ABSTRACT

Introduction

We assessed the knowledge of, attitude toward antimicrobial resistance (AMR) and practice of antimicrobial stewardship (AMS) among physicians in Nigeria to provide future guidance to the Nigerian National Action Plan for AMR.

Methods

A descriptive cross-sectional questionnaire-based study explored the physicians’ self-reported practice of antibiotic prescribing, knowledge, attitude, and practice of AMR and components of ASPs.

Results

The majority (217; 67.2%) of respondents prescribed antibiotics daily in their clinical practice AMR was recognized as a global and local problem by 308 (95.4%) and 262 (81.1%) respondents, respectively. Only 91 (28.2%) of respondents have ever heard of antibiotic stewardship. The median AMR knowledge score was 40 (19–45)out of 45while that for ASP was 46.0(32–57) out of 60. There was significant statistical difference between the ASP median scores among the medical specialties category (P value <0.0001) More respondents had good knowledge of AMR than ASPs (82.7% versus 36.5%; p < 0.0001).

Conclusion

Respondents in this study were more knowledgeable about AMR than AMS and its core components.

中文翻译：

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解决尼日利亚医院的抗菌素耐药性问题：探索医生对抗菌素耐药性和管理计划的行为、知识和认知

摘要

介绍

我们评估了尼日利亚医生对抗微生物药物耐药性 (AMR) 的知识、态度和抗微生物药物管理 (AMS) 实践，为尼日利亚 AMR 国家行动计划提供未来指导。

方法

一项基于描述性横断面问卷的研究探讨了医生自我报告的抗生素处方实践、AMR 和 ASP 组成部分的知识、态度和实践。

结果

大多数 (217; 67.2%) 的受访者在其临床实践中每天都开抗生素处方 AMR 分别被 308 (95.4%) 和 262 (81.1%) 的受访者认为是全球和本地问题。只有 91 (28.2%) 的受访者听说过抗生素管理。AMR知识得分中位数为40（19-45），总分为45​​分，ASP为46.0（32-57），共60分。 医学专业类别的ASP中位数得分之间存在显着的统计学差异（P值<0.0001）与 ASP 相比，更多的受访者对 AMR 有很好的了解（82.7% 对 36.5%；p < 0.0001）。

结论

本研究中的受访者比 AMS 及其核心组件更了解 AMR。