Assessment of Antimicrobial Resistance Containment Practices in Selected Public Hospitals of Addis Ababa, Ethiopia

Gemeda, Feven (2014) Assessment of Antimicrobial Resistance Containment Practices in Selected Public Hospitals of Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Introduction: Ethiopia experiences a heavy burden of infectious diseases with a growing prevalence of disease morbidity and mortality. With the increased intensity of antimicrobial use following the increased burden of infectious disease in Ethiopia, AMR remains being a huge concern in the progress of treating infectious diseases. Health care facilities, particularly those which provide service to large number of patients, are a focal point in the emergence of AMR. Objectives: To assess the AMR containment practices in selected public hospitals of Addis Ababa, Ethiopia. Methods: Cross sectional survey was conducted in six selected public hospitals of Addis Ababa, Ethiopia between September and November, 2013. The study involved the use of mixed method approach. Quantitative data was collected by using structured selfadministered questionnaires whereas the qualitative data collection methods employed key informant interviews and an observation using check list. Results: Of those approached 763 healthcare professionals, 667 completed the survey questionnaires making up 87.4% response rate. The study revealed that as many as 321 (48.1%) of the total respondents had poor knowledge on AMR containment. Physicians and nurses were found to have the largest and lowest proportion of good knowledge level respectively. A significant association (p<0.05) was found between professional qualification and knowledge level of the respondents. The apparent lack of recent training experience was supported by the findings of lower knowledge level about AMR containment. Conclusion and Recommendations: The study revealed poor knowledge level of health care professionals and poor implementation of AMR containment practices in the selected hospitals. Hence, strengthening infection prevention and control practices, ensuring adequate and consistent supply of antibiotics and infection prevention and control materials, organizing training programs on AMR containment for healthcare professional, enhancing laboratory service and initiating surveillance of new infections and AMR are the prominent recommendations for improving the AMR containment practice in the assessed hospitals.

Item Type: Thesis (Masters)
Subjects: R Medicine > RS Pharmacy and materia medica
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 31 Oct 2018 10:52
Last Modified: 31 Oct 2018 10:52
URI: http://thesisbank.jhia.ac.ke/id/eprint/7194

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