Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam

(1) Background: The antibiotic resistance (ABR) rates are escalating to seriously high levels worldwide. This study was conducted to determine physicians' perspectives on factors influencing ABR in Vietnam. (2) Methods: Focus group discussion (FGD) was conducted through in-depth interviews on A...

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Main Authors: Di, Khanh Nguyen, Tay, Sun Tee, Ponnampalavanar, Sasheela Sri La Sri, Pham, Duy Toan, Wong, Li Ping
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Published: MDPI 2023
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Online Access:http://eprints.um.edu.my/38988/
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spelling my.um.eprints.389882023-12-01T08:58:36Z http://eprints.um.edu.my/38988/ Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam Di, Khanh Nguyen Tay, Sun Tee Ponnampalavanar, Sasheela Sri La Sri Pham, Duy Toan Wong, Li Ping RM Therapeutics. Pharmacology (1) Background: The antibiotic resistance (ABR) rates are escalating to seriously high levels worldwide. This study was conducted to determine physicians' perspectives on factors influencing ABR in Vietnam. (2) Methods: Focus group discussion (FGD) was conducted through in-depth interviews on ABR perspectives with 5-6 physicians from different geographical locations and hospitals in Vietnam between March and June 2020. The research questions were focused on three main themes of (a) knowledge deficiency on ABR and hospital-acquired infection, (b) antibiotic prescribing practice among clinicians in the healthcare setting, and (c) regulations and hospital policies on antibiotic use. The descriptive analysis was performed using QRS NVivo software. (3) Results: A total of six FGDs were conducted among 34 physicians (18 males, 16 females) aged 26-53 years old from six public and six private hospitals in Vietnam. Most of the participants were attending physicians (85.3%) and had 5-10 years of experience in surgical wards (55.9%). For theme (a), a majority of participants agreed that they had adequate information updates on how ABR develops in their clinical setting; and were well aware of hospital-acquired infections. For theme (b), the participants agreed that WHO guidelines and Vietnam national guidelines were two important reference documents in guiding physicians in antibiotic use. For theme (c), the FGD study revealed awareness of ABR, hospital antibiotic policies, and procedures for administrators on antibiotic use that were updated and complied with. (4) Conclusions: While different levels of control measures against ABR are ongoing in Vietnam, several weaknesses in the current antibiotic prescribing strategies in the hospital and clinical setting management policies have been identified in the healthcare system. The research findings will be helpful for policymakers to have better plans of action against ABR in Vietnam. MDPI 2023-01 Article PeerReviewed Di, Khanh Nguyen and Tay, Sun Tee and Ponnampalavanar, Sasheela Sri La Sri and Pham, Duy Toan and Wong, Li Ping (2023) Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam. Healthcare, 11 (1). ISSN 2227-9032, DOI https://doi.org/10.3390/healthcare11010126 <https://doi.org/10.3390/healthcare11010126>. 10.3390/healthcare11010126
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RM Therapeutics. Pharmacology
spellingShingle RM Therapeutics. Pharmacology
Di, Khanh Nguyen
Tay, Sun Tee
Ponnampalavanar, Sasheela Sri La Sri
Pham, Duy Toan
Wong, Li Ping
Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam
description (1) Background: The antibiotic resistance (ABR) rates are escalating to seriously high levels worldwide. This study was conducted to determine physicians' perspectives on factors influencing ABR in Vietnam. (2) Methods: Focus group discussion (FGD) was conducted through in-depth interviews on ABR perspectives with 5-6 physicians from different geographical locations and hospitals in Vietnam between March and June 2020. The research questions were focused on three main themes of (a) knowledge deficiency on ABR and hospital-acquired infection, (b) antibiotic prescribing practice among clinicians in the healthcare setting, and (c) regulations and hospital policies on antibiotic use. The descriptive analysis was performed using QRS NVivo software. (3) Results: A total of six FGDs were conducted among 34 physicians (18 males, 16 females) aged 26-53 years old from six public and six private hospitals in Vietnam. Most of the participants were attending physicians (85.3%) and had 5-10 years of experience in surgical wards (55.9%). For theme (a), a majority of participants agreed that they had adequate information updates on how ABR develops in their clinical setting; and were well aware of hospital-acquired infections. For theme (b), the participants agreed that WHO guidelines and Vietnam national guidelines were two important reference documents in guiding physicians in antibiotic use. For theme (c), the FGD study revealed awareness of ABR, hospital antibiotic policies, and procedures for administrators on antibiotic use that were updated and complied with. (4) Conclusions: While different levels of control measures against ABR are ongoing in Vietnam, several weaknesses in the current antibiotic prescribing strategies in the hospital and clinical setting management policies have been identified in the healthcare system. The research findings will be helpful for policymakers to have better plans of action against ABR in Vietnam.
format Article
author Di, Khanh Nguyen
Tay, Sun Tee
Ponnampalavanar, Sasheela Sri La Sri
Pham, Duy Toan
Wong, Li Ping
author_facet Di, Khanh Nguyen
Tay, Sun Tee
Ponnampalavanar, Sasheela Sri La Sri
Pham, Duy Toan
Wong, Li Ping
author_sort Di, Khanh Nguyen
title Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam
title_short Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam
title_full Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam
title_fullStr Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam
title_full_unstemmed Physician's perspectives on factors influencing antibiotic resistance: A qualitative study in Vietnam
title_sort physician's perspectives on factors influencing antibiotic resistance: a qualitative study in vietnam
publisher MDPI
publishDate 2023
url http://eprints.um.edu.my/38988/
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score 13.211869