Knowledge, attitudes and perceptions of Latin American healthcare workers relating to antibiotic stewardship and antibiotic use: a cross-sectional multi-country study

被引：4

作者：

Fabre, Valeria ^{[1
]}

Cosgrove, Sara E. ^{[1
]}

Lessa, Fernanda C. ^{[2
]}

Patel, Twisha S. ^{[2
]}

Reyes-Morales, Guadalupe ^{[1
]}

Aleman, Washington R. ^{[3
]}

Alvarez, Andrea Alvarado ^{[4
]}

Aquiles, Bowen ^{[5
]}

Arauz, Ana B. ^{[6
,7
]}

Arguello, Facundo ^{[8
]}

Barberis, Maria Fernanda ^{[9
]}

Barcan, Laura ^{[8
]}

Bernachea, Maria P. ^{[10
]}

Bernan, Marisa L. ^{[11
]}

Buitrago, Carlos ^{[12
]}

Bangher, Maria Del Carmen ^{[13
]}

Castaneda, Ximena ^{[14
]}

Colque, Angel M. ^{[15
]}

Canton, Alfredo ^{[12
]}

Contreras, Rosa ^{[16
]}

Correa, Silvia ^{[17
]}

Campero, Gustavo Costilla ^{[18
]}

Espinola, Lidia ^{[19
]}

Esquivel, Clara ^{[20
]}

Ezcurra, Cecilia ^{[21
]}

Falleroni, Leandro A. ^{[22
]}

Fernandez, Johana ^{[23
]}

Ferrari, Sandra ^{[23
]}

Frassone, Natalia ^{[24
]}

Cruz, Carlos Garcia ^{[5
]}

Garzon, Maria Isabel ^{[25
]}

Quintero, Carlos H. Gomez ^{[14
,26
]}

Gonzalez, Jose A. ^{[27
]}

Guaymas, Lucrecia ^{[28
]}

Guerrero-Toapanta, Fausto ^{[29
]}

Lambert, Sandra ^{[19
]}

Laplume, Diego ^{[9
]}

Lazarte, Paola R. ^{[30
]}

Lemir, Cesar G. ^{[31
]}

Lopez, Angelica ^{[3
]}

Lopez, Itzel L. ^{[32
]}

Maldonado, Herberth ^{[4
]}

Martinez, Guadalupe ^{[31
]}

Maurizi, Diego M. ^{[33
]}

Melgar, Mario ^{[34
]}

Mesplet, Florencia ^{[35
]}

Pertuz, Carlos Morales ^{[36
]}

Moreno, Cristina ^{[37
]}

Moya, Gabriela L. ^{[10
]}

Nuccetelli, Yanina ^{[38
]}

机构：

[1] Johns Hopkins Univ, Dept Med, Div Infect Dis, Sch Med, 600 North Wolfe St, Halstead 824, Baltimore, MD 21287 USA

[2] Natl Ctr Emerging & Zoonot Infect Dis, CDCP, Int Infect Control Program, Div Healthcare Qual Promot, Atlanta, GA USA

[3] Hosp Alcivar, Guayaquil, Ecuador

[4] Unidad Cirugia Cardiovasc Guatemala, Guatemala City, Guatemala

[5] Hosp Soc Lucha Canc, Guayaquil, Ecuador

[6] Univ Panama, Dept Med, Panama City, Panama

[7] Hosp Santo Tomas, Panama City, Panama

[8] Hosp Italiano Buenos Aires, Buenos Aires, Argentina

[9] Hosp Nacl Prof Alejandro Posadas, El Palomar, Argentina

[10] Clin Conciencia, Neuquen, Argentina

[11] Hosp Interzonal Gen Agudos San Roque, La Plata, Argentina

[12] Hosp Punta Pacifica, Pacifica Salud, Panama City, Panama

[13] Inst Cardiol Corrientes Juana Francisca Cabral, Corrientes, Argentina

[14] Clin Mujer, Bogota, Colombia

[15] Hosp Med Policial Churruca Visca, Buenos Aires, Argentina

[16] Hosp Dr Marcial V Quiroga, San Juan, Argentina

[17] Hosp Municipal Trauma Dr Federico Abete, Hosp Municipal Trauma Dr, Malvinas Argentinas, Argentina

