Evidence map›Paper›PMID 30513739›Full record

ArticleInternational journal of environmental research and public health2018

Perceptions of Healthcare-Associated Infection and Antibiotic Resistance among Physicians Treating Syrian Patients with War-Related Injuries.

Andreas Älgå, Karin Karlow Herzog, Murad Alrawashdeh, Sidney Wong, Hamidreza Khankeh, Cecilia Stålsby Lundborg

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

6 authors.

Andreas ÄlgåDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, 11883 Stockholm, Sweden. andreas.alga@ki.se.ORCID 0000-0001-5245-7668
Karin Karlow HerzogDepartment of Public Health Sciences, Karolinska Institutet, 17177 Stockholm, Sweden. karin.herzog@gotland.se.
Murad AlrawashdehMédecins Sans Frontières, Ar Ramtha 21410, Jordan. muradalrawashdeh@yahoo.com.
Sidney WongMédecins Sans Frontières, Operational Centre Amsterdam, 1018 DD Amsterdam, The Netherlands. sidney.wong@amsterdam.msf.org.
Hamidreza KhankehDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, 11883 Stockholm, Sweden. hamid.khankeh@ki.se.
Cecilia Stålsby LundborgDepartment of Public Health Sciences, Karolinska Institutet, 17177 Stockholm, Sweden. cecilia.stalsby.lundborg@ki.se.ORCID 0000-0001-6525-1861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare-associated infections (HAIs) constitute a major contributor to morbidity and mortality worldwide, with a greater burden on low- and middle-income countries. War-related injuries generally lead to large tissue defects, with a high risk of infection. The aim of this study was to explore how physicians in a middle-income country in an emergency setting perceive HAI and antibiotic resistance (ABR). Ten physicians at a Jordanian hospital supported by Médecins Sans Frontières were interviewed face-to-face. The recorded interviews were transcribed verbatim and analyzed by qualitative content analysis with an inductive and deductive approach. The participants acknowledged risk factors of HAI and ABR development, such as patient behavior, high numbers of injured patients, limited space, and non-compliance with hygiene protocols, but did not express a sense of urgency or any course of action. Overuse and misuse of antibiotics were reported as main contributors to ABR development, but participants expressed no direct interrelationship between ABR and HAI. We conclude that due to high patient load and limited resources, physicians do not see HAI as a problem they can prioritize. The knowledge gained by this study could provide insights for the allocation of resources and development of hygiene and wound treatment protocols in resource-limited settings.

Indexed as

Drug Resistance, MicrobialAdultAnti-Bacterial AgentsCross InfectionFemaleHospitalsHumansJordanMaleMiddle AgedPhysiciansRisk FactorsSyriaWar-Related InjuriesAnti-Bacterial Agentsantibiotic resistancehealthcare-associated infectionsqualitative researchresource-limited settingwar injuries

Identifiers

PMID30513739
PMCPMC6313556

What OpenQuestion holds

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LicenceCC BY
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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.