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Survey of healthcare worker perceptions of changes in infection control and antimicrobial stewardship practices in India and South Africa during the COVID-19 pandemic.

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posted on 2024-03-01, 14:18 authored by Oluchi Mbamalu, Surya Surendran, Vrinda Nampoothiri, Candice Bonaconsa, Fabia Edathadathil, Nina Zhu, Helen Lambert, Carolyn TarrantCarolyn Tarrant, Raheelah Ahmad, Adam Boutall, Adrian Brink, Ebrahim Steenkamp, Alison Holmes, Sanjeev Singh, Esmita Charani, Marc Mendelson

Objective

To identify perceptions and awareness of changes in IPC and AMS practices among healthcare workers (HCWs) during the COVID-19 pandemic in India and South Africa (SA).

Method

A self-administered online survey which included participant demographics, knowledge and sources of COVID-19 infection, perceived risks and barriers, and self-efficacy. Data were analysed using descriptive statistics.

Results

321 responses (response rate: 89.2%); 131/321 (40.8%) from India and 190/321 (59.2%) from SA; male to female response rate was 3:2, with majority of respondents aged 40-49 (89/321, 27.7%) and 30-39 (87/321, 27.1%) years. Doctors comprised 47.9% (57/119) of respondents in India and 74.6% (135/181) in SA. Majority of respondents in India (93/119, 78.2%) and SA (132/181, 72.9%) were from the private and public sectors, respectively with more respondents in SA (123/174, 70.7%) than in India (38/104, 36.5%) were involved in antimicrobial prescribing. Respondents reported increased IPC practices since the pandemic and noted need for more training on case management, antibiotic and personal protective equipment (PPE) use. While they noted increased antibiotic prescribing since the pandemic; they did not generally associate their practice with such increase. A willingness to be vaccinated, when vaccination becomes available, was expressed by 203/258 (78.7%) respondents.

Conclusions

HCWs reported improved IPC practices and changes in antibiotic prescribing during the COVID-19 pandemic. Targeted education on correct use of PPE was an identified gap. Although HCWs expressed concerns about antimicrobial resistance, their self-perceived antibiotic prescribing practices seemed unchanged. Additional studies in other settings could explore how our findings fit other contexts.

Funding

UK Department of Health [HPRU-2012-10047]

National Research Foundation of South Africa (Grant Number: 129755)

Global Challenges Research Fund (GCRF)

Economic and Social Research Council (ESRC) as part of the Antimicrobial Cross Council Initiative

History

Citation

JID Regions 6 (2023) 90–98

Author affiliation

Population Health Sciences

Version

  • VoR (Version of Record)

Published in

IJID regions

Volume

6

Pagination

90 - 98

Publisher

Elsevier

issn

2772-7076

eissn

2772-7076

Acceptance date

2022-11-24

Copyright date

2022

Available date

2024-03-01

Spatial coverage

England

Language

eng

Deposited by

Professor Carolyn Tarrant

Deposit date

2024-02-12

Rights Retention Statement

  • No

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