Journal of Infection Prevention最新文献

{"title":"Incidence and risk factors of surgical site infections after coronary artery bypass grafting surgery in Oman.","authors":"Fatma M AlRiyami,&nbsp;Omar M Al-Rawajfah,&nbsp;Sulaiman Al Sabei,&nbsp;Hilal A Al Sabti","doi":"10.1177/17571774221127553","DOIUrl":"10.1177/17571774221127553","url":null,"abstract":"<p><strong>Background: </strong>There is limited information about the incidence and risk factors of surgical site infections (SSIs) after coronary artery bypass (CABG) surgeries in the Omani population.</p><p><strong>Aim: </strong>To estimate the prevalence and describe possible risk factors of SSIs after CABG surgeries in Oman.</p><p><strong>Method: </strong>A retrospective nested case-control design was used to screen 596 patients who underwent CABG surgeries over 2 years (2016-2017) in two tertiary hospitals in Oman. The CDC definition for SSIs was used to identify the infected cases.</p><p><strong>Results: </strong>Prevalence rate of SSIs was 17.4% and 17.5% in 2016 and 2017, respectively. The most isolated microorganism was Gram-positive bacteria (45.2%). Risk factors of SSIs include female gender (OR = 3.2, <i>p</i> < 0.001), diabetes (OR = 5.83, <i>p</i> < 0.001), overweight or obese (OR = 2.14, <i>p</i> < 0.05) and shaving technique [using razor shaving] (OR = 8.4, <i>p</i> < 0.001). Readmission rate for the case group was 44.2%.</p><p><strong>Conclusion: </strong>The infection rate of SSIs after CABG surgeries in developing countries, such as Oman, is considerably high. There is an urgent need to establish SSIs preventive program at the national level. Frequent and systematic assessment of infection control practices before and after CABG surgeries is fundamental and priority strategy to prevent SSIs.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 6","pages":"285-292"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40568892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender disparity and stigma experience of patients with chronic hepatitis B virus infection: A prospective cross-sectional study from a hospital in Nigeria.","authors":"Olusegun Adekanle,&nbsp;Akinwumi Oluwole Komolafe,&nbsp;Oluwasegun Ijarotimi,&nbsp;Anu Samuel Olowookere,&nbsp;Dennis A Ndububa","doi":"10.1177/17571774221127546","DOIUrl":"10.1177/17571774221127546","url":null,"abstract":"<p><strong>Backgound: </strong>Hepatitis B virus (HBV) infected persons often suffer stigma. Stigma can come from the society or be self-induced. This study assessed the gender differences and stigma experience of patients with HBV.</p><p><strong>Methods: </strong>Prospective cross-sectional design with a qualitative element using a pretested interviewer administered questionnaire and an in-depth oral interview of HBV infected patients. Quantitative data obtained were entered into SPSS version 20 and analyzed using simple descriptive and inferential statistics, while content analysis was used for the qualitative data.</p><p><strong>Results: </strong>Total of 242 respondents answered the quantitative questionnaire. There were 142(58.7%) males and 100 (41.3%) females; age range was 18-72 years with mean (SD) of 35.4(10.7) years. Overall stigma rate was 23.1%. Stigma resulted from a positive HBsAg test, and the experience was unaffected by other markers of HBV infection. Stigma was higher in the domain of disease transmission for both single and married respondents and was particularly higher among males than females. Stigma among females affected pre-marital engagements and also caused marital disharmony among married respondents. In-depth oral interview of 23 HBV infected respondents revealed that many exhibited self-stigma, had wrong knowledge of HBV infection modes, complications, and interpretation of HBV internet information which aggravated stigma reactions.</p><p><strong>Conclusions: </strong>Stigma of HBV is high and majorly in the domain of disease transmission. It is higher in males than females. Enlightenment campaign targeting singles and married couples and HBV infection modes is advocated.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 6","pages":"263-268"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40566397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tuberculosis in elderly: Epidemiological profile, prognosis factors and chronological trends in Southern Tunisia, 1995-2016.","authors":"Maroua Trigui,&nbsp;Houda Ben Ayed,&nbsp;Makram Koubaa,&nbsp;Mariem Ben Hmida,&nbsp;Maissa Ben Jmaa,&nbsp;Sourour Yaich,&nbsp;Tarek Ben Jmaa,&nbsp;Fatma Hammami,&nbsp;Habib Fki,&nbsp;Jamel Damak,&nbsp;Mounir Ben Jemaa","doi":"10.1177/17571774221127540","DOIUrl":"10.1177/17571774221127540","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis (TB) has become a public health problem among elderly in developing countries with the gradual increase in life expectancy.</p><p><strong>Aim/objective: </strong>This study aimed to analyze the prognosis factors and chronological trends of TB in elderly in Southern Tunisia.</p><p><strong>Methods: </strong>A retrospective study was conducted. All TB patients aged ≥60 years, recorded in the Center of TB Control between 1995 and 2016, were included. Chronological trends of TB were analyzed by calculating the correlation coefficient of Spearman (Rho). Multivariate analysis was done by binary logistic regression (Adjusted Odds ratio (AOR); CI; <i>p</i>) to determine the independent risk factors associated with unsuccessful outcome in elderly. A <i>p</i> value <0.05 was considered as statistically significant.