Healthcare Professionals’ Knowledge and Beliefs on Antibiotic Prophylaxis in Cesarean Section: A Mixed-Methods Study in Benin
A low adherence to recommendations on antibiotic prophylaxis has been reported worldwide. Since 2009, cesarean sections have been performed under user fee exemption in Benin with a free kit containing the required supplies and antibiotics for prophylaxis. Despite the kit, the level of antibiotic pro...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/11/7/872 |
| _version_ | 1797407802714488832 |
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| author | Angèle Modupè Dohou Valentina Oana Buda Severin Anagonou Françoise Van Bambeke Thierry Van Hees Francis Moïse Dossou Olivia Dalleur |
| author_facet | Angèle Modupè Dohou Valentina Oana Buda Severin Anagonou Françoise Van Bambeke Thierry Van Hees Francis Moïse Dossou Olivia Dalleur |
| author_sort | Angèle Modupè Dohou |
| collection | DOAJ |
| description | A low adherence to recommendations on antibiotic prophylaxis has been reported worldwide. Since 2009, cesarean sections have been performed under user fee exemption in Benin with a free kit containing the required supplies and antibiotics for prophylaxis. Despite the kit, the level of antibiotic prophylaxis achievement remains low. We conducted a convergent parallel design study in 2017 using a self-administered questionnaire and interviews to assess the knowledge and explore the beliefs of healthcare professionals regarding antibiotic prophylaxis in three hospitals. Of the 35 participants, 33 filled out the questionnaire. Based on the five conventional criteria of antibiotic prophylaxis, the mean level of knowledge was 3.3 out of 5, and only 15.2% scored 5 out of 5. From the verbatim of 19 interviewees, determinants such as suboptimal patient status health, low confidence in antibiotics, some disagreement with the policy, inappropriate infrastructures and limited financial resources in hospitals, poor management of the policy in the central level, and patient refusal to buy antibiotics can explain poor practices. Because of the dysfunction at these levels, the patient becomes the major determinant of adequate antibiotic prophylaxis. Policymakers have to consider these determinants for improving antibiotic prophylaxis in a way that ensures patient safety and reduces the incidence of antimicrobial resistance. |
| first_indexed | 2024-03-09T03:47:55Z |
| format | Article |
| id | doaj.art-e564e93888904ea1aae55786b3386fd5 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-09T03:47:55Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-e564e93888904ea1aae55786b3386fd52023-12-03T14:32:36ZengMDPI AGAntibiotics2079-63822022-06-0111787210.3390/antibiotics11070872Healthcare Professionals’ Knowledge and Beliefs on Antibiotic Prophylaxis in Cesarean Section: A Mixed-Methods Study in BeninAngèle Modupè Dohou0Valentina Oana Buda1Severin Anagonou2Françoise Van Bambeke3Thierry Van Hees4Francis Moïse Dossou5Olivia Dalleur6Louvain Drug Research Institute, Université Catholique de Louvain, Avenue Emmanuel Mounier 73, 1200 Brussels, BelgiumFaculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaFaculté des Sciences de la Santé, Université d’Abomey Calavi, Cotonou 01 BP 188, BeninLouvain Drug Research Institute, Université Catholique de Louvain, Avenue Emmanuel Mounier 73, 1200 Brussels, BelgiumCenter for Interdisciplinary Research on Medicines, Université de Liège, Place du 20 Août 7, 4000 Liège, BelgiumFaculté des Sciences de la Santé, Université d’Abomey Calavi, Cotonou 01 BP 188, BeninLouvain Drug Research Institute, Université Catholique de Louvain, Avenue Emmanuel Mounier 73, 1200 Brussels, BelgiumA low adherence to recommendations on antibiotic prophylaxis has been reported worldwide. Since 2009, cesarean sections have been performed under user fee exemption in Benin with a free kit containing the required supplies and antibiotics for prophylaxis. Despite the kit, the level of antibiotic prophylaxis achievement remains low. We conducted a convergent parallel design study in 2017 using a self-administered questionnaire and interviews to assess the knowledge and explore the beliefs of healthcare professionals regarding antibiotic prophylaxis in three hospitals. Of the 35 participants, 33 filled out the questionnaire. Based on the five conventional criteria of antibiotic prophylaxis, the mean level of knowledge was 3.3 out of 5, and only 15.2% scored 5 out of 5. From the verbatim of 19 interviewees, determinants such as suboptimal patient status health, low confidence in antibiotics, some disagreement with the policy, inappropriate infrastructures and limited financial resources in hospitals, poor management of the policy in the central level, and patient refusal to buy antibiotics can explain poor practices. Because of the dysfunction at these levels, the patient becomes the major determinant of adequate antibiotic prophylaxis. Policymakers have to consider these determinants for improving antibiotic prophylaxis in a way that ensures patient safety and reduces the incidence of antimicrobial resistance.https://www.mdpi.com/2079-6382/11/7/872cesarean sectionantibiotic prophylaxis practiceshealthcare professionalsknowledgebeliefsBenin |
| spellingShingle | Angèle Modupè Dohou Valentina Oana Buda Severin Anagonou Françoise Van Bambeke Thierry Van Hees Francis Moïse Dossou Olivia Dalleur Healthcare Professionals’ Knowledge and Beliefs on Antibiotic Prophylaxis in Cesarean Section: A Mixed-Methods Study in Benin Antibiotics cesarean section antibiotic prophylaxis practices healthcare professionals knowledge beliefs Benin |
| title | Healthcare Professionals’ Knowledge and Beliefs on Antibiotic Prophylaxis in Cesarean Section: A Mixed-Methods Study in Benin |
| title_full | Healthcare Professionals’ Knowledge and Beliefs on Antibiotic Prophylaxis in Cesarean Section: A Mixed-Methods Study in Benin |
| title_fullStr | Healthcare Professionals’ Knowledge and Beliefs on Antibiotic Prophylaxis in Cesarean Section: A Mixed-Methods Study in Benin |
| title_full_unstemmed | Healthcare Professionals’ Knowledge and Beliefs on Antibiotic Prophylaxis in Cesarean Section: A Mixed-Methods Study in Benin |
| title_short | Healthcare Professionals’ Knowledge and Beliefs on Antibiotic Prophylaxis in Cesarean Section: A Mixed-Methods Study in Benin |
| title_sort | healthcare professionals knowledge and beliefs on antibiotic prophylaxis in cesarean section a mixed methods study in benin |
| topic | cesarean section antibiotic prophylaxis practices healthcare professionals knowledge beliefs Benin |
| url | https://www.mdpi.com/2079-6382/11/7/872 |
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