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Use of a systems engineering framework to assess perceptions and practices about antimicrobial resistance of workers on large dairy farms in Wisconsin.
Kates, Ashley E; Knobloch, Mary Jo; Konkel, Ali; Young, Amanda; Steinberger, Andrew; Shutske, John; Ruegg, Pamela L; Sethi, Ajay K; Goldberg, Tony; Leite de Campos, Juliana; Suen, Garret; Safdar, Nasia.
Afiliación
  • Kates AE; University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Knobloch MJ; William S. Middleton Veterans Affairs Medical Center, Madison, Wisconsin, USA.
  • Konkel A; University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Young A; William S. