DEVELOPING AND EVALUATING AN INTEGRATED ANTIMICROBIAL STEWARDSHIP AND INFECTION PREVENTION AND CONTROL TRAINING PROGRAM FOR PRIMARY CARE PHYSICIANS IN TÜRKİYE: A PILOT STUDY

Öz

Objective: This study aimed to develop and evaluate the effectiveness of a structured training program integrating antimicrobial stewardship (AMS) and infection prevention and control (IPC) for primary care physicians.

Material and Method: We developed a structured AMS–IPC training program for primary care physicians. The program was conducted in Ankara, Türkiye with 34 participants, and knowledge level of each participant was assessed using a pre-test, a post-test, and a follow-up test conducted three months after the training.

Result and Discussion: The mean pre-test score was 9.91 out of a maximum of 18 points, which increased to 14.74 out of 18 in the post-test, indicating a statistically significant improvement. (p<0.001). The mean score at the three-month follow-up was 13.1, demonstrating that most of the knowledge gained was retained (p<0.001). The findings demonstrate that integrated AMS and IPC training programs at the primary care level result in significant and sustained knowledge gains and serve as an effective capacity-building tool in combating AMR.

Keywords: Antimicrobial stewardship, infection prevention and control, primary healthcare services, training 

Anahtar Kelimeler

• Antimicrobial stewardship
• infection prevention and control
• primary healthcare services
• training

TÜRKİYE’DE BİRİNCİ BASAMAK HEKİMLERİ İÇİN ENTEGRE ANTİMİKROBİYAL YÖNETİM VE ENFEKSİYON ÖNLEME VE KONTROL EĞİTİM PROGRAMININ GELİŞTİRİLMESİ VE DEĞERLENDİRİLMESİ: BİR PİLOT ÇALIŞMA

Öz

Amaç: Bu çalışma, birinci basamak hekimlerine yönelik antimikrobiyal yönetim (AMY) ve enfeksiyon önleme ve kontrolün (EÖK) entegre edildiği yapılandırılmış bir eğitim programı geliştirmeyi ve etkililiğini değerlendirmeyi amaçladı.

Gereç ve Yöntem: Birinci basamak hekimleri için yapılandırılmış bir AMY–EÖK eğitim programı geliştirildi. Program, Ankara, Türkiye’de 34 katılımcı ile yürütüldü; her katılımcının bilgi düzeyi eğitim öncesi test, eğitim sonrası test ve eğitimden üç ay sonra uygulanan izlem testi ile değerlendirildi.

Sonuç ve Tartışma: Eğitim öncesi ortalama puan 18 üzerinden 9.91 iken, eğitim sonrası 14.74’e yükseldi ve bu artış istatistiksel olarak anlamlıydı (p < 0.001). Üçüncü ay izlem ortalama puanı 13.1 olup, kazanılan bilginin büyük ölçüde korunduğunu göstermektedir (p < 0.001). Bulgular, birinci basamak düzeyinde entegre AMY ve EÖK eğitimlerinin anlamlı ve kalıcı bilgi artışı sağladığını ve antimikrobiyal dirençle (AMR) mücadelede etkili bir kapasite geliştirme aracı olarak işlev gördüğünü göstermektedir.

Anahtar Kelimeler

• Antimikrobiyal yönetim
• birinci basamak sağlık hizmetleri
• eğitim
• enfeksiyon önleme ve kontrol

Kaynakça

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