Knowledge of Antimicrobial Stewardship Actions Among Out Patients at The Maitama District Hospital, Maitama, Abuja, Nigeria
DOI:
https://doi.org/10.14738/bjhmr.103.14683Keywords:
Antimicrobial stewardship (AMS), Antimicrobial resistance (AMR) , Antimicrobial use (AMU), KnowledgeAbstract
Background: Antimicrobial stewardship programs primarily aim identify solutions to curb antimicrobial resistance (AMR). It helps to optimize antimicrobial use to improve patient outcomes, ensure cost-effective therapy, and reduce adverse sequel of antimicrobial use (including antimicrobial resistance) among residents, hospitalized patients, the public, and agricultural professionals. This study aims to assess the knowledge of antimicrobial stewardship actions among outpatients attending Maitama General Hospital, Abuja.Nigeria Methods: This was a descriptive cross-sectional study done between June and November, 2022 among 423 outpatients using Multistage sample technique. Data was collected using interviewer-administered structured questionnaire and analysed using the IBM SPSS 28 (Statistical Package for the Social Sciences). Ethical approval was granted by Bingham University Teaching Hospital, Ethics committee, Jos, Plateau State. Results: The level of knowledge about solutions to curb AMR (Antimicrobial stewardship) between male and female respondents showed 179 (44.75%) of female respondents had good knowledge, 28 (7.0%) had fair knowledge and 21 (5.25%) had poor knowledge. Of all the male respondents, 132 (33.0%) had good knowledge,12 ( 3.00)% had fair knowledge and 28 (7.00%) had poor knowledge. Summarily, 311 (77.75%) had good knowledge of antimicrobial stewardship, 40 (10.00%) had fair knowledge of antimicrobial stewardship and 49 (12.25%) had poor knowledge of antimicrobial stewardship. Conclusion: Majority of clients had good knowledge of antimicrobial stewardship actions, but this can be improved by planning and implementing more antimicrobial stewardship (AMS) sensitization activities in communities and among patients in the hospitals. Health care workers should have continuous professional development (CPD) training on AMS.
References
Global action plan on antimicrobial resistance [Internet]. World Health Organization. World Health Organization;2015.Available from:https://www.who.int/publications-detail- redirect/9789241509763.
Antimicrobial resistance [Internet]. World Health Organization. World Health Organization; 2016. Available from: https://www.who.int/news-room/fact-sheets/detail/antimicrobial- resistance.
Global Antimicrobial Resistance Surveillance System (glass) report: Early implementation 2017-2018 [Internet]. World Health Organization. World Health Organization; 2017 [cited 2022Aug10]. Available from: https://apo.who.int/publications/i/item/9789241515061
Albrich WC, Monnet DL, Harbarth S. Antibiotic selection pressure and resistance in Streptococcus pneumoniae and Streptococcus pyogenes. Emerging infectious diseases. 2004 Mar;10(3):514.
Goossens H, Ferech M, Vander Stichele R, Elseviers M, ESAC Project Group. Outpatient antibiotic use in Europe and association with resistance: a cross-national database study. The Lancet. 2005 Feb 12;365(9459):579-87.
Väänänen MH, Pietilä K, Airaksinen M. Self-medication with antibiotics—does it really happen in Europe?. Health policy. 2006 Jul 1;77(2):166-71.
Martinez JL. The role of natural environments in the evolution of resistance traits in pathogenic bacteria. Proceedings of the Royal Society B: Biological Sciences. 2009 Jul 22;276(1667):2521-30.
Holmes AH, Moore LS, Sundsfjord A, Steinbakk M, Regmi S, Karkey A, Guerin PJ, Piddock LJ. Understanding the mechanisms and drivers of antimicrobial resistance. The Lancet. 2016 Jan 9;387(10014):176-87.
Reygaert WC. Insights on the antimicrobial resistance mechanisms of bacteria. Adv Clin Med Microbiol. 2016;2(005).
Antimicrobial resistance: A Primer [Internet]. Medscape. 2010 [cited 2022Aug10]. Available from: https://www.medscape.com/viewarticle/729196_2.
MacDougall C, Polk RE. Antimicrobial stewardship programs in health care systems. Clinical microbiology reviews. 2005 Oct;18(4):638-56.
Department of Health, Social Services and Public Safety. Strategy for tackling antimicrobial resistance (STAR) 2012-2017.
MacDougall, C., & Polk, R. E. (2005). Antimicrobial stewardship programs in health care systems. Clinical microbiology reviews, 18(4), 638–656. https://doi.org/10.1128/CMR.18.4.638-656.2005.
Barlam, T. F., Cosgrove, S. E., Abbo, L. M., MacDougall, C., Schuetz, A. N., Septimus, E. J., … Trivedi, K. K. (2016). Implementing an antibiotic stewardship program:Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 62(10), e51–e77. doi:10.1093/cid/ciw118.
