ArticleSouthern African journal of infectious diseases2021
The knowledge, attitudes and practices of doctors, pharmacists and nurses on antimicrobials, antimicrobial resistance and antimicrobial stewardship in South Africa.
Article in Southern African journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 36 citations in OpenAlex.
- Health workers' knowledge, perceptions, and practices relating to antimicrobial use and resistance in cross river state, Nigeria: a cross sectional study.Journal of health, population, and nutrition · 2026Article
- Knowledge, attitudes, and practices of antimicrobial resistance and stewardship among pediatric health professionals in Maputo, Mozambique.Antimicrobial resistance and infection control · 2026Article
- Article
- Development of AWaRe-Based Quality Indicators to Assess the Appropriateness of Antibiotic Prescribing in Primary Healthcare in South Africa.Antibiotics (Basel, Switzerland) · 2026Article
- Psychometric Validation of the Community Antimicrobial Use Scale (CAMUS) in Primary Healthcare and the Implications for Future Use.Antibiotics (Basel, Switzerland) · 2026Article
- Pharmacy professionals' knowledge, attitudes, and behaviours regarding antibiotic use and antimicrobial resistance in Oman.Journal of pharmaceutical policy and practice · 2026Article
- Navigating Antimicrobial Resistance Insights: An In-Depth Analysis of Healthcare Providers' Knowledge, Attitudes, and Practices, with an Emphasis on Precision Medicine in Pakistan.Antibiotics (Basel, Switzerland) · 2025Article
- Prevalence and Associated Factors for Purchasing Antibiotics Without a Prescription Among Patients in Rural South Africa: Implications for Addressing Antimicrobial Resistance.Antibiotics (Basel, Switzerland) · 2025Article
- Understanding antimicrobial resistance education among medical and?veterinary students in Norway: a cross-sectional survey.JAC-antimicrobial resistance · 2025Article
- Knowledge, attitudes and practices survey on antimicrobial resistance and stewardship among pharmacy healthcare workers in 28 African countries.BMJ global health · 2025Article
- Knowledge gaps in antimicrobial stewardship in a Japanese hospital: A cross-sectional study highlighting the need for role-specific education for nurses and administrative staff.Global health & medicine · 2025Article
- Antimicrobial resistance, antibiotic prescribing practices and antimicrobial stewardship in South Africa: a scoping review.JAC-antimicrobial resistance · 2025Review
- Knowledge, attitudes, and practices regarding antimicrobial resistance and antimicrobial stewardship among healthcare workers in outpatient medical centers in Kenya: a qualitative study.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Level of self-confidence among nurse practitioners in rural public health facilities regarding antimicrobial stewardship programs.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Knowledge of antimicrobial stewardship and the Access, Watch and Reserve (AWaRe) classification of antibiotics among frontline healthcare professionals in Akwa Ibom State, Nigeria: a cross-sectional study.BMC health services research · 2024Article
- Exploring Prescription Practices: Insights from an Antimicrobial Stewardship Program at a Tertiary Healthcare Facility, Rwanda.Antibiotics (Basel, Switzerland) · 2024Article
- Public hospital pharmacists' knowledge, attitudes, and practices for antibiotic stewardship implementation in Limpopo Province, South Africa.Journal of pharmaceutical health care and sciences · 2024Article
- Knowledge, Attitude, and Practices of Mothers Working as Nurses Toward Multidrug-Resistant: Impact of an Educational Program in Neonatal Intensive Care Unit.Infection and drug resistance · 2024Article
- Engaging healthcare students in innovative approaches for antimicrobial resistance containment.Journal of public health in Africa · 2024Article
- Knowledge and Perceptions of Final-Year Nursing Students Regarding Antimicrobials, Antimicrobial Resistance, and Antimicrobial Stewardship in South Africa: Findings and Implications to Reduce Resistance.Antibiotics (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSustained injudicious and indiscriminate use of antimicrobials has exerted selection pressure for developing antimicrobial resistance (AMR), requiring behaviour change from healthcare professionals (HCPs) based on their knowledge, attitudes and practices (KAP) on antimicrobials, AMR and antimicrobial stewardship (AMS).
methodsA cross-sectional online questionnaire-based survey was conducted nationally amongst doctors, pharmacists and nurses from November 2017 to January 2018. The questionnaire comprised demographic information and KAP questions.
resultsRespondents comprised of 1120 doctors, 744 pharmacists and 659 nurses. Antimicrobial resistance was considered a severe problem globally and nationally by majority of HCPs. Self-assessment of knowledge revealed gaps in understanding of antimicrobials, AMR and AMS. Confidence scores in prescribing by doctors, pharmacists and nurses were 57.82%, 32.88% and 45.28%, respectively. Doctors, 441 (45.2%) indicated no confidence in using combination therapy. Prescribing correctly showed a confidence level of 33.99% from 436 doctors, 41.88% from nine pharmacists and 35.23% from 107 nurses. Healthcare professionals (1600 [91.22%]) stated educational campaigns would combat AMR. Only 842 (40.13%) HCPs attended training on these topics and 1712 (81.60%) requesting more education and training.
conclusionThis is the first comparative survey on KAP of practising doctors, pharmacists and nurses in South Africa. Doctors had the highest knowledge score followed by nurses and pharmacists. Practice scores did not corroborate knowledge and the higher attitude scores. Gaps in KAP were evident. Healthcare professionals indicated the need for more education and training, thus requiring a review of pre-service and in-service education and training in addition to continued professional development programmes for practising HCPs.
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Registered trials
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