Addressing antimicrobial resistance in Nigerian hospitals : exploring physicians prescribing behavior, knowledge, and perception of antimicrobial resistance and stewardship programs

Babatola, Adefunke O and Fadare, Joseph O and Olatunya, Oladele S and Obiako, Reginald and Enwere, Okezie and Kalungia, Aubrey and Ojo, Temitope O and Sunmonu, Taofeek A and Desalu, Olufemi and Godman, Brian (2021) Addressing antimicrobial resistance in Nigerian hospitals : exploring physicians prescribing behavior, knowledge, and perception of antimicrobial resistance and stewardship programs. Expert Review of Anti-infective Therapy, 19 (4). pp. 537-546. ISSN 1744-8336

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    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.

    • Item type:Article
      ID code:74017
      Dates:
      Date
      Event
      30 April 2021
      Published
      29 September 2020
      Published Online
      24 September 2020
      Accepted
      Keywords:antibiotic stewardship, rational use antimicrobials, inappropriate use of antimicrobials, antibiotic prescription, tertiary healthcare facilities, Nigeria, Pharmacy and materia medica, Infectious Diseases, Virology, Microbiology, Microbiology (medical)
      Subjects:Medicine > Pharmacy and materia medica
      Department:Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
      Depositing user: Pure Administrator
      Date deposited:30 Sep 2020 10:43
      Last modified:11 Jun 2021 03:17
      URI:https://strathprints.strath.ac.uk/id/eprint/74017
    CORE (COnnecting REpositories)