Bhutan AMS&IPC Survey Questionnaire - Survey AMR | Free Online Survey and Assessment Tool for Antimicrobial Resistance (AMR) in One Health

3. Knowledge & Skills (capability)

3.1 Antibiotics are effective for treating infections caused by viruses (such as common cold, influenza, etc)

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.2 Antibiotics work by killing bacteria that cause illness

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.3 Antibiotics can cause serious allergic reactions in some patients.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.4 Antibiotics can eliminate good bacteria that protect the body from infection

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.5 Antibiotic resistance (AMR) is not a concern because new antibiotics will be available in the future

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.6 Antibiotic resistance is a significant public health problem in Bhutan

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.7 Multidrug resistant bacterial infections are a serious clinical problem in Bhutan

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.8 Pathogens resistant to carbapenems ( CRE) can spread and share their antibiotic-resistant qualities with healthy bacteria in your body.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.9 The majority of antibiotic use occurs in communities rather than in the hospital-setting.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.10 Antibiotic resistance leads to poor health outcomes including higher rate of complications and death.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.11 Antibiotic resistance can result in more expenses on health to individuals and their families

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.12 Effective Antimicrobial stewardship program promote optimal antibiotic use through appropriate drug selection, dosing, and duration of therapy.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.13 Alcohol based hand rubs are effective when the hands are visibly soiled or after caring for patients with diarrhea.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.14 The WHO “AWaRe” categorization of antibiotics emphasizes the need to save the use of broad spectrum antibiotics only when they are absolutely needed.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.15 As long as you wash your hands with soap and water, gloves are not needed when touching blood or other body fluids.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.16 Some bacterial species can survive for long duration on environmental surfaces such as toilets, bed rails, door handles, etc

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.17 In health care settings, hand hygiene must be done at the ‘point of care’ (in the space or room where you are providing care to a patient)

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.18 I feel confident of selecting the correct antibiotic for common infections.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.19 I am familiar with the details in Bhutan’s National Antibiotic Guidelines.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.20 I got sufficient training to confidently perform IPC measures (hand hygiene, PPE use) in my work place.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.21 I often face difficulties in adhering to IPC practices due to time or resource constraint.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.22 An adult with fever and sore throat needs to be prescribed Antibiotics.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.23 A child suffering from fever and sore throat should be treated with Antibiotics.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.24 I will treat an adult suffering from diarrhea for two days with an antibiotic.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.25 I will treat a child presenting with diarrhea for two days with an antibiotic.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.26 A woman presenting with complains of burning sensation when urinating should be treated with antibiotics.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.27 A pregnant woman presenting with complains of burning sensation when urinating should be promptly treated with antibiotics.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

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All Templates

Date of the Survey

1.1 Name

1.2 Gender

1.3 Designation

1.4 Unit/Ward

1.5 Years of clinical experience

2.1 What is the average number of patients that you care for in a week?

3.1 Antibiotics are effective for treating infections caused by viruses (such as common cold, influenza, etc)

3.2 Antibiotics work by killing bacteria that cause illness

3.3 Antibiotics can cause serious allergic reactions in some patients.

3.4 Antibiotics can eliminate good bacteria that protect the body from infection

3.5 Antibiotic resistance (AMR) is not a concern because new antibiotics will be available in the future

3.6 Antibiotic resistance is a significant public health problem in Bhutan

3.7 Multidrug resistant bacterial infections are a serious clinical problem in Bhutan

3.8 Pathogens resistant to carbapenems ( CRE) can spread and share their antibiotic-resistant qualities with healthy bacteria in your body.

3.9 The majority of antibiotic use occurs in communities rather than in the hospital-setting.

3.10 Antibiotic resistance leads to poor health outcomes including higher rate of complications and death.

3.11 Antibiotic resistance can result in more expenses on health to individuals and their families

3.12 Effective Antimicrobial stewardship program promote optimal antibiotic use through appropriate drug selection, dosing, and duration of therapy.

3.13 Alcohol based hand rubs are effective when the hands are visibly soiled or after caring for patients with diarrhea.

3.14 The WHO “AWaRe” categorization of antibiotics emphasizes the need to save the use of broad spectrum antibiotics only when they are absolutely needed.

