Evidence map›Paper›PMID 33769250›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2021

Healthcare workers' knowledge, attitudes and behaviours with respect to antibiotics, antibiotic use and antibiotic resistance across 30 EU/EEA countries in 2019.

Diane Ashiru-Oredope, Susan Hopkins, Sagar Vasandani, Eno Umoh, Olaolu Oloyede, Andrea Nilsson, John Kinsman, Linda Elsert, Dominique L Monnet, #ECDCAntibioticSurvey Project Advisory Group

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 4 pooled it
–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

57 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

10 authors.

Diane Ashiru-OredopePublic Health England (PHE), London, United Kingdom.
Susan HopkinsPublic Health England (PHE), London, United Kingdom.
Sagar VasandaniPublic Health England (PHE), London, United Kingdom.
Eno UmohPublic Health England (PHE), London, United Kingdom.
Olaolu OloyedePublic Health England (PHE), London, United Kingdom.
Andrea NilssonEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
John KinsmanEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Linda ElsertEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Dominique L MonnetEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
#ECDCAntibioticSurvey Project Advisory GroupThe members of the #ECDCAntibioticSurvey Project Advisory Group are listed at the end of the article.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundWhile several studies have assessed knowledge, attitudes and behaviours of the public, physicians and medical students in a number of EU/EEA countries with respect to antibiotic use and antibiotic resistance, there is a paucity of literature for other healthcare workers. This survey aimed to fill this gap.MethodsA 43-item online questionnaire was developed, validated and pilot-tested through a modified Delphi consensus process involving 87 Project Advisory Group (PAG) members, including national representatives and members of European health professional groups. The survey was distributed by the PAG and via social media to healthcare workers in 30 EU/EEA countries.ResultsRespondents (n = 18,365) from 30 EU/EEA countries participated. Knowledge of antibiotics and antibiotic use was higher (97%) than knowledge of development and spread of antibiotic resistance (75%). Sixty percent of respondents stated they had received information on avoiding unnecessary prescribing, administering or dispensing of antibiotics. Among respondents who prescribed, administered or dispensed antibiotics, 55% had provided advice on prudent antibiotic use or management of infections to patients, but only 17% had given resources (leaflets or pamphlets). For community and hospital prescribers, fear of patient deterioration or complications was the most frequent reason (43%) for prescribing antibiotics that were considered unnecessary. Community prescribers were almost twice as likely as hospital prescribers to prescribe antibiotics due to time constraints or to maintain patient relationships.ConclusionIt is important to move from raising awareness about prudent antibiotic use and antibiotic resistance among healthcare workers to designing antimicrobial stewardship interventions aimed at changing relevant behaviours.

Indexed as

Anti-Bacterial AgentsAntimicrobial StewardshipDrug Resistance, MicrobialHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansAnti-Bacterial AgentsAntibiotic Guardianbehaviour changecapabilityCOM-BEuropean Antibiotic Awareness Day (EAAD)motivationopportunitiesprescribers, prescribing

Identifiers

PMID33769250
PMCPMC7995558

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.