[18] Hosp Angel C Padilla, San Miguel De Tucuman, Argentina

[19] Hosp El Cruce, Buenos Aires, Argentina

[20] Hosp San Benito, Peten, Guatemala

[21] Hosp Aleman, Buenos Aires, Argentina

[22] Hosp Prov Rosario, Rosario, Argentina

[23] Hosp Dr Guillermo Rawson, San Juan, Argentina

[24] Clin Univ Privada Reina Fabiola, Cordoba, Argentina

[25] Hosp Privado Univ Cordoba, Cordoba, Argentina

[26] Hosp Mil Cent, Bogota, Colombia

[27] Hosp Irma Lourdes Tzanetatos, Panama City, Panama

[28] Clin Privada Prov, Buenos Aires, Argentina

[29] Hosp Carlos Andrade Marin, Quito, Ecuador

[30] Matern Nuestra, San Miguel De Tucuman, Argentina

[31] Hosp San Bernardo, Salta, Argentina

[32] Clin Hosp San Fernando, Panama City, Panama

[33] Hosp Municipal Agudos Dr Leonidas Lucero, Bahia Blanca, Argentina

[34] Hosp Roosevelt, Guatemala City, Guatemala

[35] Hosp Cesar Milstein, Buenos Aires, Argentina

[36] Hosp Tunal, Bogota, Colombia

[37] Hosp Metropolitano, Quito, Ecuador

[38] Inst Diagnost, La Plata, Argentina

[39] Hosp Zonal Gen Agudos Dr Alberto Eurnekian, Hosp Zonal Gen Agudos Dr, Buenos Aires, Argentina

[40] Sanat Allende Nueva Cordoba, Cordoba, Argentina

[41] Hosp Vozandes, Quito, Ecuador

[42] Panama Clin, Panama City, Panama

[43] Sanat Las Lomas, Buenos Aires, Argentina

来源：

ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL | 2024年 / 13卷 / 01期

关键词：

Antibiotic; Stewardship; Latin America;

D O I：

10.1186/s13756-024-01400-w

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background The burden of antimicrobial resistance (AMR) in Latin America is high. Little is known about healthcare workers' (HCWs) knowledge, attitudes, and perceptions of antimicrobial stewardship (AS), AMR, and antibiotic use (AU) in the region. Methods HCWs from 42 hospitals from 5 Latin American countries were invited to take an electronic, voluntary, anonymous survey regarding knowledge, attitudes, and perceptions of AS, AMR, and AU between March-April 2023. Findings Overall, 996 HCWs completed the survey (52% physicians, 32% nurses, 11% pharmacists, 3% microbiologists, and 2% "other"). More than 90% of respondents indicated optimizing AU was a priority at their healthcare facility (HCF), 69% stated the importance of AS was communicated at their HCF, and 23% were unfamiliar with the term "antibiotic stewardship". Most (> 95%) respondents acknowledged that appropriate AU can reduce AMR; however, few thought AU (< 30%) or AMR (< 50%) were a problem in their HCF. Lack of access to antibiogram and to locally endorsed guidelines was reported by 51% and 34% of HCWs, respectively. Among prescribers, 53% did not consider non-physicians' opinions to make antibiotic-related decisions, 22% reported not receiving education on how to select antibiotics based on culture results and 60% stated patients and families influence their antibiotic decisions. Conclusions Although HCWs perceived improving AU as a priority, they did not perceive AU or AMR as a problem in their HCF. AS opportunities include improved access to guidelines, access to AMR/AU data, teamwork, and education on AS for HCWs and patients and families.

引用

页数：7

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