DISCERNMENT OF ANTIMICROBIAL RESISTANCE AMONG HEALTH PROFESSIONALS AT A MEDICAL COLLEGE IN KOZHIKODE DISTRICT, INDIA - A QUALITATIVE STUDY
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Keywords
Antimicrobial resistance, Antibiotic stewardship, Healthcare professionals, Qualitative study
Abstract
Context: Overuse and misuse of antibiotics are imparting factors to the rising global public health epidemic known as antimicrobial resistance (AMR).
Aims: To determine the stumbling block to antimicrobial stewardship procedures and to yield methods for reducing antimicrobial resistance (AMR) in the organization.
Settings and Design:A teriary medical college hospital in Northern Kerala,India and Cross scetional study
Methods and Material: Key informant interviews were condcuted among expert practitioners from the Department of Internal Medicine,Pharmacology and and Microbiology from a tertiary medical college in Kozhikode, Kerala.
Statistical analysis used:The data were transcribed and subjected to thematic analysis.
Results: Two main themes emerged from the key
findings: (1) The factors affect antibiotic stewardship: pharmacokinetic problems, overuse, lack of surveillance, and environmental contamination; and (2) solutions to improve stewardship programs, emphasizing tactics like clinical audits, surveillance programs and utilizing advanced molecular diagnostics.
Conclusions: Combating AMR necessitates a multifaceted strategy that includes better surveillance systems, appropriate diagnostic use and improved antibiotic stewardship. AMR can be considerably reduced by institutional commitment to education and policy changes.
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Dr. Kanniyan Binub
Professor, Department of Community Medicine, Malabar Medical College Hospital & Research Center, Ulliyeri, Kozhikode
Dr P Selvaraj
Assistant Professor and Consultant Neonatologist, Department of Paediatrics, Malabar Medical College Hospital & Research Center, Ulliyeri, Kozhikode
Dr. Krishnaraj J.S
Associate Professor, Community Medicine Department, Malabar Medical College Hospital & Research Center, Ulliyeri, Kozhikode
Dr. Jacob George P
Professor, Department of Community Medicine, Malabar Medical College Hospital & Research Center, Ulliyeri, Kozhikode
Dr. Sumna V.M
Assistant Professor, Community Medicine Department, Malabar Medical College Hospital & Research Center, Ulliyeri, Kozhikode
Dr. Amrutha M.S
Assistant Professor, Community Medicine Department, Malabar Medical College Hospital & Research Center, Ulliyeri, Kozhikode
Dr. Rakesh Ramachandran
Senior resident, Community Medicine Department, Malabar Medical College Hospital & Research Center, Ulliyeri, Kozhikode