■滥用抗生素会导致抗生素耐药性(AMR)并导致死亡,发病率,和财政负担。带有教育的抗生素管理计划(ASP)可以解决成功实施ASP的许多障碍。这项研究的目的是评估2022年卫生专业人员对医院ASP的看法和状况。
■从2022年9月1日至2022年10月30日进行了横断面研究。共包括181名卫生专业人员,并使用自我管理问卷收集数据.使用检查表评估医院的状况。使用SPSS版本23对数据进行分析,并使用描述性统计和卡方检验(X2),P值<0.05。
■在181名受访者中,163(90.1%),161人(89.0%)认为AMR在埃塞俄比亚和全球都是一个重大问题,分别。容易获得抗生素155(85.6%),不适当使用137(75.7%)被认为是AMR的主要贡献者。抗生素被认为是处方/分配没有实验室结果86(47.5%),和抗生素敏感性模式不被认为是指导经验性治疗81(44.8%).ASP被认为可以减少住院时间和相关费用137(75.7%),并提高患者护理质量133(73.5%),而151(83.4%),143(79%),142(78.5%)建议接受教育,机构指南,以及带有反馈干预措施的前瞻性审计,以打击他们医院的AMR,分别。根据专业类别和医院实施ASP的尝试,专业人员之间的认知存在显着差异。虽然ASP没有按照标准运行,已经尝试在三家医院实施。ASP的问题在综合医院中从未听说过。目前,在四家医院实施ASP是可行的。
■ASP在医院中的地位很差。尽管缺乏对ASP的先验知识,大多数受访者确实对AMR和ASP的实施有积极的看法。药剂师领导的前瞻性审核和反馈以及经验性抗生素使用的教育和机构指南可以在医院中更好地实施。感染预防和控制代表的参与,医院之间在ASP实施方面的合作将有助于在该领域建立强大的ASP。
UNASSIGNED: Indiscriminate use of antibiotics leads to antibiotic resistance (AMR) and results in mortality, morbidity, and financial burden. Antibiotic stewardship programs (ASPs) with education can resolve a number of barriers recognized in the implementation of successful ASPs. The aim of this study was to assess health professionals\' perceptions and status of ASPs in hospitals in 2022.
UNASSIGNED: A cross-sectional study was conducted from September 1, 2022 to October 30, 2022. A total of 181 health professionals were included, and a self-administered questionnaire was used to collect data. The status of hospitals was assessed using a checklist. The data were analyzed using SPSS version 23, and descriptive statistics and Chi-square tests (X2) at a P-value of <0.05 were used.
UNASSIGNED: Of the 181 respondents, 163 (90.1 %), and 161 (89.0 %) believed that AMR is a significant problem in Ethiopia and globally, respectively. Easy access to antibiotics 155 (85.6 %), and inappropriate use 137 (75.7 %) were perceived as key contributors to AMR. Antibiotics were believed to be prescribed/dispensed without laboratory results 86 (47.5 %), and antibiotic susceptibility patterns were not considered to guide empiric therapy 81 (44.8 %). ASP was believed to reduce the duration of hospital stays and associated costs 137 (75.7 %), and improve the quality of patient care 133 (73.5 %), whereas 151 (83.4 %), 143 (79 %), and 142 (78.5 %) suggested education, institutional guidelines, and prospective audits with feedback interventions to combat AMR in their hospitals, respectively. There were significant differences in perception among professionals based on professional category and attempts by hospitals to implement ASPs. Although ASPs were not functioning according to standard, there have been attempts to implement it in three hospitals. The issue of ASP had never been heard in general hospitals. Currently, it is feasible to implement ASPs in four hospitals.
UNASSIGNED: The status of ASP in hospitals was very poor. Despite a lack of prior knowledge on ASPs, most respondents do have a positive perception of AMR and the implementation of ASPs. Pharmacist-led prospective audits and feedback with education and institutional guidelines for empiric antibiotic use can be better implemented in hospitals. Involvement of representatives from infection prevention and control, and collaboration among hospitals in ASP implementation will help establish a strong ASP in the area.