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Antimicrobial resistance: Concerns of healthcare providers and people with CF

W. Bullington, S. Hempstead, AR. Smyth, P. Drevinek, L. Saiman, VJ. Waters, SC. Bell, DR. VanDevanter, PA. Flume, S. Elborn, MS. Muhlebach, Antimicrobial Resistance International Working Group in Cystic Fibrosis

. 2021 ; 20 (3) : 407-412. [pub] 20200617

Language English Country Netherlands

Document type Journal Article

BACKGROUND: Chronic lung infections and their treatment pose risks for the development of antimicrobial resistance (AMR) in people with cystic fibrosis (PWCF). In this study, we evaluated the attitudes of healthcare providers' (HCP) and PWCF or their parents' toward AMR within the international CF community. METHODS: HCP and PWCF identified through listservs and CF-related organizations were asked to complete an AMR centered survey, with additional questions on antimicrobial stewardship (AMS) for HCP. Descriptive analyses are reported. RESULTS: The responding 443 HCP and 464 PWCF/Parents were from 30 and 25 countries, respectively. Sixty-two percent of HCP and 56% of PWCF stated they were "very concerned" about AMR, with Pseudomonas spp. and Burkholderia spp. considered the most concerning organisms for both HCP and PWCF/Parents. Non-tuberculous mycobacteria were of greater concern to HCP compared to PWCF/Parents. There was a discrepancy regarding AMR education to PWCF, with 80% of HCP stating having discussed this with PWCF/Parents, but only 50% of PWCF recalling such discussions. CONCLUSION: These results highlight that AMR is relevant to CF HCP and PWCF internationally, indicating that educational tools and research are warranted.

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$a BACKGROUND: Chronic lung infections and their treatment pose risks for the development of antimicrobial resistance (AMR) in people with cystic fibrosis (PWCF). In this study, we evaluated the attitudes of healthcare providers' (HCP) and PWCF or their parents' toward AMR within the international CF community. METHODS: HCP and PWCF identified through listservs and CF-related organizations were asked to complete an AMR centered survey, with additional questions on antimicrobial stewardship (AMS) for HCP. Descriptive analyses are reported. RESULTS: The responding 443 HCP and 464 PWCF/Parents were from 30 and 25 countries, respectively. Sixty-two percent of HCP and 56% of PWCF stated they were "very concerned" about AMR, with Pseudomonas spp. and Burkholderia spp. considered the most concerning organisms for both HCP and PWCF/Parents. Non-tuberculous mycobacteria were of greater concern to HCP compared to PWCF/Parents. There was a discrepancy regarding AMR education to PWCF, with 80% of HCP stating having discussed this with PWCF/Parents, but only 50% of PWCF recalling such discussions. CONCLUSION: These results highlight that AMR is relevant to CF HCP and PWCF internationally, indicating that educational tools and research are warranted.
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$a Hempstead, Sarah $u Cystic Fibrosis Foundation, Bethesda, MD, USA. Electronic address: shempstead@cff.org
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$a Smyth, Alan R $u Division of Child Health, Obstetrics & Gynaecology, University of Nottingham, Nottingham, United Kingdom. Electronic address: Alan.Smyth@nottingham.ac.uk
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$a Drevinek, Pavel $u Departments of Medical Microbiology Motol University Hospital and 2nd Faculty of Medicine, Charles University, Prague, Czech Republic. Electronic address: pavel.drevinek@lfmotol.cuni.cz
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$a Saiman, Lisa $u Department of Pediatrics, Columbia University, New York, New York, USA. Electronic address: ls5@cumc.columbia.edu
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$a Waters, Valerie J $u Division of Infectious Diseases, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Canada. Electronic address: Valerie.Waters@sickkids.ca
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$a Bell, Scott C $u Department of Thoracic Medicine, The Prince Charles Hospital and QIMR Berghofer Medical Research Institute, Brisbane, Australia. Electronic address: scott.bell@health.qld.gov.au
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$a VanDevanter, Donald R $u Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, USA. Electronic address: drv15@case.edu
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$a Flume, Patrick A $u Departments of Medicine and Pediatrics, Medical University of South Carolina, Charleston, SC, USA. Electronic address: flumepa@musc.edu
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$a Elborn, Stuart $u Imperial College and Royal Brompton Hospital, London and Queen's University Belfast, United Kingdom. Electronic address: s.elborn@qub.ac.uk
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$a Muhlebach, Marianne S $u Department of Pediatrics, University of North Carolina, Chapel Hill, NC, USA. Electronic address: marianne_muhlebach@med.unc.edu
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$a Antimicrobial Resistance International Working Group in Cystic Fibrosis
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