthcare workers) in Lambaréné, Gabon. Methods We conducted a self-administered, questionnaire-based survey in HCW at the regional referral hospital, a medical research centre, and peripheral health care facilities. The proportions of correct responses to questions were determined and compared between physicians and nurses using Fisher’s Exact test. Results A total of 47 HCW took part in the survey. Of those, 64% (30/47) recognised antibiotic resistance as a major public health issue in Gabon, but only 14/47 (30%) recognised it as a problem in their health facility. Of note, 37/47 (79%) recognised excessive use of antibiotics without microbiological confirmation in case of infection, and buying antibiotics without a prescription, as possible cause of antimicrobial resistance. Some HCW (28%; 13/47) reported having prescribed antibiotics because the patients asked for them; and a total of 15/47 (32%) responded that antibiotics could help patients recover faster when added to malaria treatment. Compared to nurses, most of the physicians recognised that excessive use of antibiotics without microbiological confirmation of infection could contribute to AMR spread (18/19 (95%) vs 19/28 (68%); p = 0.028). Conclusion Most HCW recognised AMR as public health issue. However, a quarter of the participants did not know about the causes fostering the emergence of antimicrobial resistance. There is a need to perform regular HCW training in antimicrobial prescription, and to set up an antimicrobial stewardship program. DA - 2022-03-03 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - Antimicrobial Resistance & Infection Control KW - Antimicrobial resistance KW - Healthcare workers KW - Survey KW - Gabon KW - Antimicrobial stewardship LK - https://open.uct.ac.za PY - 2022 T1 - Knowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship program TI - Knowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship program UR - http://hdl.handle.net/11427/36335 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s13756-022-01079-x
dc.identifier.urihttp://hdl.handle.net/11427/36335
dc.identifier.vancouvercitationAdegbite BR, Edoa JR, Schaumburg F, Alabi AS, Adegnika AA, Grobusch MP. Knowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship program. Antimicrobial Resistance & Infection Control. 2022;11(1):44. http://hdl.handle.net/11427/36335.en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentInstitute of Infectious Disease and Molecular Medicineen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceAntimicrobial Resistance & Infection Controlen_US
dc.source.journalissue1en_US
dc.source.journalvolume11en_US
dc.source.pagination44en_US
dc.source.urihttps://aricjournal.biomedcentral.com/
dc.subjectAntimicrobial resistanceen_US
dc.subjectHealthcare workersen_US
dc.subjectSurveyen_US
dc.subjectGabonen_US
dc.subjectAntimicrobial stewardshipen_US
dc.titleKnowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship programen_US
dc.typeJournal Articleen_US
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