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Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda

Though antimicrobial stewardship (AMS) programmes are the cornerstone of Uganda’s national action plan (NAP) on antimicrobial resistance, there is limited evidence on AMS attitude and practices among healthcare providers in health facilities in Uganda. We determined healthcare providers’ AMS attitud...

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Autores principales: Kimbowa, Isaac Magulu, Eriksen, Jaran, Nakafeero, Mary, Obua, Celestino, Lundborg, Cecilia Stålsby, Kalyango, Joan, Ocan, Moses
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812957/
https://www.ncbi.nlm.nih.gov/pubmed/35113932
http://dx.doi.org/10.1371/journal.pone.0262993
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author Kimbowa, Isaac Magulu
Eriksen, Jaran
Nakafeero, Mary
Obua, Celestino
Lundborg, Cecilia Stålsby
Kalyango, Joan
Ocan, Moses
author_facet Kimbowa, Isaac Magulu
Eriksen, Jaran
Nakafeero, Mary
Obua, Celestino
Lundborg, Cecilia Stålsby
Kalyango, Joan
Ocan, Moses
author_sort Kimbowa, Isaac Magulu
collection PubMed
description Though antimicrobial stewardship (AMS) programmes are the cornerstone of Uganda’s national action plan (NAP) on antimicrobial resistance, there is limited evidence on AMS attitude and practices among healthcare providers in health facilities in Uganda. We determined healthcare providers’ AMS attitudes, practices, and associated factors in selected health facilities in Uganda. We conducted a cross-sectional study among nurses, clinical officers, pharmacy technicians, medical officers, pharmacists, and medical specialists in 32 selected health facilities in Uganda. Data were collected once from each healthcare provider in the period from October 2019 to February 2020. Data were collected using an interview-administered questionnaire. AMS attitude and practice were analysed using descriptive statistics, where scores of AMS attitude and practices for healthcare providers were classified into high, fair, and low using a modified Blooms categorisation. Associations of AMS attitude and practice scores were determined using ordinal logistic regression. This study reported estimates of AMS attitude and practices, and odds ratios with 95% confidence intervals were reported. We adjusted for clustering at the health facility level using clustered robust standard errors. A total of 582 healthcare providers in 32 healthcare facilities were recruited into the study. More than half of the respondents (58%,340/582) had a high AMS attitude. Being a female (aOR: 0.66, 95% CI: 0.47–0.92, P < 0.016), having a bachelor’s degree (aOR: 1.81, 95% CI: 1.24–2.63, P < 0.002) or master’s (aOR: 2.06, 95% CI: 1.13–3.75, P < 0.018) were significant predictors of high AMS attitude. Most (46%, 261/582) healthcare providers had fair AMS practices. Healthcare providers in the western region’s health facilities were less likely to have a high AMS practice (aOR: 0.52, 95% CI 0.34–0.79, P < 0.002). In this study, most healthcare providers in health facilities had a high AMS attitude and fair AMS practice.
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spelling pubmed-88129572022-02-04 Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda Kimbowa, Isaac Magulu Eriksen, Jaran Nakafeero, Mary Obua, Celestino Lundborg, Cecilia Stålsby Kalyango, Joan Ocan, Moses PLoS One Research Article Though antimicrobial stewardship (AMS) programmes are the cornerstone of Uganda’s national action plan (NAP) on antimicrobial resistance, there is limited evidence on AMS attitude and practices among healthcare providers in health facilities in Uganda. We determined healthcare providers’ AMS attitudes, practices, and associated factors in selected health facilities in Uganda. We conducted a cross-sectional study among nurses, clinical officers, pharmacy technicians, medical officers, pharmacists, and medical specialists in 32 selected health facilities in Uganda. Data were collected once from each healthcare provider in the period from October 2019 to February 2020. Data were collected using an interview-administered questionnaire. AMS attitude and practice were analysed using descriptive statistics, where scores of AMS attitude and practices for healthcare providers were classified into high, fair, and low using a modified Blooms categorisation. Associations of AMS attitude and practice scores were determined using ordinal logistic regression. This study reported estimates of AMS attitude and practices, and odds ratios with 95% confidence intervals were reported. We adjusted for clustering at the health facility level using clustered robust standard errors. A total of 582 healthcare providers in 32 healthcare facilities were recruited into the study. More than half of the respondents (58%,340/582) had a high AMS attitude. Being a female (aOR: 0.66, 95% CI: 0.47–0.92, P < 0.016), having a bachelor’s degree (aOR: 1.81, 95% CI: 1.24–2.63, P < 0.002) or master’s (aOR: 2.06, 95% CI: 1.13–3.75, P < 0.018) were significant predictors of high AMS attitude. Most (46%, 261/582) healthcare providers had fair AMS practices. Healthcare providers in the western region’s health facilities were less likely to have a high AMS practice (aOR: 0.52, 95% CI 0.34–0.79, P < 0.002). In this study, most healthcare providers in health facilities had a high AMS attitude and fair AMS practice. Public Library of Science 2022-02-03 /pmc/articles/PMC8812957/ /pubmed/35113932 http://dx.doi.org/10.1371/journal.pone.0262993 Text en © 2022 Kimbowa et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kimbowa, Isaac Magulu
Eriksen, Jaran
Nakafeero, Mary
Obua, Celestino
Lundborg, Cecilia Stålsby
Kalyango, Joan
Ocan, Moses
Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda
title Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda
title_full Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda
title_fullStr Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda
title_full_unstemmed Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda
title_short Antimicrobial stewardship: Attitudes and practices of healthcare providers in selected health facilities in Uganda
title_sort antimicrobial stewardship: attitudes and practices of healthcare providers in selected health facilities in uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812957/
https://www.ncbi.nlm.nih.gov/pubmed/35113932
http://dx.doi.org/10.1371/journal.pone.0262993
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