</p><p><strong>Results: </strong>Overall, 512 new elderly TB cases were notified between 1995 and 2016, with an average of 23.3 new cases/year. The mean TB incidence rate for elderly was 2.31/100,000 population/year. The case-fatality rate of 8.6%. Multivariate analysis showed that factors independently associated with unsuccessful outcome among elderly patients were age between 80 and 89 (AOR = 4.5; [95% CI: 2, 10.2]; <i>p</i> < 0.001), male gender (AOR = 2.2; [95% CI: 1.1, 4.4]; <i>p</i> = 0.026) and neuro-meningeal involvement (AOR = 4.6; [95% CI: 1.4, 14.8]; <i>p</i> = 0.011). The incidence of TB in elderly patients increased significantly from 0.95/100,000 population in 1995 to 2.17/100,000 population in 2016 (Rho = 0.48; <i>p</i> = 0.024).</p><p><strong>Discussion: </strong>A better understanding of TB features in elderly and its chronological trends overtime would facilitate to put in place, in the national TB control program, strategies geared towards this group of people.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 6","pages":"255-262"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40568893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aspergillus in COVID-19 intensive care unit; what is lurking above your head?","authors":"Sue Dailly,&nbsp;Erin Boatswain,&nbsp;Julie Brooks,&nbsp;Glen Campbell,&nbsp;Katy Dallow,&nbsp;Ahilanandan Dushianthan,&nbsp;Sarah Glover,&nbsp;Melanie Griffiths,&nbsp;Sanjay Gupta,&nbsp;James Austin,&nbsp;Robert Chambers,&nbsp;Sarah Jeremiah,&nbsp;Charlotte Morris,&nbsp;Nitin Mahobia,&nbsp;Martyn Poxon,&nbsp;Alison Rickman,&nbsp;Helen Jaques,&nbsp;Tatshing Yam,&nbsp;Kordo Saeed","doi":"10.1177/17571774221127548","DOIUrl":"https://doi.org/10.1177/17571774221127548","url":null,"abstract":"<p><strong>Introduction: </strong>Through routine respiratory samples surveillance among COVID-19 patients in the intensive care, three patients with aspergillus were identified in a newly opened general intensive care unit during the second wave of the pandemic.</p><p><strong>Methodology: </strong>As no previous cases of aspergillus had occurred since the unit had opened. An urgent multidisciplinary outbreak meeting was held. The possible sources of aspergillus infection were explored. The multidisciplinary approach enabled stakeholders from different skills to discuss possible sources and management strategies. Environmental precipitants like air handling units were considered and the overall clinical practice was reviewed. Settle plates were placed around the unit to identify the source. Reports of recent water leaks were also investigated.</p><p><strong>Results: </strong>Growth of aspergillus on a settle plate was identified the potential source above a nurse's station. This was the site of a historic water leak from the ceiling above, that resolved promptly and was not investigated further. Subsequent investigation above the ceiling tiles found pooling of water and mould due to a slow water leak from a pipe.</p><p><strong>Conclusion: </strong>Water leaks in patient areas should be promptly notified to infection prevention. Detailed investigation to ascertain the actual cause of the leak and ensure any remedial work could be carried out swiftly. Outbreak meetings that include diverse people with various expertises (clinical and non-clinical) can enable prompt identification and resolution of contaminated areas to minimise risk to patients and staff. During challenging pandemic periods hospitals must not lose focus on other clusters and outbreaks occurring simultaneously.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 6","pages":"278-284"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9475376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40566400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diary.","authors":"","doi":"10.1177/17571774221114364","DOIUrl":"https://doi.org/10.1177/17571774221114364","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 5","pages":"250"},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393599/pdf/10.1177_17571774221114364.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of patient delay among pulmonary tuberculosis patients in Northeast Thailand.","authors":"Kampanart Chaychoowong,&nbsp;Roger Watson,&nbsp;David I Barrett","doi":"10.1177/17571774221094164","DOIUrl":"https://doi.org/10.1177/17571774221094164","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary tuberculosis (PTB) is a major health problem in Thailand. Delay in getting treatment is an important factor which may worsen the disease and increase TB transmission.</p><p><strong>Objective: </strong>This study aimed to investigate the duration and predictors of patient delay among PTB patients in Northeast Thailand.</p><p><strong>Methods: </strong>A cross-sectional study was undertaken using a structured questionnaire in nine districts in Nakhon Ratchasima Province from July to September 2018. The duration between the first symptom onset and the first visit to a health facility was determined, with a period of greater than 30 days defined as patient delay. Multiple logistic regression was used to identify predictors of the delay.