Jooma S. (2015). Executive action to combat the rise of drug-resistant bacteria: is agricultural antibiotic use sufficiently addressed? Journal of law and the biosciences, 2(1), 129–138. doi:10.1093/jlb/lsv005.
Centers for Disease Control and Prevention. (2018). U.S. national action plan for combatting antibioticresistant bacteria (National Action Plan). Retrieved from https://www.cdc.gov/drugresistance/usactivities/national-action-plan.html.
Centers for Disease Control and Prevention. (2019). What CDC is doing: antibiotic resistance (AR) solutions initiative. Retrieved from https://www.cdc.gov/drugresistance/solutions-initiative/index.html.
Price L, Gozdzielewska L, Young M, Smith F, MacDonald J, McParland J, Williams L, Langdridge D, Davis M, Flowers P. Effectiveness of interventions to improve the public’s antimicrobial resistance awareness and behaviours associated with prudent use of antimicrobials: a systematic review. Journal of Antimicrobial Chemotherapy. 2018 Jun 1;73(6):1464-78.
Shallcross LJ, Davies DSC. Antibiotic overuse: a key driver of antimicrobial resistance. Br J Gen Pract. 2014;64:604–5.
Nigeria: National action plan for antimicrobial resistance [Internet]. Ncdc.gov.ng.Nigeria Centers for Disease Control and Prevention; [cited 2022Sep15]. Available from: https://ncdc.gov.ng/themes/common/docs/protocols/77_1511368219.pdf.20. Chukwu EE, Oshun PO, Osuolale KA, Chuka-Ebene VO, Salako A, Idigbe IE, Oladele D, Audu RA, Ogunsola FT. Antimicrobial stewardship programmes in healthcare facilities in Lagos State, Nigeria: a needsassessment. Journal of global antimicrobial resistance. 2021 Jun 1;25:162-70.
Boyles TH, Naicker V, Rawoot N, Raubenheimer PJ, Eick B, Mendelson M. Sustained reduction in antibiotic consumption in a South African public sector hospital: Four-year outcomes from the Groote Schuur Hospital antibiotic stewardship program. S Afr Med J. 2017;107(2):115-8.
Maitamadh.com.ng. 2022. Home. [online] Available at: <https://maitamadh.com.ng/> [Accessed 23 May 2022].
National Population Commission [Nigeria]. 2010. Population distribution by age and sex. The 2006 population and housing census priority table volume (IV). Abuja: NPC
Dawan PD. Brief history of the creation of Federal capital territory (FCT). PD Dawan (Ed). 2000. 26. Abuja Municipal Area Council (AMAC), Amac.knowfct.com. 2022. About AMAC–AMAC.[online]Available at:<http://amac.knowfct.com/about-amac./> [Accessed 23 May 2022]. 27. Adakayi, P.E. (2000). Climate. In Dawan, P. D. (ed.). Geography of Abuja Federal Capital Territory. Famous/Asanlu Publishers, Minna, Niger State, Nigeria, pp. 9-23. 28. National Bureau of Statistics (2020). Demographic statistics bulletin. [cited 11 May 2022] pp. 9.S https://nigerianstat.gov.ng/elibrary.29. Cochran WG. Sampling techniques. John Wiley & Sons; 1977. 30. Boyles T, Van den Berghan D, Stewart A, Farley E, Coetzee R. Knowledge, attitudes and perceptions of antibiotic use and resistance among patients in South Africa: a cross-sectional study. Southern African Journal of Infectious Diseases. 2019 Mar 1;34(1):1-9. 31. Achi CR, Ayobami O, Mark G, Egwuenu A, Ogbolu D and Kabir J (2021). Operationalising One Health in Nigeria: Reflections From a High-Level Expert Panel Discussion Commemorating the 2020 World Antibiotics Awareness Week. Front. Public Health 9:673504. doi: 10.3389/fpubh.2021.673504. 32. Kpokiri, E.E.; Ladva, M.;Dodoo, C.C.; Orman, E.; Aku, T.A.; Mensah, A.; Jato, J.; Mfoafo, K.A.; Folitse, I.; Hutton-Nyameaye, A.; et al. Knowledge, Awareness and Practice with Antimicrobial Stewardship Programmes among Healthcare Providers in a Ghanaian Tertiary Hospital. Antibiotics 2022, 11, 6. https://doi.org/10.3390/ antibiotics11010006. 33. Kalungia AC, Mwambula H, Munkombwe D, Marshall S, Schellack N, May C, Jones AS, Godman B. Antimicrobial stewardship knowledge and perception among physicians and pharmacists at leading tertiary teaching hospitals in Zambia: implications for future policy and practice. Journal of chemotherapy. 2019 Nov 17;31(7-8):378-87. 34. Federal Ministry of Health, World Health Organization. National Drug Policy. 2005.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Idoko, Lucy O., Lolo, Nomsu S., Okafor, Kingsley C.
This work is licensed under a Creative Commons Attribution 4.0 International License.
