Imperial College London

DrRaheelahAhmad

Faculty of MedicineDepartment of Infectious Disease

Honorary Senior Lecturer
 
 
 
//

Contact

 

+44 (0)20 3313 3244raheelah.ahmad00

 
 
//

Location

 

Hammersmith HospitalHammersmith Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Birgand:2020:10.1186/s13756-020-0695-z,
author = {Birgand, G and Mutters, NT and Ahmad, R and Tacconelli, E and Lucet, J-C and Holmes, A},
doi = {10.1186/s13756-020-0695-z},
journal = {Antimicrobial Resistance and Infection Control},
title = {Risk perception of the antimicrobial resistance by infection control specialists in Europe: a case-vignette study},
url = {http://dx.doi.org/10.1186/s13756-020-0695-z},
volume = {9},
year = {2020}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - BackgroundUsing case-vignettes, we assessed the perception of European infection control (IC) specialists regarding the individual and collective risk associated with antimicrobial resistance (AMR) among inpatients.MethodsIn this study, sixteen case-vignettes were developed to simulate hospitalised patient scenarios in the field of AMR and IC. A total of 245 IC specialists working in different hospitals from 15 European countries were contacted, among which 149 agreed to participate in the study. Using an online database, each participant scored five randomly-assigned case-vignettes, regarding the perceived risk associated with six different multidrug resistant organisms (MDRO). The intra-class correlation coefficient (ICC), varying from 0 (poor) to 1 (perfect), was used to assess the agreement for the risk on a 7-point Likert scale. High risk and low/neutral risk scorers were compared regarding their national, organisational and individual characteristics.ResultsBetween January and May 2017, 149 participants scored 655 case-vignettes. The perceptions of the individual (clinical outcome) and collective (spread) risks were consistently lower than other MDRO for extended spectrum beta-lactamase producing Enterobacteriaceae cases and higher for carbapenemase producing Enterobacteriaceae (CPE) cases. Regarding CPE cases, answers were influenced more by the resistance pattern (93%) than for other MDRO. The risk associated with vancomycin resistant Enterococci cases was considered higher for the collective impact than for the individual outcome (63% vs 40%). The intra-country agreement regarding the individual risk was globally poor varying from 0.00 (ICC: 0–0.25) to 0.51 (0.18–0.85). The overall agreement across countries was poor at 0.20 (0.07–0.33). IC specialists working in hospitals preserved from MDROs perceived a higher individual (local, p = 0.01; national, p < 0.01) and collective risk (local and national p 
AU - Birgand,G
AU - Mutters,NT
AU - Ahmad,R
AU - Tacconelli,E
AU - Lucet,J-C
AU - Holmes,A
DO - 10.1186/s13756-020-0695-z
PY - 2020///
SN - 2047-2994
TI - Risk perception of the antimicrobial resistance by infection control specialists in Europe: a case-vignette study
T2 - Antimicrobial Resistance and Infection Control
UR - http://dx.doi.org/10.1186/s13756-020-0695-z
UR - http://hdl.handle.net/10044/1/77673
VL - 9
ER -