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Antimicrobial resistance: Concerns of healthcare providers and people with CF
Journal of Cystic Fibrosis ( IF 5.2 ) Pub Date : 2020-06-01 , DOI: 10.1016/j.jcf.2020.05.009
Wendy Bullington 1 , Sarah Hempstead 2 , Alan R Smyth 3 , Pavel Drevinek 4 , Lisa Saiman 5 , Valerie J Waters 6 , Scott C Bell 7 , Donald R VanDevanter 8 , Patrick A Flume 9 , Stuart Elborn 10 , Marianne S Muhlebach 11 ,
Affiliation  

BACKGROUND Chronic lung infections and their treatment pose risks for the development of antimicrobial resistance (AMR) in people with cystic fibrosis (PWCF). In this study, we evaluated the attitudes of healthcare providers' (HCP) and PWCF or their parents' toward AMR within the international CF community. METHODS HCP and PWCF identified through listservs and CF-related organizations were asked to complete an AMR centered survey, with additional questions on antimicrobial stewardship (AMS) for HCP. Descriptive analyses are reported. RESULTS The responding 443 HCP and 464 PWCF/Parents were from 30 and 25 countries, respectively. Sixty-two percent of HCP and 56% of PWCF stated they were "very concerned" about AMR, with Pseudomonas spp. and Burkholderia spp. considered the most concerning organisms for both HCP and PWCF/Parents. Non-tuberculous mycobacteria were of greater concern to HCP compared to PWCF/Parents. There was a discrepancy regarding AMR education to PWCF, with 80% of HCP stating having discussed this with PWCF/Parents, but only 50% of PWCF recalling such discussions. CONCLUSION These results highlight that AMR is relevant to CF HCP and PWCF internationally, indicating that educational tools and research are warranted.

中文翻译:

抗菌素耐药性:医疗保健提供者和 CF 患者的担忧

背景慢性肺部感染及其治疗对囊性纤维化 (PWCF) 患者产生抗微生物药物耐药性 (AMR) 构成风险。在这项研究中,我们评估了国际 CF 社区中医疗保健提供者 (HCP) 和 PWCF 或其父母对 AMR 的态度。方法 通过 listservs 和 CF 相关组织确定的 HCP 和 PWCF 被要求完成一项以 AMR 为中心的调查,以及有关 HCP 的抗菌药物管理 (AMS) 的其他问题。报告了描述性分析。结果 响应的 443 名 HCP 和 464 名 PWCF/家长分别来自 30 和 25 个国家。62% 的 HCP 和 56% 的 PWCF 表示他们“非常担心”AMR,即假单胞菌属。和伯克霍尔德氏菌属。被认为是 HCP 和 PWCF/父母最关心的生物。与 PWCF/父母相比,HCP 更关注非结核分枝杆菌。PWCF 在 AMR 教育方面存在差异,80% 的 HCP 表示已与 PWCF/家长讨论过这一问题,但只有 50% 的 PWCF 回忆起此类讨论。结论 这些结果强调 AMR 与国际上的 CF HCP 和 PWCF 相关,表明教育工具和研究是必要的。
更新日期:2020-06-01
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