TY - JOUR
T1 - Addressing antimicrobial resistance in Nigerian hospitals
T2 - exploring physicians prescribing behavior, knowledge, and perception of antimicrobial resistance and stewardship programs
AU - Babatola, Adefunke O
AU - Fadare, Joseph O
AU - Olatunya, Oladele S
AU - Obiako, Reginald
AU - Enwere, Okezie
AU - Kalungia, Aubrey
AU - Ojo, Temitope O
AU - Sunmonu, Taofeek A
AU - Desalu, Olufemi
AU - Godman, Brian
PY - 2021/4/30
Y1 - 2021/4/30
N2 - Introduction: We assessed the knowledge of, attitude toward antimicrobial resistance (AMR) and practice of antimicrobial stewardship (AMS) among physicians in Nigeria to provide future guidance to the Nigerian National Action Plan for AMR. Methods: A descriptive cross-sectional questionnaire-based study explored the physicians’ self-reported practice of antibiotic prescribing, knowledge, attitude, and practice of AMR and components of ASPs. Results: The majority (217; 67.2%) of respondents prescribed antibiotics daily in their clinical practice AMR was recognized as a global and local problem by 308 (95.4%) and 262 (81.1%) respondents, respectively. Only 91 (28.2%) of respondents have ever heard of antibiotic stewardship. The median AMR knowledge score was 40 (19–45)out of 45while that for ASP was 46.0(32–57) out of 60. There was significant statistical difference between the ASP median scores among the medical specialties category (P value <0.0001) More respondents had good knowledge of AMR than ASPs (82.7% versus 36.5%; p < 0.0001). Conclusion: Respondents in this study were more knowledgeable about AMR than AMS and its core components.
AB - Introduction: We assessed the knowledge of, attitude toward antimicrobial resistance (AMR) and practice of antimicrobial stewardship (AMS) among physicians in Nigeria to provide future guidance to the Nigerian National Action Plan for AMR. Methods: A descriptive cross-sectional questionnaire-based study explored the physicians’ self-reported practice of antibiotic prescribing, knowledge, attitude, and practice of AMR and components of ASPs. Results: The majority (217; 67.2%) of respondents prescribed antibiotics daily in their clinical practice AMR was recognized as a global and local problem by 308 (95.4%) and 262 (81.1%) respondents, respectively. Only 91 (28.2%) of respondents have ever heard of antibiotic stewardship. The median AMR knowledge score was 40 (19–45)out of 45while that for ASP was 46.0(32–57) out of 60. There was significant statistical difference between the ASP median scores among the medical specialties category (P value <0.0001) More respondents had good knowledge of AMR than ASPs (82.7% versus 36.5%; p < 0.0001). Conclusion: Respondents in this study were more knowledgeable about AMR than AMS and its core components.
KW - antibiotic stewardship
KW - rational use antimicrobials
KW - inappropriate use of antimicrobials
KW - antibiotic prescription
KW - tertiary healthcare facilities
KW - Nigeria
U2 - 10.1080/14787210.2021.1829474
DO - 10.1080/14787210.2021.1829474
M3 - Article
SN - 1478-7210
VL - 19
SP - 537
EP - 546
JO - Expert Review of Anti-infective Therapy
JF - Expert Review of Anti-infective Therapy
IS - 4
ER -