Development and validation of a questionnaire on the use of antimicrobials in primary health care
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , |
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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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 |
format |
article |
status_str |
publishedVersion |
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 |
dc.format.none.fl_str_mv |
application/pdf 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) |
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||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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1814257025364787200 |