3.15 As long as you wash your hands with soap and water, gloves are not needed when touching blood or other body fluids.

3.16 Some bacterial species can survive for long duration on environmental surfaces such as toilets, bed rails, door handles, etc

3.17 In health care settings, hand hygiene must be done at the ‘point of care’ (in the space or room where you are providing care to a patient)

3.18 I feel confident of selecting the correct antibiotic for common infections.

3.19 I am familiar with the details in Bhutan’s National Antibiotic Guidelines.

3.20 I got sufficient training to confidently perform IPC measures (hand hygiene, PPE use) in my work place.

3.21 I often face difficulties in adhering to IPC practices due to time or resource constraint.

3.22 An adult with fever and sore throat needs to be prescribed Antibiotics.

3.23 A child suffering from fever and sore throat should be treated with Antibiotics.

3.24 I will treat an adult suffering from diarrhea for two days with an antibiotic.

3.25 I will treat a child presenting with diarrhea for two days with an antibiotic.

3.26 A woman presenting with complains of burning sensation when urinating should be treated with antibiotics.

3.27 A pregnant woman presenting with complains of burning sensation when urinating should be promptly treated with antibiotics.

4.1 There are infection prevention Policy, guidelines and procedures (cleaning, disinfection, sterilization etc) are available your workplace, and accessible for ready reference.

4.2 There is a training program that provides training on infection prevention policies and procedures to all healthcare personnel.

4.3 All new employees are sensitized regarding hand hygiene, and once every year thereafter.

4.4 There are sufficient supplies (hand sanitizer,gloves, mask, etc) for IPC in your workplace.

4.5 Soap is always available at sinks, other washing stations, and where patients are examined.

4.6 My work place has implemented policies on antimicrobial stewardship

4.7 My place of work supports me in promoting antimicrobial stewardship

4.8 The hospital provides easy access to antibiotic prescribing guidelines and related tools.

4.9 The senior staff/colleagues at workplace encourage appropriate antibiotic use and IPC practices.

4.10 I feel pressured by patients, families or friends to prescribe antibiotics even when not required.

4.11 I get enough opportunity to engage in discussion about Antibiotic use, AMR, and IPC with other stakeholders and colleagues at my work place.

4.12 Personnel who clean and disinfect patient care areas receive training on cleaning procedures when hired and once a year.

4.13 Procedures are followed for routine cleaning and disinfection of environmental surfaces, including identification of responsible personnel.

4.14 Procedures are routinely followed to ensure that reusable medical devices are cleaned and reprocessed appropriately prior to use on another patient.

4.15 There is a monitoring system to track healthcare provider exposure events

4.16 At least one individual trained in infection prevention and control is regularly available to manage the facility’s infection control program.

4.17 In my workplace, IPC adherence is prioritized even during busy periods.

4.18 Blood culture samples collected at the patient bedside should be promptly transported to the lab.

4.19 Urine specimen not processed within 24 hours of collection shall be stored at room temperature.

4.20 The volume of blood sample for blood culture is same for adult and children.

4.21 In patients with suspected bacteriemia , we can use existing peripheral lines or cannula for drawing blood culture.

5.1 I feel Antimicrobial stewardship is very important in reducing AMR

5.2 I believe strict adherence to IPC practices can significantly reduce hospital-acquired infection

5.3 I often talk to my colleagues about the importance of proper IPC practices.

5.4 It is my responsibility as a health provider to educate my patients about antibiotic use

5.5 In the recent months, I have frequently engaged in educating my patients to not stop use of antibiotics until the full treatment is completed

5.6 In the recent months, I have actively educated my patients about why they do not need antibiotics for a viral infection (cold, influenza)

5.7 In recent months, I have actively educated patients about not using antibiotics that have been prescribed for another person.

5.8 In the recent months, I have talked to other health professionals that I work with about antimicrobial resistance and stewardship

5.9 I wish I had more information about AMR and antibiotic use when I talk to my patients

5.10 I wish I had more supportive materials (posters, pamphlets) about AMR and antibiotic use for my patients

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