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Thai clinicians' attitudes toward antimicrobial stewardship programs.

Nantanit Sutthiruk1, Julie Considine2, Ana Hutchinson3

  • 1School of Nursing and Midwifery, Deakin University, Geelong, VIC, Australia.

American Journal of Infection Control
|November 15, 2017
PubMed
Summary

Thai clinicians recognize the need for antimicrobial stewardship (AMS) to combat antimicrobial resistance (AMR). However, doctors showed less support for prescribing limits, highlighting a need for tailored AMS education and engagement strategies.

Keywords:
Antimicrobial resistanceAntimicrobial stewardshipAttitudesCliniciansPerceptions

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Area of Science:

  • Healthcare Management
  • Infectious Disease Epidemiology
  • Clinical Pharmacy

Background:

  • Effective hospital-wide antimicrobial stewardship (AMS) programs require multidisciplinary input.
  • Antimicrobial stewardship in Thailand is in its nascent stages, necessitating investigation into clinician attitudes.
  • Understanding healthcare professionals' perceptions is crucial for developing successful AMS initiatives.

Purpose of the Study:

  • To explore the perceptions and attitudes of Thai clinicians, including doctors, nurses, and pharmacists, towards antimicrobial stewardship (AMS).
  • To identify potential barriers and facilitators for implementing effective AMS programs in a Thai university hospital setting.

Main Methods:

  • A paper-based survey was administered to 1,087 clinicians (392 doctors, 613 nurses, 82 pharmacists) at a 1,000-bed university hospital in Bangkok, Thailand.
  • Data collection occurred between November 9, 2015, and December 21, 2015.

Main Results:

  • A majority of clinicians agreed that improving antimicrobial prescribing is a priority to decrease antimicrobial resistance (AMR).
  • Doctors were significantly less likely than nurses or pharmacists to support prescribing limitations or engage in AMS education.
  • Pharmacists showed strong support for specialist-led prescribing advice and feedback mechanisms, while nurses underestimated the impact of community antibiotic use and patient pressure on AMR.

Conclusions:

  • Antimicrobial stewardship (AMS) programs are essential for optimizing antimicrobial use among clinicians.
  • Tailoring AMS interventions to address the specific attitudes and perceptions of different clinical groups, particularly physicians, is critical for program success.
  • Addressing local clinical needs and fostering multidisciplinary engagement are key to advancing AMS in Thailand.