Evidence map›Paper›PMID 34507607›Full record

ArticleAntimicrobial resistance and infection control2021

Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method.

Martina Barchitta, Michela Sabbatucci, Francesca Furiozzi, Stefania Iannazzo, Andrea Maugeri, Francesco Maraglino, Rosa Prato, Antonella Agodi, Annalisa Pantosti

Abstract read
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Article in Antimicrobial resistance and infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Opinions of Medical Staff Regarding Antibiotic Resistance.Antibiotics (Basel, Switzerland) · 2024
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  18. How Antimicrobial Resistance Is Linked to Climate Change: An Overview of Two Intertwined Global Challenges.International journal of environmental research and public health · 2023
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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

9 authors.

Martina BarchittaDepartment of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, Catania, Italy.
Michela SabbatucciDepartment Infectious Diseases, Italian National Institute of Health, Rome, Italy. michela.sabbatucci@iss.it.ORCID 0000-0001-5889-1780
Francesca FuriozziDirectorate General for European and International Relations, Ministry of Health, Rome, Italy.
Stefania IannazzoHygiene and Public Health Service, Local Health Authority Rome 3, Rome, Italy.
Andrea MaugeriDepartment of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, Catania, Italy.
Francesco MaraglinoDirectorate General Health Prevention, Communicable Diseases and International Prophylaxis, Ministry of Health, Rome, Italy.
Rosa PratoDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Antonella AgodiDepartment of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, Catania, Italy. agodia@unict.it.
Annalisa PantostiDepartment Infectious Diseases, Italian National Institute of Health, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying healthcare workers (HCW) who have less awareness and knowledge on antibiotic use and resistance represents a challenge for public health, since it might help the development of novel educational and training initiatives tailored on specific subgroups of professionals. This work aims to compare knowledge, attitudes and behaviors on antibiotic use and resistance across different groups of Italian HCW.

methodsWe used data from the multi-country and multi-professional survey launched by the European Centre for Disease Prevention and Control between 28 January to 4 March 2019 to assess knowledge, attitude and behaviors of HCW on antibiotics, antibiotic use and resistance. We distinguished three clusters of HCW using the Two-Step Cluster analysis, based on their personal and professional characteristics (i.e. profession, role, activity as prescriber, setting, and activity as antibiotic use advisor).

resultsIn general, cluster 1 consisted mostly of allied healthcare workers, while clusters 2 and 3 were made up almost completely of pharmacists and medical doctors, respectively. Interestingly, healthcare workers in cluster 3 had the highest knowledge on antibiotic use and resistance. Workers in cluster 1, instead, were those reporting the highest awareness of the importance and role of hand hygiene as an infection prevention and control measure. However, HCW in cluster 2 were those who recognized more their role of advisors on prudent antibiotic use.

conclusionsItalian HCW exhibited different knowledge, attitudes, and behaviors on antibiotic use and resistance. These findings raised the need for educational and training interventions targeting specific professional groups.

Indexed as

Drug Resistance, MicrobialHealth Knowledge, Attitudes, PracticeHealth PersonnelAnti-Bacterial AgentsCluster AnalysisHumansItalyAnti-Bacterial AgentsAntibiotic useAntimicrobial resistanceHand hygieneHealthcareHealth personnelItalyPublic health

Identifiers

PMID34507607
PMCPMC8431867

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LicenceCC BY
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Registered trials

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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.