Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan
Introduction Antimicrobial stewardship (AMS) is vital in the Emergency Department (ED) because the doctors encounter high frequency of infectious disease. Therefore, we aim to measure the level of knowledge, attitude, and practice (KAP) of doctors towards AMS and their predictors in tertiary hos...
| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2020
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| Subjects: | |
| Online Access: | http://eprints.usm.my/58852/ http://eprints.usm.my/58852/1/MERAYANG%20BUNDAN-24%20pages.pdf |
| _version_ | 1848884011412226048 |
|---|---|
| author | Bundan, Merayang |
| author_facet | Bundan, Merayang |
| author_sort | Bundan, Merayang |
| building | USM Institutional Repository |
| collection | Online Access |
| description | Introduction
Antimicrobial stewardship (AMS) is vital in the Emergency Department (ED) because
the doctors encounter high frequency of infectious disease. Therefore, we aim to measure
the level of knowledge, attitude, and practice (KAP) of doctors towards AMS and their
predictors in tertiary hospitals in ED, Kota Bharu, Malaysia.
Method
This cross-sectional study was conducted at the ED of Hospital Universiti Sains Malaysia
and Hospital Raja Perempuan Zainab II in Kota Bharu, Malaysia, among 150 doctors
from August 2019 to February 2020 using a previously validated self-administered
questionnaire. Respondents were randomly selected. The questionnaire comprised of four
sections, including sociodemographic, knowledge, attitude and practice on core elements
of AMS. Descriptive statistics were used for data analysis. Multiple linear regression
analysis was conducted to determine the best model of predictors of the KAP scores.
Results
The respondents' overall knowledge and practice were good but with an unfavourable
attitude towards AMS with a mean percentage score of 85.3%, 70.4 %, and 58.1%,
respectively. Multiple linear regression analysis revealed that the mean score of attitudes
was associated with the doctor's years of overall ED experience (=0.198; p=0.003) and
frequency of antibiotic prescription (=0.928; p=0.005). Doctors perceptions of AMS
exhibited significant association with good knowledge (=0373; p=0.044) and good
practice (=0.921; p=0.001) on AMS.
Conclusions
The respondent's overall knowledge and practice level was good but had an unfavourable
attitude toward AMS. Significant predictors of good knowledge and practice were
doctor's perceptions of AMS. The predictors of favourable attitudes toward AMS were
antibiotic prescription frequency and years of ED experience. |
| first_indexed | 2025-11-15T18:59:55Z |
| format | Thesis |
| id | usm-58852 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T18:59:55Z |
| publishDate | 2020 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-588522023-07-06T06:34:31Z http://eprints.usm.my/58852/ Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan Bundan, Merayang RA0421 Public health. Hygiene. Preventive Medicine RA643-645 Disease (Communicable and noninfectious) and public health Introduction Antimicrobial stewardship (AMS) is vital in the Emergency Department (ED) because the doctors encounter high frequency of infectious disease. Therefore, we aim to measure the level of knowledge, attitude, and practice (KAP) of doctors towards AMS and their predictors in tertiary hospitals in ED, Kota Bharu, Malaysia. Method This cross-sectional study was conducted at the ED of Hospital Universiti Sains Malaysia and Hospital Raja Perempuan Zainab II in Kota Bharu, Malaysia, among 150 doctors from August 2019 to February 2020 using a previously validated self-administered questionnaire. Respondents were randomly selected. The questionnaire comprised of four sections, including sociodemographic, knowledge, attitude and practice on core elements of AMS. Descriptive statistics were used for data analysis. Multiple linear regression analysis was conducted to determine the best model of predictors of the KAP scores. Results The respondents' overall knowledge and practice were good but with an unfavourable attitude towards AMS with a mean percentage score of 85.3%, 70.4 %, and 58.1%, respectively. Multiple linear regression analysis revealed that the mean score of attitudes was associated with the doctor's years of overall ED experience (=0.198; p=0.003) and frequency of antibiotic prescription (=0.928; p=0.005). Doctors perceptions of AMS exhibited significant association with good knowledge (=0373; p=0.044) and good practice (=0.921; p=0.001) on AMS. Conclusions The respondent's overall knowledge and practice level was good but had an unfavourable attitude toward AMS. Significant predictors of good knowledge and practice were doctor's perceptions of AMS. The predictors of favourable attitudes toward AMS were antibiotic prescription frequency and years of ED experience. 2020 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/58852/1/MERAYANG%20BUNDAN-24%20pages.pdf Bundan, Merayang (2020) Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan. Masters thesis, Universiti Sains Malaysia. |
| spellingShingle | RA0421 Public health. Hygiene. Preventive Medicine RA643-645 Disease (Communicable and noninfectious) and public health Bundan, Merayang Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan |
| title | Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan |
| title_full | Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan |
| title_fullStr | Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan |
| title_full_unstemmed | Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan |
| title_short | Knowledge, Attitude, and Practice of Doctors in Emergency Department Towards Antimicrobial Stewardship and Their Predictors in Tertiary Hospital in Kota Bharu, Kelantan |
| title_sort | knowledge, attitude, and practice of doctors in emergency department towards antimicrobial stewardship and their predictors in tertiary hospital in kota bharu, kelantan |
| topic | RA0421 Public health. Hygiene. Preventive Medicine RA643-645 Disease (Communicable and noninfectious) and public health |
| url | http://eprints.usm.my/58852/ http://eprints.usm.my/58852/1/MERAYANG%20BUNDAN-24%20pages.pdf |