Perspectives on Antibiotic Stewardship Programs among Health Care Providers at Two University Hospitals in Egypt.

The perspectives of healthcare professionals on antibiotic stewardship programs (ASPs) should be explored. Any antibiotic stewardship strategy must be individualized based on patient needs, prescription habits, and local resources. The current study aimed to explore the perspectives of healthcare providers on antibiotics stewardship and their awareness of these perspectives. Furthermore, potential barriers to the application of ASPs should be identified and addressed. This exploratory cross-sectional study utilized a qualitative method to evaluate critical care physicians, pediatricians, and clinical pharmacists (n = 43). The mean age of the physicians was 32 ± 1.5 years. Among them, approximately two-thirds (66%) were women. A thematic content analysis was performed to examine the responses of the participants and to prioritize the recommendations for and barriers to the implementation of ASPs from the perspective of healthcare providers. According to the interviewees, the primary obstacles include lack of time in implementation and monitoring and lack of awareness of the need for ASPs. All respondents recommended the implementation of supervised and continuous trainings. In conclusion, the abovementioned barriers must be adequately addressed to facilitate the implementation of ASPs.

Knowledge, attitude, and practice of medical students regarding smoking and substance abuse, Cairo University, Egypt.

BACKGROUND: Involving medical personnel in all aspects of smoking control in the community is indispensable. In a trial to enhance the participation of healthcare professionals in smoking cessation activities, this study was conducted to evaluate knowledge, behavior, and attitude of medical school students regarding smoking and substance abuse. Perception of their future role "as physicians" in combating smoking and substance abuse was also explored. SUBJECTS AND METHODS: A cross-sectional descriptive study was conducted. A self-administered questionnaire based on standardized questionnaires prepared by the World Health Organization covering sections about knowledge, beliefs, and practices of the students regarding smoking and substance abuse was submitted to 296 students enrolled in the Faculty of Medicine of Cairo University, during the academic year 2014-2015. RESULTS: Most of the participants had correct knowledge about health hazards of smoking, where 83.4-93.6% correctly selected the answers, but still stated that they are in need for courses about this issue. Positive attitudes were also expressed towards smoking legislations and tobacco control policies. Cigarette and shisha smoking, bango, and addictive medications abuse were low among the studied group (13.5, 15.2, 2, 3-6.4%, respectively). CONCLUSION AND RECOMMENDATIONS: The prevalence of smoking and substance abuse was relatively low among Cairo University medical students who had generally correct knowledge about the hazards of these practices and positive attitude towards their future role in helping their patients to quit. It may be appropriate to train students about stress management skills through organizing regular "stress coping strategies" sessions to assist them to cope with various stressors and consider implementing counseling programs to support students, especially medical students and the future doctors, who have a leading role in combating smoking and substance abuse in the community.