Development and validation of a questionnaire on the use of antimicrobials in primary health care

Detalhes bibliográficos
Autor(a) principal: Mosmann Menezes, Rochele
Data de Publicação: 2024
Outros Autores: Trevisan, Paula, Santos Gonçalves, Mara Rubia, Machado de Miranda Costa, Magda, Portela de Assis, Mariana, Pinheiro Loureiro, Adália, Ziembowicz, Henrique, Carlosso Krummenauer, Eliane, Renner Pollo Renner, Jane, Carneiro, Marcelo
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/19361
Resumo: Background and Objectives: Antimicrobial resistance is a global threat to public health and is related to excessive and inappropriate use of antimicrobials. In Brazil, there are few studies on infection prevention and control strategies and antimicrobial management in primary healthcare. In this study, we developed and validated a questionnaire to assess these strategies. The aim of this study was to develop and validate an evaluation tool designed to investigate the strategies adopted by primary healthcare services to prevent and control infections and manage the use of antimicrobials. Methods:Between February and April 2022, the study involved five Steps: literature review, question development, expert validation, questionnaire finalization, and dissemination. The Content Validity Index was calculated to assess the expert agreement. Results: The final questionnaire with 102 questions was refined based on feedback from experts. The overall average CVI was 0.74, indicating good agreement between experts regarding the representativeness of the items. These suggestions resulted in improvements in the vocabulary and structure of the questionnaire. Conclusion: The questionnaire developed and validated is an accurate and reliable tool for evaluating infection prevention and control strategies and antimicrobial stewardship in primary healthcare. Its use can provide important data for improving health practices, with a view to reducing antimicrobial resistance and improving the quality of services. This study highlights the importance of research in this area to promote the rational use of antimicrobials and strengthen the health system in primary health care.
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spelling Development and validation of a questionnaire on the use of antimicrobials in primary health careDesarrollo y validación de un cuestionario sobre el uso de antimicrobianos en la atención primaria de saludDesenvolvimento e validação de questionário sobre o uso de antimicrobianos na atenção primária à saúdePrimary Health CareAntimicrobial StewardshipInfection ControlSurveys and QuestionnairesValidation StudyAtención Primaria de SaludProgramas de Optimización del Uso de los AntimicrobianosControl de InfeccionesEncuestas y CuestionariosEstudio de ValidaciónAtenção Primária à SaúdeGestão de AntimicrobianosControle de InfecçõesInquéritos e QuestionáriosEstudo de ValidaçãoBackground and Objectives: Antimicrobial resistance is a global threat to public health and is related to excessive and inappropriate use of antimicrobials. In Brazil, there are few studies on infection prevention and control strategies and antimicrobial management in primary healthcare. In this study, we developed and validated a questionnaire to assess these strategies. The aim of this study was to develop and validate an evaluation tool designed to investigate the strategies adopted by primary healthcare services to prevent and control infections and manage the use of antimicrobials. Methods:Between February and April 2022, the study involved five Steps: literature review, question development, expert validation, questionnaire finalization, and dissemination. The Content Validity Index was calculated to assess the expert agreement. Results: The final questionnaire with 102 questions was refined based on feedback from experts. The overall average CVI was 0.74, indicating good agreement between experts regarding the representativeness of the items. These suggestions resulted in improvements in the vocabulary and structure of the questionnaire. Conclusion: The questionnaire developed and validated is an accurate and reliable tool for evaluating infection prevention and control strategies and antimicrobial stewardship in primary healthcare. Its use can provide important data for improving health practices, with a view to reducing antimicrobial resistance and improving the quality of services. This study highlights the importance of research in this area to promote the rational use of antimicrobials and strengthen the health system in primary health care.Justificación y Objetivos: La resistencia antimicrobiana representa una amenaza global para la salud pública, asociada al uso excesivo e inadecuado de antimicrobianos. En Brasil, hay pocos estudios sobre estrategias de prevención y control de infecciones y gestión de antimicrobianos en la atención primaria de salud. Este estudio desarrolló y validó un cuestionario para evaluar dichas estrategias.  