Evidence map›Paper›PMID 39227975›Full record

ArticleAntimicrobial resistance and infection control2024

Knowledge, attitudes, and readiness about critical antimicrobial resistant organisms among healthcare workers at colonial war memorial hospital in Fiji: a pre and post intervention study.

Kirsty Buising, Ravi Naidu, Shammi Prasad, Matthew Richards, Savneel Shivam Kumar, Alvina Lata, Ashlyn Datt, Sisilia Assisi Genaro, Timaima Ratusela, Ilisapeci Nabose and 5 more

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Article in Antimicrobial resistance and infection control, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
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

15 authors.

Kirsty BuisingThe Royal Melbourne Hospital, 300 Grattan Street, Melbourne, VIC, 3052, Australia.
Ravi Naidu *Ministry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Shammi PrasadAustralian Volunteer International, Pacific People Office, Level 2, BSP Central Street, Suva, Fiji.
Matthew RichardsThe Royal Melbourne Hospital, 300 Grattan Street, Melbourne, VIC, 3052, Australia.
Savneel Shivam KumarMinistry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Alvina LataMinistry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Ashlyn DattMinistry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Sisilia Assisi GenaroMinistry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Timaima RatuselaMinistry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Ilisapeci NaboseMinistry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Donna CameronMicrobiological Diagnostic Unit Public Health Laboratory, The University of Melbourne, The Peter Doherty Institute for Infection and Immunity, 792 Elizabeth Street, Melbourne, VIC, 3000, Australia.
Ana SukaMinistry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Tracey Young-SharmaMinistry of Health and Medical Services, Colonial War Memorial Hospital, Waimanu road, Suva, Fiji.
Benjamin P HowdenMicrobiological Diagnostic Unit Public Health Laboratory, The University of Melbourne, The Peter Doherty Institute for Infection and Immunity, 792 Elizabeth Street, Melbourne, VIC, 3000, Australia.
Aneley Getahun Strobel *Department of Infectious Diseases, The University of Melbourne, The Peter Doherty Institute for Infection and Immunity, 792 Elizabeth Street, Melbourne, VIC, 3000, Australia. a.getahunstrobel@unimelb.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGram-negative bacteria resistant to carbapenems are also known as critical antimicrobial resistant organisms. Their emergence at Colonial War Memorial Hospital (CWMH), the largest hospital in Fiji, is a major clinical concern. This study was conducted to determine the knowledge, attitudes, and readiness of healthcare workers (HCW) at CWMH regarding management of patients with infections caused by critical antimicrobial resistant organisms.

methodsA questionnaire was designed using a Likert scale to assess knowledge, attitudes, and readiness. Two cross-sectional studies were conducted, before and after the implementation of targeted educational activities which were informed by the pre-intervention study findings.

resultsA total of 393 and 420 HCW participated in the pre- and post-intervention studies, respectively. The majority of respondents were female (77.3%) and 18-34 years of age (67%). HCW professional roles included nurses (56.3%), doctors (31.6%), and laboratory personnel (12.2%). In the post-intervention study, significantly more HCW reported having received infection prevention and control (IPC) and antimicrobial resistance education and training (26.8% in pre to 45.5% in post intervention, p < 0.001). The majority of nurses and doctors (> 85% to ≥ 95%) were aware of how AMR organisms spread in healthcare settings and knew the IPC measures to prevent transmission of AMR infections including hand hygiene, standard and transmission-based precautions. Attitudes towards AMR were positive, with 84.2% pre intervention and 84.8% of HCW post intervention expressing their willingness to change their work environment to assist with AMR prevention. Perceived readiness to address the problem showed mixed results. Improvements in laboratory AMR surveillance data availability were noted (29.4-52.4%, p < 0001). Modest improvement in the hospital's capacity for outbreak response (44-51.9%, p = 0.01), and treatment of AMR infections (38.9-44.4%, p = 0.01) was reported.

conclusionsOur data revealed high levels of staff awareness and knowledge about AMR and IPC. However, readiness for outbreak response and treatment of critical AMR infections requires more attention. Improving AMR prevention and containment in CWMH will likely require sustained and multisectoral interventions with strong administrative commitment.

Indexed as

Health Knowledge, Attitudes, PracticeHealth PersonnelAdolescentAdultAttitude of Health PersonnelCross InfectionCross-Sectional StudiesFemaleFijiGram-Negative BacteriaGram-Negative Bacterial InfectionsHospitals, MilitaryHumansInfection ControlMaleMiddle AgedAntimicrobial resistanceAttitudesFijiHealthcare WorkersInfection controlKnowledge

Identifiers

PMID39227975
PMCPMC11373415

What OpenQuestion holds

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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.