Evidence map›Paper›PMID 35113932›Full record

ArticlePloS one2022

Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda.

Isaac Magulu Kimbowa, Jaran Eriksen, Mary Nakafeero, Celestino Obua, Cecilia Stålsby Lundborg, Joan Kalyango, Moses Ocan

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

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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.

Isaac Magulu KimbowaDepartment of Pharmacology and Therapeutics, Makerere University College of Health Sciences, Kampala, Uganda.ORCID 0000-0003-2339-4535
Jaran EriksenUnit of Infectious diseases/Venhälsan, Stockholm South Hospital, Stockholm, Sweden.ORCID 0000-0003-1146-5615
Mary NakafeeroSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.ORCID 0000-0003-2943-0744
Celestino ObuaMbarara University of Science and Technology, Mbarara, Uganda.
Cecilia Stålsby LundborgDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-6525-1861
Joan KalyangoDepartment of Pharmacy, Makerere University College of Health Sciences, Kampala, Uganda.
Moses OcanDepartment of Pharmacology and Therapeutics, Makerere University College of Health Sciences, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Though antimicrobial stewardship (AMS) programmes are the cornerstone of Uganda's national action plan (NAP) on antimicrobial resistance, there is limited evidence on AMS attitude and practices among healthcare providers in health facilities in Uganda. We determined healthcare providers' AMS attitudes, practices, and associated factors in selected health facilities in Uganda. We conducted a cross-sectional study among nurses, clinical officers, pharmacy technicians, medical officers, pharmacists, and medical specialists in 32 selected health facilities in Uganda. Data were collected once from each healthcare provider in the period from October 2019 to February 2020. Data were collected using an interview-administered questionnaire. AMS attitude and practice were analysed using descriptive statistics, where scores of AMS attitude and practices for healthcare providers were classified into high, fair, and low using a modified Blooms categorisation. Associations of AMS attitude and practice scores were determined using ordinal logistic regression. This study reported estimates of AMS attitude and practices, and odds ratios with 95% confidence intervals were reported. We adjusted for clustering at the health facility level using clustered robust standard errors. A total of 582 healthcare providers in 32 healthcare facilities were recruited into the study. More than half of the respondents (58%,340/582) had a high AMS attitude. Being a female (aOR: 0.66, 95% CI: 0.47-0.92, P < 0.016), having a bachelor's degree (aOR: 1.81, 95% CI: 1.24-2.63, P < 0.002) or master's (aOR: 2.06, 95% CI: 1.13-3.75, P < 0.018) were significant predictors of high AMS attitude. Most (46%, 261/582) healthcare providers had fair AMS practices. Healthcare providers in the western region's health facilities were less likely to have a high AMS practice (aOR: 0.52, 95% CI 0.34-0.79, P < 0.002). In this study, most healthcare providers in health facilities had a high AMS attitude and fair AMS practice.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAdultAnti-Bacterial AgentsAntimicrobial StewardshipBacterial InfectionsCross-Sectional StudiesFemaleHealth FacilitiesHealth PersonnelHumansInappropriate PrescribingMaleMiddle AgedPharmacistsSurveys and QuestionnairesAnti-Bacterial Agents

Identifiers

PMID35113932
PMCPMC8812957

What OpenQuestion holds

Textmetadata
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.