</p><p><strong>Results: </strong>300 PTB patients participated in the survey, with patient delay identified in 39% of respondents. The median duration of the delay was 35 days among participants overall. Through multivariate analysis, primary education, upper secondary education, previous TB knowledge, TB recognition, TB stigmatisation, weight loss, self-treatment, the number of visits with health providers and using a motorcycle to travel to the hospital were significant predictors of patient delay.</p><p><strong>Discussion: </strong>Knowledge needs to be provided to people to increase their recognition and minimise stigmatisation of TB. Education about TB screening needs to be revised and delivered to health providers to increase and improve TB detection processes.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 5","pages":"222-227"},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393596/pdf/10.1177_17571774221094164.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gap between self-evaluation and actual hand hygiene compliance among health-care workers.","authors":"Hideharu Hagiya,&nbsp;Ryosuke Takase,&nbsp;Yosuke Sazumi,&nbsp;Yoshito Nishimura,&nbsp;Hiroyuki Honda,&nbsp;Fumio Otsuka","doi":"10.1177/17571774221094160","DOIUrl":"https://doi.org/10.1177/17571774221094160","url":null,"abstract":"<p><p>Hand hygiene (HH) compliance among health-care workers has not satisfactorily improved despite multiple educative approaches. Between October 2019 and February 2020, we performed a self-evaluation test and a direct observation for the compliance of the 5 Moments for Hand Hygiene program advocated by the World Health Organization at two Japanese hospitals. Average percentages of self-evaluated HH compliance were as follows: (i) 76.9% for \"Before touching a patient,\" (ii) 85.8% for \"Before clean/aseptic procedures,\" (iii) 95.9% for \"After body fluid exposure/risk,\" (iv) 84.0% for \"After touching a patient,\" and (v) 69.2% for \"After touching patient surroundings.\" On the other hand, actual HH compliance was 11.7% for \"Before touching a patient\" and 18.0% for \"After touching a patient or patient surroundings.\" The present study demonstrated a big gap between self-evaluation and actual HH compliance among nurses working at hospitals, indicating the need of further providing the education in infection prevention.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 5","pages":"239-242"},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393601/pdf/10.1177_17571774221094160.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free online genome analyses reveal multiple strains in the beginning of a hospital outbreak of <i>Enterobacter hormaechei</i> carrying <i>bla</i> _OXA-436 carbapenemase gene.","authors":"Michael Kemp,&nbsp;Magnus G Jespersen,&nbsp;Annette Toft,&nbsp;Anette Holm","doi":"10.1177/17571774221107293","DOIUrl":"https://doi.org/10.1177/17571774221107293","url":null,"abstract":"<p><p>Free online tools for bacterial genome analyses are available for local infection surveillance at hospitals. The tools do not require bioinformatic expertise and provide rapid actionable results. Within half a year carbapenemase producing <i>Enterobacter cloacae</i> was reported in clinical samples from three patients who had been hospitalized at the same ward. The aim of this outbreak investigation was to characterize and compare genomes of the isolated bacteria in order to determine molecular evidence of hospital transmission. The three isolates and two isolates reported as susceptible to carbapenems were locally analyzed by whole genome sequencing (WGS). Draft genome assembly, species identification, phylogenetic analyses, typing, resistance gene determination, and plasmid analyses were carried out using free online tools from the Center for Genomic Epidemiology (CGE). Genome analyses identified all three suspected outbreak isolates as <i>E. hormaechei</i> carrying <i>bla</i> _OXA-436 gene. Two of the suspected outbreak isolates were closely related, while one was substantially different from them. Horizontal transfer of plasmid may have taken place in the ward. Detailed knowledge on the genomic composition of bacteria in suspected hospital outbreaks can be obtained by free online tools and may reveal transfer of resistance genes between different strains in addition to dissemination of specific clones.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 5","pages":"243-247"},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393603/pdf/10.1177_17571774221107293.