Adefunke O Babatola1,2, Joseph O Fadare3,4, Oladele S Olatunya1,2, Reginald Obiako5,6, Okezie Enwere7, Aubrey Kalungia8, Temitope O Ojo9, Taofiki A Sunmonu10, Olufemi Desalu11, Brian Godman12,13,14,15. 1. Department of Paediatrics, Ekiti State University, Ado-Ekiti, Nigeria. 2. Department of Paediatrics, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria. 3. Department of Pharmacology and Therapeutics, Ekiti State University, Ado-Ekiti, Nigeria. 4. Department of Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria. 5. Department of Clinical Pharmacology, Ahmadu Bello University, Zaria, Nigeria. 6. Department of Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. 7. Department of Medicine, Imo State University, Orlu, Nigeria. 8. Department of Pharmacy, University of Zambia, Lusaka, Zambia. 9. Department of Community Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria. 10. Department of Medicine, Federal Medical Centre, Owo, Nigeria. 11. Department of Medicine, University of Ilorin, Ilorin, Nigeria. 12. Department of Pharmacy, Faculty of Health Sciences, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa. 13. Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, UK. 14. Health Economics Centre, University of Liverpool Management School, Liverpool, UK. 15. Division of Clinical Pharmacology, Karolinska Institute, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Abstract
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.
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.
Entities:
Keywords:
Antibiotic stewardship; Nigeria; antibiotic prescription; inappropriate use of antimicrobials; rational use of antimicrobials; tertiary healthcare facilities
Authors: Debra A Goff; Timothy P Gauthier; Bradley J Langford; Pavel Prusakov; Michael Ubaka Chukwuemka; Benedict C Nwomeh; Khalid A Yunis; Therese Saad; Dena van den Bergh; Maria Virginia Villegas; Nela Martinez; Andrew Morris; Diane Ashiru-Oredope; Philip Howard; Pablo J Sanchez Journal: J Am Coll Clin Pharm Date: 2022-04-17
Authors: Julius C Mwita; Olayinka O Ogunleye; Adesola Olalekan; Aubrey C Kalungia; Amanj Kurdi; Zikria Saleem; Jacqueline Sneddon; Brian Godman Journal: Int J Gen Med Date: 2021-02-18
Authors: Khezar Hayat; Zia Ul Mustafa; Muhammad Nabeel Ikram; Muhammad Ijaz-Ul-Haq; Irum Noor; Muhammad Fawad Rasool; Hafiz Muhammad Ishaq; Anees Ur Rehman; Syed Shahzad Hasan; Yu Fang Journal: Front Pharmacol Date: 2022-01-04 Impact factor: 5.810