El objetivo de este estudio fue desarrollar y validar una herramienta de evaluación destinada a investigar las estrategias adoptadas por los servicios de atención primaria de salud para la prevención y control de infecciones, así como para el manejo del uso de antimicrobianos. Métodos: Realizado entre febrero y abril de 2022, el estudio comprendió cinco etapas: revisión de literatura, desarrollo de preguntas, validación por expertos, finalización del cuestionario y difusión. Se calculó el Índice de Validez de Contenido para evaluar la concordancia de los expertos. Resultados: El cuestionario final, con 102 preguntas, se refinó según la retroalimentación de los expertos. El IVC medio general fue de 0,74, indicando una buena concordancia entre los especialistas en cuanto a la representatividad de los elementos. Las sugerencias resultaron en mejoras en el vocabulario y estructura del cuestionario. Conclusión: El cuestionario desarrollado y validado es una herramienta precisa y confiable para evaluar estrategias de prevención y control de infecciones y gestión de antimicrobianos en la Atención Primaria de Salud. Su uso puede proporcionar datos importantes para mejorar las prácticas de salud, con el objetivo de reducir la resistencia antimicrobiana y mejorar la calidad de los servicios. Este estudio destaca la importancia de la investigación en esta área para promover el uso racional de antimicrobianos y fortalecer el sistema de salud.Justificativa e Objetivos: A resistência antimicrobiana é uma ameaça global à saúde pública, relacionada ao uso excessivo e inadequado de antimicrobianos. No Brasil, há poucos estudos sobre estratégias de prevenção e controle de infecções e gerenciamento de antimicrobianos na atenção primária à saúde. O objetivo deste estudo foi desenvolver e validar uma ferramenta de avaliação destinada a investigar as estratégias adotadas pelos serviços de atenção primária à saúde para a prevenção e controle de infecções e o gerenciamento do uso de antimicrobianos. Métodos: Realizado entre fevereiro e abril de 2022, o estudo envolveu cinco etapas: revisão da literatura, desenvolvimento das questões, validação por especialistas, finalização do questionário e disseminação. O Índice de Validade de Conteúdo foi calculado para avaliar a concordância dos especialistas. Resultados: O questionário final, com 102 questões, foi refinado com base no feedback dos especialistas. O IVC médio geral foi de 0,74, indicando boa concordância entre os especialistas quanto à representatividade dos itens. As sugestões resultaram em melhorias no vocabulário e estrutura do questionário. Conclusão: O questionário desenvolvido e validado é uma ferramenta precisa e confiável para avaliar estratégias de prevenção e controle de infecções e gerenciamento de antimicrobianos na Atenção Primária à Saúde. Sua utilização pode fornecer dados importantes para melhorar as práticas de saúde, visando à redução da resistência antimicrobiana e à melhoria da qualidade dos serviços. Este estudo destaca a importância de pesquisas na área para promover o uso racional de antimicrobianos e fortalecer o sistema de saúde.Unisc2024-08-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documenthttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1936110.17058/reci.v14i2.19361Revista de Epidemiologia e Controle de Infecção; Vol. 14 No. 2 (2024)Revista de Epidemiologia e Controle de Infecção; v. 14 n. 2 (2024)2238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCengporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/19361/11801https://online.unisc.br/seer/index.php/epidemiologia/article/view/19361/11820Copyright (c) 2024 Rochele Mosmann Menezes, Paula Trevisan, Mara Rubia Santos Gonçalves, Magda Machado de Miranda Costa, Mariana Portela de Assis, Adália Pinheiro Loureiro; Henrique Ziembowicz; Eliane Carlosso Krummenauer, Jane Renner Pollo Renner, Marcelo Carneirohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMosmann Menezes, RocheleTrevisan, PaulaSantos Gonçalves, Mara RubiaMachado de Miranda Costa, MagdaPortela de Assis, MarianaPinheiro Loureiro, AdáliaZiembowicz, HenriqueCarlosso Krummenauer, ElianeRenner Pollo Renner, JaneCarneiro, Marcelo2024-10-21T20:25:06Zoai:ojs.online.unisc.br:article/19361Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2024-10-21T20:25:06Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Development and validation of a questionnaire on the use of antimicrobials in primary health care
Desarrollo y validación de un cuestionario sobre el uso de antimicrobianos en la atención primaria de salud
Desenvolvimento e validação de questionário sobre o uso de antimicrobianos na atenção primária à saúde
title Development and validation of a questionnaire on the use of antimicrobials in primary health care
spellingShingle Development and validation of a questionnaire on the use of antimicrobials in primary health care
Mosmann Menezes, Rochele
Primary Health Care
Antimicrobial Stewardship
Infection Control
Surveys and Questionnaires
Validation Study
Atención Primaria de Salud
Programas de Optimización del Uso de los Antimicrobianos
Control de Infecciones
Encuestas y Cuestionarios
Estudio de Validación
Atenção Primária à Saúde
Gestão de Antimicrobianos
Controle de Infecções
Inquéritos e Questionários
Estudo de Validação
