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Awareness among French healthcare workers of the transmission of multidrug resistant organisms: a large cross-sectional survey

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  • Additional Information
    • Contributors:
      AP-HP - Hôpital Bichat - Claude Bernard Paris; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP); Imperial College London; Centre d'investigation Clinique CHU Bichat - Épidémiologie clinique (CIC 1425); Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM); Sorbonne Université - Faculté de Médecine (SU FM); Sorbonne Université (SU); Adaptation, mesure et évaluation en santé. Approches interdisciplinaires (APEMAC); Université de Lorraine (UL); Service des Maladies Infectieuses et Tropicales CHRU Nancy; Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy); Centre d'Immunologie et des Maladies Infectieuses (CIMI); Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS); CHU Pitié-Salpêtrière AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU); Hôpital Avicenne AP-HP; Infection, Anti-microbiens, Modélisation, Evolution (IAME (UMR_S_1137 / U1137)); Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord; Laboratoire de Socio-Psychologie et Management du Sport (SPMS); Université de Bourgogne (UB); Epidémiologie Clinique et Evaluation Economique Appliquées aux Populations Vulnérables (ECEVE (U1123 / UMR_S_1123)); Institut National de la Santé et de la Recherche Médicale (INSERM)-AP-HP Hôpital universitaire Robert-Debré Paris; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Cité (UPCité)
    • Publication Information:
      CCSD
      BioMed Central
    • Publication Date:
      2019
    • Collection:
      Université Paris 13: HAL
    • Abstract:
      International audience ; Abstract Background Much effort has been made over the last two decades to educate and train healthcare professionals working on antimicrobial resistance in French hospitals. However, little has been done in France to assess perceptions, attitudes and knowledge regarding multidrug resistant organisms (MDROs) and, more globally, these have never been evaluated in a large-scale population of medical and non-medical healthcare workers (HCWs). Our aim was to explore awareness among HCWs by evaluating their knowledge of MDROs and the associated control measures, by comparing perceptions between professional categories and by studying the impact of training and health beliefs.Methods A multicentre cross-sectional study was conducted in 58 randomly selected French healthcare facilities with questionnaires including professional and demographic characteristics, and knowledge and perception of MDRO transmission and control. A knowledge score was calculated and used in a logistic regression analysis to identify factors associated with higher knowledge of MDROs, and the association between knowledge and perception.Results Between June 2014 and March 2016, 8716/11,753 (participation rate, 74%) questionnaires were completed. The mean knowledge score was 4.7/8 (SD: 1.3) and 3.6/8 (SD: 1.4) in medical and non-medical HCWs, respectively. Five variables were positively associated with higher knowledge: working in a university hospital (adjusted odds ratio, 1.41, 95% CI 1.16–1.70); age classes 26–35 years (1.43, 1.23–1.6) and 36–45 years (1.19, 1.01–1.40); medical professional status (3.7, 3.09–4.44), working in an intensive care unit (1.28, 1.06–1.55), and having been trained on control of antimicrobial resistance (1.31, 1.16–1.48). After adjustment for these variables, greater knowledge was significantly associated with four cognitive factors: perceived susceptibility, attitude toward hand hygiene, self-efficacy, and motivation. Conclusions We found a low level of MDRO awareness and knowledge of ...
    • Relation:
      info:eu-repo/semantics/altIdentifier/pmid/31749961; PUBMED: 31749961; PUBMEDCENTRAL: PMC6852912
    • Accession Number:
      10.1186/s13756-019-0625-0
    • Online Access:
      https://shs.hal.science/halshs-03553595
      https://shs.hal.science/halshs-03553595v1/document
      https://shs.hal.science/halshs-03553595v1/file/VAILLANT%20Laetitia%20PREPRINT%20PerceptR-art-connaissance_LID_12%20juinXX.pdf
      https://doi.org/10.1186/s13756-019-0625-0
    • Rights:
      info:eu-repo/semantics/OpenAccess
    • Accession Number:
      edsbas.CD43D42