Healthcare worker views on antimicrobial resistance in chronic respiratory disease
Abstract Background and objective Antimicrobial resistance (AMR) is a global crisis, however, relatively little is known regarding its impact in chronic respiratory disease and the specific challenges faced by healthcare workers across the world in this field. We aimed to assess global healthcare wo...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Antimicrobial Resistance and Infection Control |
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| Online Access: | https://doi.org/10.1186/s13756-025-01515-8 |
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| author | Sachin Ananth Adekunle O. Adeoti Animesh Ray Peter G. Middleton Miquel Ekkelenkamp Stephanie Thee Anand Shah the AMR-Lung Clinical Research Collaboration |
| author_facet | Sachin Ananth Adekunle O. Adeoti Animesh Ray Peter G. Middleton Miquel Ekkelenkamp Stephanie Thee Anand Shah the AMR-Lung Clinical Research Collaboration |
| author_sort | Sachin Ananth |
| collection | DOAJ |
| description | Abstract Background and objective Antimicrobial resistance (AMR) is a global crisis, however, relatively little is known regarding its impact in chronic respiratory disease and the specific challenges faced by healthcare workers across the world in this field. We aimed to assess global healthcare worker views on the challenges they face regarding AMR in chronic respiratory disease. Methods An online survey was sent to healthcare workers globally working in chronic respiratory disease through a European Respiratory Society clinical research collaboration (AMR-Lung) focussed on AMR in chronic lung disease. Responses from different geographic regions were analysed. Results 279 responses were received across 60 countries. 54.5% of respondents encountered AMR in chronic respiratory disease weekly. There were differences in perceived high-priority diseases and species with AMR burden between Europe, Asia and Africa. 76.4% of respondents thought that inappropriate antimicrobial prescribing in chronic respiratory disease was common. However, only 43.4% of respondents thought that there were adequate antimicrobial stewardship programmes in their area for chronic respiratory disease, with limited availability in outpatient (29.0%) and ambulatory settings (24.7%). Developing rapid diagnostics for antimicrobial susceptibility (59.5%) was perceived to be the most common challenge in implementing antimicrobial stewardship, with an improved understanding of regional epidemiology of AMR strains the most important factor to improve outcome (55.2%). Conclusions AMR has significant perceived burden in chronic respiratory disease by healthcare professionals globally. However, current implementation of antimicrobial stewardship is limited, with significant challenges related to the availability of rapid diagnostics and understanding of regional epidemiology of AMR strains. |
| format | Article |
| id | doaj-art-e10c07437bdb40e1bb58a25724cd9745 |
| institution | Kabale University |
| issn | 2047-2994 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj-art-e10c07437bdb40e1bb58a25724cd97452025-01-26T12:53:04ZengBMCAntimicrobial Resistance and Infection Control2047-29942025-01-0114111210.1186/s13756-025-01515-8Healthcare worker views on antimicrobial resistance in chronic respiratory diseaseSachin Ananth0Adekunle O. Adeoti1Animesh Ray2Peter G. Middleton3Miquel Ekkelenkamp4Stephanie Thee5Anand Shah6the AMR-Lung Clinical Research CollaborationLondon North West University Healthcare NHS TrustEkiti State University Teaching HospitalAll India Institute of Medical SciencesCITRICA, Department of Respiratory and Sleep Medicine, Westmead Clinical School, University of SydneyUniversity Medical Center UtrechtCharité-Universitätsmedizin BerlinRoyal Brompton Hospital, Guy’s and St. Thomas’ NHS Foundation TrustAbstract Background and objective Antimicrobial resistance (AMR) is a global crisis, however, relatively little is known regarding its impact in chronic respiratory disease and the specific challenges faced by healthcare workers across the world in this field. We aimed to assess global healthcare worker views on the challenges they face regarding AMR in chronic respiratory disease. Methods An online survey was sent to healthcare workers globally working in chronic respiratory disease through a European Respiratory Society clinical research collaboration (AMR-Lung) focussed on AMR in chronic lung disease. Responses from different geographic regions were analysed. Results 279 responses were received across 60 countries. 54.5% of respondents encountered AMR in chronic respiratory disease weekly. There were differences in perceived high-priority diseases and species with AMR burden between Europe, Asia and Africa. 76.4% of respondents thought that inappropriate antimicrobial prescribing in chronic respiratory disease was common. However, only 43.4% of respondents thought that there were adequate antimicrobial stewardship programmes in their area for chronic respiratory disease, with limited availability in outpatient (29.0%) and ambulatory settings (24.7%). Developing rapid diagnostics for antimicrobial susceptibility (59.5%) was perceived to be the most common challenge in implementing antimicrobial stewardship, with an improved understanding of regional epidemiology of AMR strains the most important factor to improve outcome (55.2%). Conclusions AMR has significant perceived burden in chronic respiratory disease by healthcare professionals globally. However, current implementation of antimicrobial stewardship is limited, with significant challenges related to the availability of rapid diagnostics and understanding of regional epidemiology of AMR strains.https://doi.org/10.1186/s13756-025-01515-8Infection and inflammationInfection controlRespiratory infectionsTuberculosisChronic bronchiectasisClinical epidemiology |
| spellingShingle | Sachin Ananth Adekunle O. Adeoti Animesh Ray Peter G. Middleton Miquel Ekkelenkamp Stephanie Thee Anand Shah the AMR-Lung Clinical Research Collaboration Healthcare worker views on antimicrobial resistance in chronic respiratory disease Antimicrobial Resistance and Infection Control Infection and inflammation Infection control Respiratory infections Tuberculosis Chronic bronchiectasis Clinical epidemiology |
| title | Healthcare worker views on antimicrobial resistance in chronic respiratory disease |
| title_full | Healthcare worker views on antimicrobial resistance in chronic respiratory disease |
| title_fullStr | Healthcare worker views on antimicrobial resistance in chronic respiratory disease |
| title_full_unstemmed | Healthcare worker views on antimicrobial resistance in chronic respiratory disease |
| title_short | Healthcare worker views on antimicrobial resistance in chronic respiratory disease |
| title_sort | healthcare worker views on antimicrobial resistance in chronic respiratory disease |
| topic | Infection and inflammation Infection control Respiratory infections Tuberculosis Chronic bronchiectasis Clinical epidemiology |
| url | https://doi.org/10.1186/s13756-025-01515-8 |
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