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Publikasi Scopus 2024 per tanggal 31 Maret 2024 (233 artikel)
Publikasi Scopus 2024 per tanggal 31 Maret 2024 (233 artikel)
Suntornsut, Pornpan (55943125000); Asadinia, Koe Stella (57725105300); Limato, Ralalicia (57196224631); Tamara, Alice (57205305387); Rotty, Linda W.A. (55257626400); Bramanti, Rendra (58031561000); Nusantara, Dwi U. (57220637156); Nelwan, Erni J. (14527452900); Khusuwan, Suwimon (56166613100); Suphamongkholchaikul, Watthanapong (58031391400); Chamnan, Parinya (25645788300); Piyaphanee, Watcharapong (13005873900); Lan Vu, Huong Thi (58137698900); Nguyen, Yen Hai (58900292100); Nguyen, Khanh Hong
Barriers and enablers to blood culture sampling in Indonesia, Thailand and Viet Nam: a Theoretical Domains Framework-based survey
2024
BMJ Open
14
2
e075526
0
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85185710383&doi=10.1136%2fbmjopen-2023-075526&partnerID=40&md5=b0606a811b0e99b6e934b18b994ae4f7
Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Oxford University Clinical Research Unit Indonesia, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Oxford University, Oxford, United Kingdom; Prof. Dr. R. D. Kandou Central Hospital, Manado, Indonesia; Dr. Iskak District Hospital, Tulungagung, Indonesia; Pasar Minggu District Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Internal Medicine, Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia; Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand; Sunpasitthiprasong Hospital, Ubon Ratchathani, Thailand; Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Oxford University Clinical Research Unit, Ha Noi, Viet Nam; National Hospital of Tropical Diseases, Hanoi, Viet Nam; Viet Tiep Hospital, Hai Phong, Viet Nam; Dong Thap Hospital, My Tan, Viet Nam; Bodleian Health Care Libraries, University of Oxford, Oxford, United Kingdom; Centre for Behaviour Change, University College London, London, United Kingdom; Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Objective Blood culture (BC) sampling is recommended for all suspected sepsis patients prior to antibiotic administration. We examine barriers and enablers to BC sampling in three Southeast Asian countries. Design A Theoretical Domains Framework (TDF)-based survey, comprising a case scenario of a patient presenting with community-acquired sepsis and all 14 TDF domains of barriers/enablers to BC sampling. Setting Hospitals in Indonesia, Thailand and Viet Nam, December 2021 to 30 April 2022. Participants 1070 medical doctors and 238 final-year medical students were participated in this study. Half of the respondents were women (n=680, 52%) and most worked in governmental hospitals (n=980, 75.4%). Outcome measures Barriers and enablers to BC sampling. Results The proportion of respondents who answered that they would definitely take BC in the case scenario was highest at 89.8% (273/304) in Thailand, followed by 50.5% (252/499) in Viet Nam and 31.3% (157/501) in Indonesia (p<0.001). Barriers/enablers in nine TDF domains were considered key in influencing BC sampling, including ‘priority of BC (TDF-goals)’, ‘perception about their role to order or initiate an order for BC (TDF-social professional role and identity)’, ‘perception that BC is helpful (TDF-beliefs about consequences)’, ‘intention to follow guidelines (TDF-intention)’, ‘awareness of guidelines (TDF-knowledge)’, ‘norms of BC sampling (TDF-social influence)’, ‘consequences that discourage BC sampling (TDF-reinforcement)’, ‘perceived cost-effectiveness of BC (TDF-environmental context and resources)’ and ‘regulation on cost reimbursement (TDF-behavioural regulation)’. There was substantial heterogeneity between the countries. In most domains, the lower (higher) proportion of Thai respondents experienced the barriers (enablers) compared with that of Indonesian and Vietnamese respondents. A range of suggested intervention types and policy options was identified. Conclusions Barriers and enablers to BC sampling are varied and heterogenous. Cost-related barriers are more common in more resource-limited countries, while many barriers are not directly related to cost. Context-specific multifaceted interventions at both hospital and policy levels are required to improve diagnostic stewardship practices. © 2024 BMJ Publishing Group. All rights reserved.
Blood Culture; Female; Humans; Indonesia; Male; Qualitative Research; Sepsis; Thailand; Vietnam; adult; Article; blood culture; blood sampling; controlled study; cost effectiveness analysis; female; gender; health survey; human; Indonesia; major clinical study; male; medical student; middle income country; physician; practice guideline; Thailand; Viet Nam; Indonesia; qualitative research; sepsis; Thailand; Viet Nam
Wellcome Trust, WT, (220557/Z/20/Z)
This research was funded by the Wellcome Trust (220557/Z/20/Z).
BMJ Publishing Group
20446055
38373855
Article
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