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Assessment of an Antimicrobial Stewardship Program for Enhancing Clinical Knowledge in Neonatal Care Settings With
Faiza Iqbal1, N Siva, Leslie Edward S Lewis
1Author Affiliations: Department of Paediatrics (Ms Iqbal, Drs Lewis, Purkayastha, Bharadwaj, and Ranjan) and Department of Microbiology (Drs Shenoy and Vandana), Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India; and Department of Child Health Nursing (Drs Siva and Nayak), Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Background And Objectives:
Antimicrobial resistance (AMR) is a global problem, which is particularly challenging in developing countries like India. This study attempts to determine the competencies of health care professionals and to update evidence-based policies to address AMR.
Methods:
A survey-based educational interventional study was conducted using a validated structured survey and knowledge questionnaire under 3 domains through an antimicrobial stewardship program. Pooled data were analyzed using SPSS version 16.0.
Results:
Out of 58 participants, 53 (91%) have observed an increasing trend of multidrug-resistant infections over the last 5 years. There is a significant difference between the overall pretest mean scores (8.12 ± 2.10) and posttest mean scores (12.5 ± 1.49) of clinicians' knowledge with a mean difference of 4.38 ± 0.61, 95% CI of 5.003-3.92, t(57) = 16.62, P < .001).
Conclusion:
The antimicrobial stewardship program was effective in improving the competencies of clinical physicians to improve antimicrobial prescribing and reduce AMR. Moreover, improving the knowledge and competencies among health care professionals will minimize neonatal morbidity and mortality.
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