Evidence map›Paper›PMID 36466212›Full record

ArticleIJID regions2023

Survey of healthcare worker perceptions of changes in infection control and antimicrobial stewardship practices in India and South Africa during the COVID-19 pandemic.

Oluchi Mbamalu, Surya Surendran, Vrinda Nampoothiri, Candice Bonaconsa, Fabia Edathadathil, Nina Zhu, Helen Lambert, Carolyn Tarrant, Raheelah Ahmad, Adam Boutall and 6 more

Abstract read
In one paragraph

Article in IJID regions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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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

16 authors.

Oluchi MbamaluDivision of Infectious Diseases & HIV Medicine, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Surya SurendranHealth Systems and Equity, The George Institute for Global Health, New Delhi, India.
Vrinda NampoothiriDepartment of Infection Control and Epidemiology, Amrita Institute of Medical Science, Amrita, Vishwa Vidyapeetham, Kochi, Kerala, India.
Candice BonaconsaDivision of Infectious Diseases & HIV Medicine, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Fabia EdathadathilDepartment of Infection Control and Epidemiology, Amrita Institute of Medical Science, Amrita, Vishwa Vidyapeetham, Kochi, Kerala, India.
Nina ZhuNational Institute for Health Research, Health Protection Research Unit in Healthcare Associated, Infections and Antimicrobial Resistance, Department of Medicine, Imperial College London, London, United Kingdom.
Helen LambertDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Carolyn TarrantDepartment of Health Sciences, University of Leicester, Leicester, United Kingdom.
Raheelah AhmadNational Institute for Health Research, Health Protection Research Unit in Healthcare Associated, Infections and Antimicrobial Resistance, Department of Medicine, Imperial College London, London, United Kingdom.
Adam BoutallColorectal Unit, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Adrian BrinkDivision of Medical Microbiology, Faculty of Health Sciences, National Health Laboratory Service, Groote Schuur Hospital, University of Cape Town, South Africa.
Ebrahim SteenkampStatistical Consulting Unit, Department of Statistical Sciences, University of Cape Town, South Africa.
Alison HolmesNational Institute for Health Research, Health Protection Research Unit in Healthcare Associated, Infections and Antimicrobial Resistance, Department of Medicine, Imperial College London, London, United Kingdom.
Sanjeev SinghDepartment of Infection Control and Epidemiology, Amrita Institute of Medical Science, Amrita, Vishwa Vidyapeetham, Kochi, Kerala, India.
Esmita CharaniDivision of Infectious Diseases & HIV Medicine, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Marc MendelsonDivision of Infectious Diseases & HIV Medicine, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To identify perceptions and awareness of changes in infection prevention and control (IPC) and antimicrobial stewardship (AMS) practices among healthcare workers (HCWs) during the COVID-19 pandemic in India and South Africa (SA). Method: A self-administered online survey which included participant demographics, knowledge and sources of COVID-19 infection, perceived risks and barriers, and self-efficacy. Data were analysed using descriptive statistics. Results: The study received 321 responses (response rate: 89.2%); 131/321 (40.8%) from India and 190/321 (59.2%) from SA; male to female response rate was 3:2, with majority of respondents aged 40-49 (89/321, 27.7%) and 30-39 (87/321, 27.1%) years. Doctors comprised 47.9% (57/119) of respondents in India and 74.6% (135/181) in SA. Majority of respondents in India (93/119, 78.2%) and SA (132/181, 72.9%) were from the private and public sectors, respectively, with more respondents in SA (123/174, 70.7%) than in India (38/104, 36.5%) involved in antimicrobial prescribing.Respondents reported increased IPC practices since the pandemic and noted a need for more training on case management, antibiotic and personal protective equipment (PPE) use. While they noted increased antibiotic prescribing since the pandemic, they did not generally associate their practice with such an increase. A willingness to be vaccinated, when vaccination becomes available, was expressed by 203/258 (78.7%) respondents. Conclusions: HCWs reported improved IPC practices and changes in antibiotic prescribing during the COVID-19 pandemic. Targeted education on correct use of PPE was an identified gap. Although HCWs expressed concerns about antimicrobial resistance, their self-perceived antibiotic prescribing practices seemed unchanged. Additional studies in other settings could explore how our findings fit other contexts.

Indexed as

antimicrobial stewardshipchangeCOVID-19healthcare workerinfection preventioninfection prevention and control

Identifiers

PMID36466212
PMCPMC9703863

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.