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Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method

BACKGROUND: Identifying healthcare workers (HCW) who have less awareness and knowledge on antibiotic use and resistance represents a challenge for public health, since it might help the development of novel educational and training initiatives tailored on specific subgroups of professionals. This wo...

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Autores principales: Barchitta, Martina, Sabbatucci, Michela, Furiozzi, Francesca, Iannazzo, Stefania, Maugeri, Andrea, Maraglino, Francesco, Prato, Rosa, Agodi, Antonella, Pantosti, Annalisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431867/
https://www.ncbi.nlm.nih.gov/pubmed/34507607
http://dx.doi.org/10.1186/s13756-021-01002-w
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author Barchitta, Martina
Sabbatucci, Michela
Furiozzi, Francesca
Iannazzo, Stefania
Maugeri, Andrea
Maraglino, Francesco
Prato, Rosa
Agodi, Antonella
Pantosti, Annalisa
author_facet Barchitta, Martina
Sabbatucci, Michela
Furiozzi, Francesca
Iannazzo, Stefania
Maugeri, Andrea
Maraglino, Francesco
Prato, Rosa
Agodi, Antonella
Pantosti, Annalisa
author_sort Barchitta, Martina
collection PubMed
description BACKGROUND: Identifying healthcare workers (HCW) who have less awareness and knowledge on antibiotic use and resistance represents a challenge for public health, since it might help the development of novel educational and training initiatives tailored on specific subgroups of professionals. This work aims to compare knowledge, attitudes and behaviors on antibiotic use and resistance across different groups of Italian HCW. METHODS: We used data from the multi-country and multi-professional survey launched by the European Centre for Disease Prevention and Control between 28 January to 4 March 2019 to assess knowledge, attitude and behaviors of HCW on antibiotics, antibiotic use and resistance. We distinguished three clusters of HCW using the Two-Step Cluster analysis, based on their personal and professional characteristics (i.e. profession, role, activity as prescriber, setting, and activity as antibiotic use advisor). RESULTS: In general, cluster 1 consisted mostly of allied healthcare workers, while clusters 2 and 3 were made up almost completely of pharmacists and medical doctors, respectively. Interestingly, healthcare workers in cluster 3 had the highest knowledge on antibiotic use and resistance. Workers in cluster 1, instead, were those reporting the highest awareness of the importance and role of hand hygiene as an infection prevention and control measure. However, HCW in cluster 2 were those who recognized more their role of advisors on prudent antibiotic use. CONCLUSIONS: Italian HCW exhibited different knowledge, attitudes, and behaviors on antibiotic use and resistance. These findings raised the need for educational and training interventions targeting specific professional groups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13756-021-01002-w.
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spelling pubmed-84318672021-09-10 Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method Barchitta, Martina Sabbatucci, Michela Furiozzi, Francesca Iannazzo, Stefania Maugeri, Andrea Maraglino, Francesco Prato, Rosa Agodi, Antonella Pantosti, Annalisa Antimicrob Resist Infect Control Research BACKGROUND: Identifying healthcare workers (HCW) who have less awareness and knowledge on antibiotic use and resistance represents a challenge for public health, since it might help the development of novel educational and training initiatives tailored on specific subgroups of professionals. This work aims to compare knowledge, attitudes and behaviors on antibiotic use and resistance across different groups of Italian HCW. METHODS: We used data from the multi-country and multi-professional survey launched by the European Centre for Disease Prevention and Control between 28 January to 4 March 2019 to assess knowledge, attitude and behaviors of HCW on antibiotics, antibiotic use and resistance. We distinguished three clusters of HCW using the Two-Step Cluster analysis, based on their personal and professional characteristics (i.e. profession, role, activity as prescriber, setting, and activity as antibiotic use advisor). RESULTS: In general, cluster 1 consisted mostly of allied healthcare workers, while clusters 2 and 3 were made up almost completely of pharmacists and medical doctors, respectively. Interestingly, healthcare workers in cluster 3 had the highest knowledge on antibiotic use and resistance. Workers in cluster 1, instead, were those reporting the highest awareness of the importance and role of hand hygiene as an infection prevention and control measure. However, HCW in cluster 2 were those who recognized more their role of advisors on prudent antibiotic use. CONCLUSIONS: Italian HCW exhibited different knowledge, attitudes, and behaviors on antibiotic use and resistance. These findings raised the need for educational and training interventions targeting specific professional groups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13756-021-01002-w. BioMed Central 2021-09-10 /pmc/articles/PMC8431867/ /pubmed/34507607 http://dx.doi.org/10.1186/s13756-021-01002-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Barchitta, Martina
Sabbatucci, Michela
Furiozzi, Francesca
Iannazzo, Stefania
Maugeri, Andrea
Maraglino, Francesco
Prato, Rosa
Agodi, Antonella
Pantosti, Annalisa
Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method
title Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method
title_full Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method
title_fullStr Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method
title_full_unstemmed Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method
title_short Knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in Italy, 2019: investigation by a clustering method
title_sort knowledge, attitudes and behaviors on antibiotic use and resistance among healthcare workers in italy, 2019: investigation by a clustering method
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431867/
https://www.ncbi.nlm.nih.gov/pubmed/34507607
http://dx.doi.org/10.1186/s13756-021-01002-w
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