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Staff views need to be at the centre of electronic hand hygiene monitoring system development.","authors":"Katie-Rose Cawthorne,&nbsp;Richard P D Cooke","doi":"10.1177/17571774221092530","DOIUrl":"https://doi.org/10.1177/17571774221092530","url":null,"abstract":"We read with great interest Kelly et al.’s qualitative study of healthcare worker (HCW) perceptions of an electronic hand hygiene monitoring system (EMS) (2021). It is excellent to read of a successful implementation of a new innovative approach to hand hygiene (HH) monitoring in a busy NHS hospital. Though the qualitative analysis (from the 11 frontline HCWs interviewed) demonstrated mixed opinions, this study does provide cautious optimism about the longterm adoption of EMS technology by NHS staff. This should encourage other Infection Prevention and Control (IPC) teams to evaluate the impact of EMS technology in their own clinical practice. As demonstrated in this study, staff members recognise the importance of embracing change and the opportunities that EMS technology can bring in improving HH compliance and reducing healthcare-associated infections (HCAI). We therefore commend the authors’ initiative in wishing to seek HCW views of an implemented EMS. For any HH initiative to be effective, staff must be at the centre of the innovation process, and must be assured that they have ownership and control of the process. However, a limitation of this study is that interviews were restricted to a small group of nursing staff and healthcare assistants. As medical staff are well recognised to have low rates of HH compliance, (Pittet et al., 2000) it would have been useful to explore the perspectives of this staff group. A large staff survey which analysed 1200 responses across two acute NHS trusts (Cawthorne and Cooke, 2020) indicates that all staff groups take HH seriously, have concerns about direct observation (DO) audits and are generally supportive of new technological innovations. As part of a team of innovators working in an acute specialist NHS trust, we are taking a very different approach to EMS development compared to the system used by Kelly et al. and other current commercial applications. Our approach, Hy-genie (Cawthorne et al., 2022), has been underpinned by extensive staff consultations which is why the theme of exploring staff acceptability of how feedback is delivered is so critically important. As highlighted by Kelly et al., their chosen EMS may ‘monitor how effective we are but doesn’t make us more effective’. Many EMS, including the one used in their study, measure HH compliance, that is, HH opportunities taken against total HH opportunities available (HHOA). This means that EMSmust accurately be able to capture all HHOA. A concern raised in this study was that HCWsmay disagree with the EMSwhen recognising an HHOA. Thus, some HCWs found the EMS to undermine their own clinical judgement on when HH should be performed (‘I haven’t touched any patients but I have been in their bed space which says I should gel but I haven’t touched anyone’). In the development of our own EMS, we have sought an alternative approach to overcome this technical challenge. Rather than measuring HH compliance, our EMS simply measures HH frequency. It is","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 5","pages":"248-249"},"PeriodicalIF":1.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393604/pdf/10.1177_17571774221092530.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical interns' views on the strategies for reducing antibiotic misuse in the hospitals-what guidelines do they follow?","authors":"Kai Sing Sun, Tai Pong Lam, Tak Hon Chan, Kwok Fai Lam, Kit Wing Kwok, Hoi Yan Chan, Pak Leung Ho","doi":"10.1177/17571774221094154","DOIUrl":"10.1177/17571774221094154","url":null,"abstract":"<p><strong>Objectives: </strong>Although the topic of antibiotic misuse is taught in medical schools, interns (fresh medical graduates) still encounter barriers to appropriate antibiotic prescription when they practice in hospitals under supervision. The impact of teaching in medical school, antibiotics stewardship program (ASP), and prescription guidelines was uncertain. This study explored the medical interns' views on antibiotic use and resistance, and their perceived enablers to appropriate antibiotic prescription.</p><p><strong>Methods: </strong>Two focus groups were conducted among medical interns with rotation experiences in different public hospitals of Hong Kong. The identified themes about attitudes to antibiotic resistance and enablers to appropriate antibiotic prescription were further examined by a questionnaire survey with 77 respondents.</p><p><strong>Results: </strong>The interns had lower preferences for tackling antibiotic resistance as they feared of delayed prescriptions. Guidelines provided by international evidence-based clinical resources and the interns' working hospitals were stronger enablers to appropriate antibiotic use than education materials from schools and the government. Qualitative findings revealed that the interns were aware of the existing ASP but doubted its effectiveness as it failed to get the prescribers' attention. They followed guidelines in their wards but perceived guidelines from local health authorities user-unfriendly. Knowledge from medical school was not very applicable. Varying prescribing practices between hospitals and the densely placed hospital beds made it difficult to prevent the spread of antimicrobial resistance.</p><p><strong>Conclusions: </strong>Minimizing delayed prescription is of a higher priority than tackling antibiotic resistance in medical interns' perspective. Interventions should target guidelines in hospitals and simplify the interface of local guidelines.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"23 5","pages":"214-221"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393602/pdf/10.1177_17571774221094154.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}