Perceptions and attitudes of the professional staff concerning infection surveillance and control programs in Brazilian hospitals

Guerra, Carla Morales; Ramos, Mônica Parente; Penna, Virginia Zagallo; Goto, Janaína Midori; Santi, Leandro Queiroz; Stempliuk, Valeska; Sallas, Janaina; Medeiros, Eduardo Alexandrino

doi:10.1016/j.ajic.2009.05.011

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…6,19,33,34 Others have also indicated that while there may be international guidelines, local guidelines are most preferable. 23,30 Others have gone as far as to suggest that an antibiotic formulary is among the main intervention methods for reducing the development and spread of resistance.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic use in Namibia: prescriber practices for common community infections

Pereko

Lubbe

Essack

2015

South African Family Practice

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Background: Despite the threat of resistance, the use of antibiotics globally is high and continues to increase. Much of this use is attributed to overprescribing by physicians. The objective of this study was to assess doctors' management of common community-acquired infections in Namibia. Methodology: A cross-sectional survey based on a web-based self-administered questionnaire was conducted. Doctors belonging to the local professional associations comprised the study population. Data were collected from March to July 2014. Results: A 10% (n = 44) response rate was achieved. Respondents were from across the country and practised mainly in the private health sector. Both awareness of local antimicrobial sensitivity rates and ownership of national Standard Treatment Guidelines were poor (20% and 31% respectively). Common practice in managing common infections, with the exception of chronic otitis media, cystitis and pyelonephritis, is to treat empirically. The reported first-line antibiotics of choice were the combination of amoxicillin with clavulanic acid for upper respiratory tract infections and ciprofloxacin for urinary tract infections. Management of infections was the same across all socio-demographic factors and was not influenced by patient workload. Conclusion: This survey revealed that first-line antibiotic choices of doctors are not informed by the Namibia Standard Treatment Guidelines and the local and regional antimicrobial sensitivity data. Interventions to improve antibiotic prescribing in Namibia should include better dissemination of guidelines and information regarding local antimicrobial sensitivity rates as well as strategies for the implementation of guidelines.

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Section: Discussionmentioning

confidence: 99%

Antibiotic use in Namibia: prescriber practices for common community infections

Pereko

Lubbe

Essack

2015

South African Family Practice

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“…As with the need for local sensitivity patterns, the need for antibiotic guidelines has been expressed by many. 6,19,33,34 Others have also indicated that while there may be international guidelines, local guidelines are most preferable. 23,30 Others have gone as far as to suggest that an antibiotic formulary is among the main intervention methods for reducing the development and spread of resistance.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic use in Namibia: prescriber practices for common community infections

Pereko

Lubbe²,

Essack³

2015

S Afr Fam Pract

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Background: Despite the threat of resistance, the use of antibiotics globally is high and continues to increase. Much of this use is attributed to overprescribing by physicians. The objective of this study was to assess doctors’ management of common community-acquired infections in Namibia.Methodology: A cross-sectional survey based on a web-based self-administered questionnaire was conducted. Doctors belonging to the local professional associations comprised the study population. Data were collected from March to July 2014.Results: A 10% ( n = 44) response rate was achieved. Respondents were from across the country and practised mainly in the private health sector. Both awareness of local antimicrobial sensitivity rates and ownership of national Standard Treatment Guidelines were poor (20% and 31% respectively). Common practice in managing common infections, with the exception of chronic otitis media, cystitis and pyelonephritis, is to treat empirically. The reported first-line antibiotics of choice were the combination of amoxicillin with clavulanic acid for upper respiratory tract infections and ciprofloxacin for urinary tract infections. Management of infections was the same across all socio-demographic factors and was not influenced by patient workload.Conclusion: This survey revealed that first-line antibiotic choices of doctors are not informed by the Namibia Standard Treatment Guidelines and the local and regional antimicrobial sensitivity data. Interventions to improve antibiotic prescribing in Namibia should include better dissemination of guidelines and information regarding local antimicrobial sensitivity rates as well as strategies for the implementation of guidelines.

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“…88,89 Knowledge of the risk factors, transmission mechanisms, preventive measures and local epidemiology of MRSA, will help improve compliance with the recommendations. Finally, with the increasing spread of CA-MRSA strains, it is necessary to educate not only the HCWs, 90 but also the general public in measures to prevent and mitigate the impact of MRSA.…”

Section: Prevention and Control Of Mrsa: Conclusionmentioning

confidence: 99%

Prevention strategies for methicillin-resistant Staphylococcus aureus (MRSA) in Latin America

Labarca¹,

Salles²

2010

Braz J Infect Dis

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After the first reports of the emergence of methicillin-resistant Staphylococcus aureus (MRSA) in the 1970s, numerous measures intended to prevent its transmission were initiated in hospitals. However, in most cases, large-scale measures failed to be implemented and the transmission of MRSA has since led to a global pandemic. Presently, doubts still remain about the best approach to prevent and control MRSA and more often than not, control measures are not implemented. Therefore, we review here the current situation in Latin America with respect to existing policies for control of MRSA, and evaluate the evidence for control measures in hospitals and the community. We look at the risk factors for infection and transmission of MRSA between hospital patients and within specific populations in the community, and at the effect of antibiotic usage on the spread of MRSA in these settings. Finally, we summarize recommendations for the prevention and control of MRSA, which can be applied to the Latin American hospital environment and community setting.

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Perceptions and attitudes of the professional staff concerning infection surveillance and control programs in Brazilian hospitals

Cited by 5 publications

References 10 publications

Antibiotic use in Namibia: prescriber practices for common community infections

Antibiotic use in Namibia: prescriber practices for common community infections

Antibiotic use in Namibia: prescriber practices for common community infections

Prevention strategies for methicillin-resistant Staphylococcus aureus (MRSA) in Latin America

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