Evidence map›Paper›PMID 38764535›Full record

ArticleJAC-antimicrobial resistance2024

Knowledge, awareness and practices of healthcare workers regarding antimicrobial use, resistance and stewardship in Zambia: a multi-facility cross-sectional study.

Steward Mudenda, Billy Chabalenge, Victor Daka, Elimas Jere, Isaac Sefah, Evelyn Wesangula, Kaunda Yamba, Julian Nyamupachitu, Nathan Mugenyi, Zia Ul Mustafa and 3 more

Erratum issuedAbstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Steward MudendaDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.ORCID https://orcid.org/0000-0003-1692-8981
Billy ChabalengeDepartment of Medicines Control, Zambia Medicines Regulatory Authority, Lusaka, Zambia.
Victor DakaDepartment of Public Health, Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia.ORCID https://orcid.org/0000-0001-9490-5609
Elimas JereDepartment of Medicines Control, Zambia Medicines Regulatory Authority, Lusaka, Zambia.
Isaac SefahPharmacy Practice Department, School of Pharmacy, University of Health and Allied Sciences, Volta Region, PMB 31, Ho, Ghana.
Evelyn WesangulaStrengthening Pandemic Preparedness, Eastern, Central, and Southern Africa Health Community, Arusha, Tanzania.
Kaunda YambaAntimicrobial Resistance Coordinating Committee, Zambia National Public Health Institute, Lusaka, Zambia.
Julian NyamupachituAction on Antibiotic Resistance (ReAct) Africa, Lusaka, Zambia.
Nathan MugenyiFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID https://orcid.org/0000-0002-6695-5139
Zia Ul MustafaDiscipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Gelugor, Penang, 11800, Malaysia.ORCID https://orcid.org/0000-0002-8109-4859
Mirfin MpunduAction on Antibiotic Resistance (ReAct) Africa, Lusaka, Zambia.
Joseph ChizimuAntimicrobial Resistance Coordinating Committee, Zambia National Public Health Institute, Lusaka, Zambia.
Roma ChilengiAntimicrobial Resistance Coordinating Committee, Zambia National Public Health Institute, Lusaka, Zambia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antimicrobial resistance (AMR) poses a threat to public health globally. Despite its consequences, there is little information about the knowledge, awareness, and practices towards AMR among healthcare workers (HCWs). Therefore, this study assessed the knowledge, awareness and practices regarding antimicrobial use (AMU), AMR and antimicrobial stewardship (AMS) among HCWs who are involved in the implementation of AMS activities across eight hospitals in Zambia. Methods: A cross-sectional study was conducted among 64 HCWs from October to December 2023 using a semi-structured questionnaire. Data were analysed using IBM SPSS version 25.0. Results: Of the 64 HCWs, 59.4% were females, 60.9% were aged between 25 and 34 years, 37.5% were nurses, 18.7% were pharmacists, 17.2% were medical doctors and only one was a microbiologist. Overall, 75% of the HCWs had good knowledge, 84% were highly aware and 84% had good practices regarding AMU, AMR and AMS. Most of the HCWs (90.6%) responded that they had a multidisciplinary AMS team at their hospitals and were implementing the use of the WHO AWaRe classification of antibiotics. Conclusion: This study found good knowledge levels, high awareness and good practices regarding AMU, AMR and AMS among HCWs who were involved in the implementation of AMS activities in hospitals in Zambia. Additionally, most hospitals have been conducting AMS training and implementing the use of the WHO AWaRe classification of antibiotics. However, there is still a need to address some identified gaps in AMU and AMR through the strengthening of AMS activities in hospitals.

Identifiers

PMID38764535
PMCPMC11100357

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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.