Antibiotic Use and Resistance Among Prescribers: Current Status of Knowledge, Attitude, and Practice in Egypt

El-Sokkary, Rehab H.; Kishk, Rania; Eldin, Sally Mohy; Nemr, Nader; Louis, Nageh; Alfishawy, Mostafa; Morsi, Samar S.; Abdalla, Wael; Ahmed, Mohamed; Tash, Rehab Elsaid

doi:10.2147/idr.s299453

Cited by 16 publications

(12 citation statements)

References 23 publications

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“…Previous studies were done to assess physicians’ perceptions about antibiotic resistance, in low -middle income countries [ 15 , 16 ]. The present survey showed that intensive care physicians in Egypt show a great knowledge of the antibiotic resistance problem.…”

Section: Discussionmentioning

confidence: 99%

“…This was a challenge for a previous study done to train physicians before establishing the AMS program [ 27 ]. In addition, a previous study proved that the lack of proper training or education of healthcare providers regarding proper antimicrobial use in LMIC is one of the most important factors affecting antimicrobial resistance [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately those guidelines are not highly common in low income countries as AMS program are still rudimentary [12,33]. This finding was opposed by another study done in Egypt where physicians tended to think that international guidelines are more useful than a national one [15].…”

Section: Plos Onementioning

confidence: 97%

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Perceptions and attitudes of ICU physicians toward antibiotics prescribing and resistance: A cross-sectional study

et al. 2022

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Background and aim Antibiotic resistance is a major emphasis in intensive care units (ICUs). Better understanding of ICU physicians’ perceptions, attitudes, and knowledge about antimicrobial prescribing practices could facilitate more effective interventions in fighting antimicrobial resistance in Egyptian ICUs and establishing a proper Antimicrobial Stewardship Program. Methods A cross-sectional questionnaire study was conducted including 92 physicians distributed across the different types of Egyptian healthcare institutions in two cities of Egypt; Cairo and El Monufia. Over a period of three months, started in December 2019 and ended in February 2020. Results A total of 92 Egyptian physicians were included in the study. Seventy (76.1%) of the surveyed physician strongly agreed and 22 (23.9%) agreed that antibiotic resistance is a worldwide problem. Moreover, 50 (54.3%) strongly agreed and 40 (43.4%) agreed that it is a problem in their hospitals while only 2 (2.1%) disagreed. Poor hand hygiene (67.5%), poor infection control practices by healthcare professionals (63.9%) as well as wrong practices in the management of invasive devices (68.7%), and poor environmental cleaning practices (63.4%) were considered very important causes of AMR by the majority of the surveyed ICU physicians. Almost all of the physicians (95%) rated an advice from a clinical pharmacist as very or moderately helpful intervention, while (52%) declared an advice from a microbiologist or an infectious disease specialist as very helpful. Conclusion The results of the present study showed that the Egyptian ICU physicians have remarkable knowledge regarding antibiotic resistance as a worldwide problem and a high sensibility toward the problem in their hospitals. The study also showed that implementation of proper AMS is an urgent need as physicians answers for the different questions in the survey showed that their attitudes and perceptions regarding antibiotic resistance and their way in prescription could be modified and improved if AMS programs with suitable training programs and local guidelines are provided among different types of Egyptian hospitals.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Perceptions and attitudes of ICU physicians toward antibiotics prescribing and resistance: A cross-sectional study

et al. 2022

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“…In Egypt, a comparable survey carried on primary care providers with varying degrees of experience and work settings, also revealed that the respondents displayed a remarkable level of knowledge regarding identifying organisms targeted by the antibiotics, the acquaintance with the resistance problem and they can also relate some causal factors to the problem of resistance [29] .…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Knowledge, Attitude, and Practice of Antibiotic Prescription among a group of Dentists in Egypt: A cross-sectional survey

El-Geleel

Gamal

Wahba

2021

Egyptian Dental Journal

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Objectives:The purpose of this survey is to investigate the knowledge, attitudes and practices related to antibiotic prescription patterns in a group of dentists in Egypt. Materials and Methods:A cross-sectional survey was conducted electronically using online google forms. It included inquiries in the form of close-ended questions to be answered in tickbox format, the questions mainly uncovered, the participants' "Knowledge" about the problem of antibiotic resistance and its association with professional mal-practices, and also their "Attitudes and practices" concerning antibiotic prescriptions in different clinical conditions. 500 participants answered the questionnaire over a period of three months.Results: Most of the participants prescribed Amoxicillin or Amoxicillin + clavulanic acid in conditions that warrant antibiotics usage. A close proportion preferred a treatment duration of 5-7 days. Although, 96% of the responses came in favor of antibiotic prescription in serious clinical conditions as facial cellulitis, still varying proportions of the sample chose to prescribe antibiotics for conditions that do not necessitate their usage as "localized intra-oral abscesses", "sinus tracts and fistulas", "luxation injuries" and "managing viral infections". Conclusions:Although the participants showed considerably adequate knowledge of the bacterial resistance problem, their practices showed varying degrees of deviation from the guidelines of antibiotic prescriptions set by the AAPD.

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“…This program is applied successfully in some of Al Zagazig hospitals under the supervision of the hospital ASP team [66].…”

Section: Step 4: Patient Education Campaignmentioning

confidence: 99%

Antimicrobial Stewardship Programs: A Review

Salah

El-Housseiny

Elleboudy

et al. 2021

Archives of Pharmaceutical Sciences Ain Shams University

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Antimicrobial resistance is a global crisis that requires urgent action to halt its spread. The rate of deaths due to antibiotic resistance from bacterial infection reached 25,000 annually. Resistance rates to Escherichia coli and Klebsiella pneumoniae have risen to reach 40% and 56% respectively, in addition to high resistance rates of Acinetobacter baumannii to fluoroquinolones and other antibiotics that reached 56%. So it has become an urgent need to establish robust programs to control antibiotic resistance and optimize the use of antibiotics in hospitals. In Egypt particularly, the rate of antibiotic resistance becomes high due to wrong traditions of dispensing and administering antibiotics in hospitals and pharmacies, all that drove us to build a program controlling all these obstacles. Antimicrobial stewardship programs (ASPs) are strategic programs to prevent the development of microbial resistance and monitor prescription patterns of clinicians inside hospitals. In addition to minimizing the toxic effects, overuse of antibiotics and improve patient health, and minimize the emergence of antibiotic resistance in the shadow of the lack of development of novel antimicrobial agents. In this review, we aimed to discuss antimicrobial stewardship programs, their core elements, clinical importance, essential requirements, and their implementation in Egypt. In conclusion, the development of national guidelines for antimicrobial stewardship programs would be a useful step to help clinicians in making evidence-based treatment choices regarding antibiotic therapy and the implementation of better antibiotics during pandemics. We hope this review helps the medical staff to perform stewardship programs to control antibiotic resistance in Egyptian healthcare settings.

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Antibiotic Use and Resistance Among Prescribers: Current Status of Knowledge, Attitude, and Practice in Egypt

Cited by 16 publications

References 23 publications

Perceptions and attitudes of ICU physicians toward antibiotics prescribing and resistance: A cross-sectional study

Perceptions and attitudes of ICU physicians toward antibiotics prescribing and resistance: A cross-sectional study

Assessment of the Knowledge, Attitude, and Practice of Antibiotic Prescription among a group of Dentists in Egypt: A cross-sectional survey

Antimicrobial Stewardship Programs: A Review

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