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dc.contributor.authorSutthiruk, Nantanit-
dc.contributor.authorConsidine, Julie-
dc.contributor.authorHutchinson, Ana-
dc.contributor.authorDriscoll, Andrea-
dc.contributor.authorMalathum, Kumthorn-
dc.contributor.authorBotti, Mari-
dc.identifier.citationAmerican Journal of Infection Control 2018; 46(4): 425-430en_US
dc.description.abstractBACKGROUND: Effective hospital-wide antimicrobial stewardship (AMS) programs need multidisciplinary engagement; however, clinicians' attitudes have not been investigated in Thailand where AMS is in early development. The aim of this study was to explore Thai clinicians' (doctors, nurses, and pharmacists) perceptions and attitudes toward AMS. METHODS: A paper-based survey was distributed in a 1,000-bed university hospital in Bangkok, Thailand, between November 9, 2015, and December 21, 2015. A total of 1,087 clinicians participated: 392 doctors, 613 nurses, and 82 pharmacists. RESULTS: Most participants agreed that improving antimicrobial prescribing would decrease antimicrobial resistance (AMR) and should be a priority of hospital policy. Doctors were less likely to agree with policies that limit antimicrobial prescribing (P < .001) than nurses or pharmacists, and were less likely to be interested in participating in AMS education than other clinicians (P < .001). Pharmacists indicated higher agreement with the statement, recommending that a specialist team provide individualized antimicrobial prescribing advice (P < .01) and that feedback improves antimicrobial selection (P < .001). Nurses were less likely to agree that community antibiotic use (P < .001) or patient pressure for antibiotics contribute to AMR (P < .001). CONCLUSIONS: AMS programs are vital to improving antimicrobial use by clinicians. Understanding clinicians' attitudes and perceptions related to AMS is important to ensure that AMS programs developed address areas relevant to local clinical needs.en_US
dc.subjectAntimicrobial resistanceen_US
dc.subjectAntimicrobial stewardshipen_US
dc.titleThai clinicians' attitudes toward antimicrobial stewardship programsen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleAmerican Journal of Infection Controlen_US
dc.identifier.affiliationSchool of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australiaen_US
dc.identifier.affiliationCentre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Victoria, Australiaen_US
dc.identifier.affiliationCentre for Quality and Patient Safety Research - Epworth HealthCare Partnership, Richmond, Victoria, Australiaen_US
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationFaculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailanden_US
dc.type.austinJournal Articleen_US
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
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