Evidence map›Paper›PMID 40980596›Full record

ReviewJAC-antimicrobial resistance2025

Self-reported knowledge attitude and practice of healthcare professionals in the management of infection and antimicrobial stewardship: a systematic review.

Iman Ghosh, Adebisi Adedunmola, Erkan Alkan, Victoria Adetunji, Charlotte Webb, Philip Emeka Anyanwu, Samantha Johnson, Ellie Gilham, Diane Ashiru-Oredope, Abimbola Ayorinde

Abstract readReview
In one paragraph

Review in JAC-antimicrobial resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

10 authors.

Iman GhoshWarwick Medical School, University of Warwick, Coventry, UK.
Adebisi AdedunmolaWarwick Medical School, University of Warwick, Coventry, UK.
Erkan AlkanWarwick Medical School, University of Warwick, Coventry, UK.
Victoria AdetunjiWarwick Medical School, University of Warwick, Coventry, UK.
Charlotte WebbWarwick Medical School, University of Warwick, Coventry, UK.
Philip Emeka AnyanwuWarwick Medical School, University of Warwick, Coventry, UK.
Samantha JohnsonWarwick University Library, University of Warwick, Coventry, UK.
Ellie GilhamUK Health Security Agency, AMR and HCAI Division, London, UK.
Diane Ashiru-OredopeUK Health Security Agency, AMR and HCAI Division, London, UK.ORCID https://orcid.org/0000-0001-9579-2028
Abimbola AyorindeWarwick Medical School, University of Warwick, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This review synthesizes studies on health and social care professionals' (HCPs) knowledge, attitudes and practices (KAP) related to infection management, prevention, antimicrobial use, stewardship and resistance, to inform future research and policy. Method: In January 2024, a comprehensive search was conducted in Medline, Embase, Web of Science and CINAHL to identify relevant studies on HCPs' KAP in infection management and antimicrobial resistance (AMR). After deduplication, initial screening was done using Rayyan, with 10% checked for accuracy. Two reviewers independently assessed full texts, and data extraction was verified by another reviewer. Quality assessment was conducted by one reviewer, with 20% of studies double-checked. Studies published from 2016 onwards, focusing on the UK and comparable settings, were included. A narrative synthesis was performed due to heterogeneity between studies. Results: Of 10 990 records, 113 studies were included. KAP measures varied, complicating direct comparisons. Some studies assessed objective knowledge while most measured perceived knowledge, revealling discrepancies between the two. While most participants acknowledged the harms of inappropriate antimicrobial use, willingness to engage in antimicrobial stewardship (AMS) varied by profession. Practice behaviour assessment indicated varying hand-hygiene compliance and AMS implementation, along with significant concerns about inappropriate antibiotic prescribing. Conclusion: The review highlights significant gaps in HCPs' KAP regarding infection prevention and AMS, with variations across professions. This underscores the need for targeted interventions. Additionally, standardized KAP assessment measures are essential to enhance comparability across different contexts. These findings provide a foundation for future research and policy initiatives aimed at combating AMR.

Identifiers

PMID40980596
PMCPMC12448720

What OpenQuestion holds

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LicenceCC BY
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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.