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Antimicrobial Resistance: KAP of Healthcare Professionals at a Tertiary-Level Hospital in Nepal

Author

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  • Mee-Lang Cheoun

    (JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul 03087, Korea)

  • Jongho Heo

    (JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul 03087, Korea
    National Assembly Futures Institute, 1 Uisadang-daero, Seoul 07233, Korea
    These authors contributed equally: Jongho Heo and Woong-Han Kim.)

  • Woong-Han Kim

    (JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul 03087, Korea
    Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
    These authors contributed equally: Jongho Heo and Woong-Han Kim.)

Abstract

Although increasing antimicrobial resistance (AMR) is a substantial threat worldwide, low- and middle-income countries, including Nepal, are especially vulnerable. It is also known that healthcare providers (HCPs) are the major determinants of antimicrobial misuse. A cross-sectional, self-administered survey was conducted among 160 HCPs to assess the knowledge, attitudes, and practices (KAP) of Nepali HCPs regarding AMR and its use. Descriptive statistics and nonparametric tests were performed to evaluate KAP dimensions and investigate subgroup differences. HCPs scored higher on theoretical than practical knowledge. Regarding practical knowledge, men scored higher than women ( p < 0.01), and physicians scored higher than nurses ( p < 0.001). Participants aged < 25 years scored lower on practical knowledge than older participants ( p < 0.001), while those with <3 years work experience scored lower than those with >6 years ( p < 0.05). Participants from the medical department scored higher on practical knowledge than those from the surgical department ( p < 0.01). AMR control was more accepted in the medical than in the surgical department ( p < 0.001). Regarding practices, women and nurses scored higher than men ( p < 0.001) and physicians ( p < 0.01), respectively. An educational intervention that is tailored to the sociodemographic and professional characteristics of HCPs is necessary to reduce the gap between theoretical and practical knowledge and improve their attitudes and practices.

Suggested Citation

  • Mee-Lang Cheoun & Jongho Heo & Woong-Han Kim, 2021. "Antimicrobial Resistance: KAP of Healthcare Professionals at a Tertiary-Level Hospital in Nepal," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10062-:d:642679
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    References listed on IDEAS

    as
    1. Poonam Shah & Rajeev Shrestha & Zongfu Mao & Yilin Chen & Yan Chen & Pramesh Koju & Xinliang Liu & Hao Li, 2019. "Knowledge, Attitude, and Practice Associated with Antibiotic Use among University Students: A Survey in Nepal," IJERPH, MDPI, vol. 16(20), pages 1-11, October.
    2. Elvis Dzelamonyuy Chem & Damian Nota Anong & Jane-Francis K T Akoachere, 2018. "Prescribing patterns and associated factors of antibiotic prescription in primary health care facilities of Kumbo East and Kumbo West Health Districts, North West Cameroon," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-18, March.
    3. G Michael Allan & Joel Lexchin & Natasha Wiebe, 2007. "Physician Awareness of Drug Cost: A Systematic Review," PLOS Medicine, Public Library of Science, vol. 4(9), pages 1-11, September.
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