Attitude of healthcare professionals on antibiotic use in Lithuanian general and nursing hospitals qualitative study
Abstract number: P1506
Jurkeviciene A., Berzanskyte A., Valinteliene R., Miciuleviciene J., Ambrozaitis A.
Objectives: Survey in Lithuania showed huge variation of antibiotic consumption (11.579.5 DDD/100-bed days in general and 026.6 DDD/100-bed days in nursing hospitals) and their structure between hospitals in 2007. The main aim of following qualitative study was to enlighten health care professionals' attitude to antibiotic use.
Methods: Discussions with focus groups were organized inviting different staff. Questions about guidelines, antibiotic prescribing control, consumption surveillance, collaboration with microbiology laboratories, impact of pharmaceutical companies, needs of knowledge and teaching were discussed. Content analysis was applied working up the conversation material in several steps: multiple listening/reading of discussions; search of semantically close answers and keywords; summarising by forming categories, subcategories; interpretation.
Results: Focus group discussions showed that due to antibiotics obtained by patients antibiotic consumption in general hospitals should be higher than the one found in quantitative study in 2007. Representatives from nursing hospitals confirmed low antibiotic use. The general hospitals most often have guidelines approved by hospital chief, but seldom control on antibiotic prescribing. Guidelines for antibiotic use are available in larger nursing hospitals. Sometimes they are established locally as procedures, algorithms. Almost all participants expressed wish to have national guidelines. Antibiotic prescribing is generally based on doctor's decision, most often empirically in both types of hospitals. However in regional or smaller hospitals the staff prefers not to change any routine. According to physicians affirmation pharmaceutical companies don't influence antibiotic choice and prescribing. That is even more evident in nursing hospitals, as because of low consumption pharmaceutical companies are not interested in advertising, presenting antibiotics there. The need of knowledge and teaching on antibiotic subject was expressed in general hospitals and not prioritized in nursing hospitals, where other topics were considered to be more relevant.
Conclusions: The study revealed the absence of strict national policy on antibiotic use in Lithuanian hospitals in general. Lack of stewardship was enlightened as the main problem to work on.
|Session name:||Abstracts 20th European Congress of Clinical Microbiology and Infectious Diseases|
|Location:||Vienna, Austria, 10 - 13 April 2010|
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