Evidence map›Paper›PMID 29458432›Full record

ArticleBMC health services research2018

Physicians' knowledge, attitudes, and perceptions concerning antibiotic resistance: a survey in a Ghanaian tertiary care hospital.

Appiah-Korang Labi, Noah Obeng-Nkrumah, Stephanie Bjerrum, Nii Armah Adu Aryee, Yaw Adjei Ofori-Adjei, Alfred E Yawson, Mercy J Newman

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Appiah-Korang LabiDepartment of Microbiology, Korle-Bu Teaching Hospital, P.O. Box 77, Accra, Ghana.
Noah Obeng-NkrumahDepartment of Medical Laboratory Sciences, University of Ghana School of Biomedical and Allied Health Sciences, P.O Box 143, Korle-Bu, Accra, Ghana. successfulnoahforchrist@yahoo.com.
Stephanie BjerrumDepartment of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.
Nii Armah Adu AryeeDepartment of Surgery, University of Ghana School of Medicine and Dentistry, P.O. Box 4326, Accra, Ghana.
Yaw Adjei Ofori-AdjeiDepartment of Medicine, Korle-Bu Teaching Hospital, P.O. Box 77, Accra, Ghana.
Alfred E YawsonDepartment of Community Health, School of Public Health, College of Health Sciences, University of Ghana, Accra, Ghana.
Mercy J NewmanDepartment of Medical Microbiology, School of Biomedical and Allied Sciences, P.O. Box KB, 143, Accra, Ghana.
Korle Bu Teaching Hospital · GHUniversity of Ghana · GHRigshospitalet · DKUniversity of Health and Allied Sciences · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the knowledge, attitudes and practices of physicians towards antibiotic resistance is key to developing interventions aimed at behavior change. The survey aimed to investigate physicians' knowledge and attitudes towards antibiotic resistance in a tertiary-care hospital setting in Ghana.

methodsWe conducted a cross-sectional respondent-driven survey using a 40-item, anonymous, voluntary, traditional paper-and-pencil self-administered questionnaire among 159 physicians at Korle-Bu Teaching Hospital. Single and multi-factor analysis were conducted to assess the study objectives.

resultsThe survey was completed by 159 of 200 physicians (response rate of 79.5%). Of physicians, 30.1% (47/156) perceived antibiotic resistance as very important global problem, 18.5% (29/157) perceived it as very important national problem and only 8.9% (14/157) thought it as a very important problem in their hospital. Methicillin resistant Staphylococcus aureus was the most known about antibiotic resistant bacteria of public health importance followed by extended-spectrum beta-lactamase-producing Enterobacteriaceae, carbapenem resistant Enterobacteriaceae (CRE) and vancomycin resistant enterococci (VRE). In multiple logistic regression analysis, senior physicians were nearly 3 times more likely to know about CRE than junior physicians. The odds of knowing about VRE increased over 4.5 times from being a junior to becoming senior physician. Among junior physicians, age had no associated effect on their knowledge of VRE or CRE.

conclusionsPhysicians in this survey showed variable knowledge and perceptions on antibiotic resistance. Introducing educational programs on antibiotic resistance would be a useful intervention and should focus on junior physicians.

Indexed as

Drug Resistance, MicrobialHealth Knowledge, Attitudes, PracticeAdultCross-Sectional StudiesFemaleGhanaHospitals, TeachingHumansMaleMedical Staff, HospitalPhysiciansSurveys and QuestionnairesTertiary Care CentersAntibiotic resistanceAntibioticsGhanaKorle-Bu Teaching HospitalPhysiciansViews

Identifiers

PMID29458432
PMCPMC5819203
OpenAlexW2795136593

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.