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 associated control measures among French HCWs. Training on hand hygiene and measures to control MDRO spread may be helpful in shaping beliefs and perceptions on MDRO control among other possible associated factors. Messages should be tailored to professional status and their perception. Other approaches should be designed, with more effective methods of training and cognitive interventions.

Voor volledige artikel, klik hier, gepubliceerd in Antimicrobial Resistance and Infection Control (2019) 8:173

Auteurs: L. Vaillant1* , G. Birgand2, M. Esposito-Farese3, P. Astagneau4, C. Pulcini5, J. Robert6, J. R. Zahar7,8, E. Sales-Wuillemin9, F. Tubach10, J. C. Lucet1,8 and the PerceptR Study group

1AP-HP, Bichat-Claude Bernard Hospital, Infection Control Unit, 48 rue HenriHuchard, F-75018 Paris, France.
2Department of Medicine, NIHR, ImperialCollege London, Health Protection Research Unit in Antimicrobial Resistanceand Healthcare Associated Infection Imperial College London, SouthKensington Campus, London SW7 2AZ, UK.
3AP-HP, Bichat-Claude BernardHospital, Unité de Recherche Clinique Paris Nord Val de Seine and CIC-EC1425, 48 rue Henri Huchard, F-75018 Paris, France.
4Medecine SorbonneUniversity, AP-HP, Regional centre for Prevention of Healthcare-associatedinfections, 8 rue Maria Helena Vieira da Silva, 75014 Paris, France.
5EA 4360APEMAC, CHRU de Nancy, University of Lorraine, Infectious and TropicalDiseases Unit, 34 Cours Léopold, 54000 Nancy, France.
6Sorbonne University,U1135, Team E13, CR7 INSERM, AP-HP, Pitié-Salpêtrière Hospital,Bactériologie-Hygiène, 47-83 Boulevard de l’Hôpital, 75013 Paris, France.
7AP-HP, Avicenne Hospital, Infection Control Unit, 125 Rue de Stalingrad,93000 Bobigny, France.
8University of Paris, INSERM, IAME, UMR 1137, Paris,France.
9University of Bourgogne Franche-Comté SPMS, Dijon, France.10INSERM, UMR 1123, AP-HP, Pitié-Salpêtrière Hospital, Centre dePharmacoépidémiologie (Cephepi), 75013 Paris, France.

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