Evidence map›Paper›PMID 35241171›Full record

ArticleAntimicrobial resistance and infection control2022

Knowledge and perception on antimicrobial resistance and antibiotics prescribing attitude among physicians and nurses in Lambaréné region, Gabon: a call for setting-up an antimicrobial stewardship program.

Bayode Romeo Adegbite, Jean Ronald Edoa, Frieder Schaumburg, Abraham S Alabi, Ayola Akim Adegnika, Martin P Grobusch

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Article in Antimicrobial resistance and infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

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3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline 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

6 authors.

Bayode Romeo AdegbiteCentre de Recherches Médicales en Lambaréné and African Partner Institution, German Centre for Infection Research (CERMEL), Lambaréné, Gabon.
Jean Ronald EdoaCentre de Recherches Médicales en Lambaréné and African Partner Institution, German Centre for Infection Research (CERMEL), Lambaréné, Gabon.
Frieder SchaumburgInstitute of Medical Microbiology, University Hospital Muenster, Muenster, Germany.
Abraham S AlabiCentre de Recherches Médicales en Lambaréné and African Partner Institution, German Centre for Infection Research (CERMEL), Lambaréné, Gabon.
Ayola Akim AdegnikaCentre de Recherches Médicales en Lambaréné and African Partner Institution, German Centre for Infection Research (CERMEL), Lambaréné, Gabon.
Martin P GrobuschCentre de Recherches Médicales en Lambaréné and African Partner Institution, German Centre for Infection Research (CERMEL), Lambaréné, Gabon. m.p.grobusch@amsterdamumc.nl.ORCID 0000-0002-0046-1099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfrica is challenged by the emergence of antimicrobial resistance (AMR). In order to improve patient management and to optimise approaches to curb the spread of antimicrobial resistance, we examined knowledge and perceptions of AMR and antibiotics prescription practices of HCW (healthcare workers) in Lambaréné, Gabon.

methodsWe conducted a self-administered, questionnaire-based survey in HCW at the regional referral hospital, a medical research centre, and peripheral health care facilities. The proportions of correct responses to questions were determined and compared between physicians and nurses using Fisher's Exact test.

resultsA total of 47 HCW took part in the survey. Of those, 64% (30/47) recognised antibiotic resistance as a major public health issue in Gabon, but only 14/47 (30%) recognised it as a problem in their health facility. Of note, 37/47 (79%) recognised excessive use of antibiotics without microbiological confirmation in case of infection, and buying antibiotics without a prescription, as possible cause of antimicrobial resistance. Some HCW (28%; 13/47) reported having prescribed antibiotics because the patients asked for them; and a total of 15/47 (32%) responded that antibiotics could help patients recover faster when added to malaria treatment. Compared to nurses, most of the physicians recognised that excessive use of antibiotics without microbiological confirmation of infection could contribute to AMR spread (18/19 (95%) vs 19/28 (68%); p = 0.028).

conclusionMost HCW recognised AMR as public health issue. However, a quarter of the participants did not know about the causes fostering the emergence of antimicrobial resistance. There is a need to perform regular HCW training in antimicrobial prescription, and to set up an antimicrobial stewardship program.

Indexed as

Antimicrobial StewardshipPhysiciansAnti-Bacterial AgentsCross-Sectional StudiesDrug Resistance, BacterialGabonHealth Knowledge, Attitudes, PracticeHumansPerceptionAnti-Bacterial AgentsAntimicrobial resistanceAntimicrobial stewardshipGabonHealthcare workersSurvey

Identifiers

PMID35241171
PMCPMC8892789

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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.