تقييم مستوى المعرفه والسلوك والممارسه تجاه برنامج ادارة المضادات الحيويه بين مقدمي الرعايه الصحيه في مستشفى بيت جالا
خليل ابراهيم خليل ابو سبيتان
Khalil Ibrahim Khalil Abu Sbitan
Background Several studies had been conducted about Antimicrobial Resistance (AMR) as a serious threat in both patient safety and public health which needs urgent interventions. An appropriate and judicious use of antibiotic is one of the important factors to curb this problem. Antimicrobial Stewardship Program (ASP) is an effective way of changing prescribing patterns and reducing inappropriate use in hospitals. The study revealed that Healthcare Providers (HCPs) are aware of the importance of AMR, and believe that an appropriate use of these agents will reduce this problem. They also agree that the implementation of ASP is necessary. Despite this concept, some HCPs lack consistency in practice and attitude towards antimicrobial use. Objective The aim of this study is to assess the level of Knowledge, Attitudes, and Practices (KAP) towards ASP among HCPs at Beit- Jala Hospital. Method A descriptive cross sectional study was conducted through an anonymous self-administered questionnaire given to HCPs at Beit- Jala Hospital in Bethlehem, Palestine from February 15 to May 15, 2018. The questionnaire was designed based on earlier studies to meet the study objectives and conceptual framework. In addition, some modifications were done to the questionnaire. The validity of the questionnaire was tested and the total instrument reliability test(Cronbach’s Alpha) gave a score of 0.877. Stratified sampling with proportional allocation was applied for sampling. The inclusion criteria in this study included all healthcare providers Physicians, Pharmacists, Nurses and Lab technicians, who are willing to participate in the study, and the exclusion criteria included radiologists. The data were analyzed by using the Statistical Package for the Social Sciences Software (SPSS) version 20 using descriptive statistics, means and standard deviation and Chi-square test. Results and Discussion One hundred and eighty eight 188 out of 214 distributed questionnaire were returned successfully. Over half 116 (62%) of them were males. Ninety two percent (92%) of the participants had good knowledge, (44%) had positive attitude towards ASP and (70%) of HCPs had good practices related to ASP. The demographic character was not a significant predictor of HCPs knowledge, attitude and practices towards ASP. However, there was a significant predictor between practice, degree and certificate (p=0.028). There were a positive relationship at the level of significance 𝛼 ≤0.05 between knowledge and attitude, knowledge and practices, and attitude and practice. Our results support the implementation of ASP by healthcare institutions to reduce inappropriate antimicrobial use, reduce adverse consequences of antimicrobial use, improve patient’s outcome and safety, reduce costs and length of stay, and capture all AMs usage and containments of antimicrobial agent and decrease resistance. Conclusions Despite the fact that the ASP is not implemented in our hospitals, the majority of HCPs had good knowledge, and practices. However, most of them showed negative attitude towards it. The Ministry of Health should develop guidelines and policies to implement and monitor ASP in all governmental and private Palestinian hospitals.
السياسات والاداره الصحية , Policies & Health Management