title_short Development and validation of a questionnaire on the use of antimicrobials in primary health care
title_full Development and validation of a questionnaire on the use of antimicrobials in primary health care
title_fullStr Development and validation of a questionnaire on the use of antimicrobials in primary health care
title_full_unstemmed Development and validation of a questionnaire on the use of antimicrobials in primary health care
title_sort Development and validation of a questionnaire on the use of antimicrobials in primary health care
author Mosmann Menezes, Rochele
author_facet Mosmann Menezes, Rochele
Trevisan, Paula
Santos Gonçalves, Mara Rubia
Machado de Miranda Costa, Magda
Portela de Assis, Mariana
Pinheiro Loureiro, Adália
Ziembowicz, Henrique
Carlosso Krummenauer, Eliane
Renner Pollo Renner, Jane
Carneiro, Marcelo
author_role author
author2 Trevisan, Paula
Santos Gonçalves, Mara Rubia
Machado de Miranda Costa, Magda
Portela de Assis, Mariana
Pinheiro Loureiro, Adália
Ziembowicz, Henrique
Carlosso Krummenauer, Eliane
Renner Pollo Renner, Jane
Carneiro, Marcelo
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Mosmann Menezes, Rochele
Trevisan, Paula
Santos Gonçalves, Mara Rubia
Machado de Miranda Costa, Magda
Portela de Assis, Mariana
Pinheiro Loureiro, Adália
Ziembowicz, Henrique
Carlosso Krummenauer, Eliane
Renner Pollo Renner, Jane
Carneiro, Marcelo
dc.subject.por.fl_str_mv Primary Health Care
Antimicrobial Stewardship
Infection Control
Surveys and Questionnaires
Validation Study
Atención Primaria de Salud
Programas de Optimización del Uso de los Antimicrobianos
Control de Infecciones
Encuestas y Cuestionarios
Estudio de Validación
Atenção Primária à Saúde
Gestão de Antimicrobianos
Controle de Infecções
Inquéritos e Questionários
Estudo de Validação
topic Primary Health Care
Antimicrobial Stewardship
Infection Control
Surveys and Questionnaires
Validation Study
Atención Primaria de Salud
Programas de Optimización del Uso de los Antimicrobianos
Control de Infecciones
Encuestas y Cuestionarios
Estudio de Validación
Atenção Primária à Saúde
Gestão de Antimicrobianos
Controle de Infecções
Inquéritos e Questionários
Estudo de Validação
description Background and Objectives: Antimicrobial resistance is a global threat to public health and is related to excessive and inappropriate use of antimicrobials. In Brazil, there are few studies on infection prevention and control strategies and antimicrobial management in primary healthcare. In this study, we developed and validated a questionnaire to assess these strategies. The aim of this study was to develop and validate an evaluation tool designed to investigate the strategies adopted by primary healthcare services to prevent and control infections and manage the use of antimicrobials. Methods:Between February and April 2022, the study involved five Steps: literature review, question development, expert validation, questionnaire finalization, and dissemination. The Content Validity Index was calculated to assess the expert agreement. Results: The final questionnaire with 102 questions was refined based on feedback from experts. The overall average CVI was 0.74, indicating good agreement between experts regarding the representativeness of the items. These suggestions resulted in improvements in the vocabulary and structure of the questionnaire. Conclusion: The questionnaire developed and validated is an accurate and reliable tool for evaluating infection prevention and control strategies and antimicrobial stewardship in primary healthcare. Its use can provide important data for improving health practices, with a view to reducing antimicrobial resistance and improving the quality of services. This study highlights the importance of research in this area to promote the rational use of antimicrobials and strengthen the health system in primary health care.
publishDate 2024
dc.date.none.fl_str_mv 2024-08-04
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/19361
10.17058/reci.v14i2.19361
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/19361
identifier_str_mv 10.17058/reci.v14i2.19361
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/19361/11801
https://online.unisc.br/seer/index.php/epidemiologia/article/view/19361/11820
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
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application/vnd.openxmlformats-officedocument.wordprocessingml.document
dc.publisher.none.fl_str_mv Unisc
publisher.none.fl_str_mv Unisc
dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 14 No. 2 (2024)
Revista de Epidemiologia e Controle de Infecção; v. 14 n. 2 (2024)
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
instname:Universidade de Santa Cruz do Sul (UNISC)
instacron:UNISC
instname_str Universidade de Santa Cruz do Sul (UNISC)
instacron_str UNISC
institution UNISC
reponame_str Revista de Epidemiologia e Controle de Infecção
collection Revista de Epidemiologia e Controle de Infecção
repository.name.fl_str_mv Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)
repository.mail.fl_str_mv ||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com
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