Assessment of Antimicrobial Resistance Containment Practices in Selected Public Hospitals of Addis Ababa, Ethiopia
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Date
2014-09
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Addis Ababa University
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
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Keywords
Antimicrobial Resistance Containment Practices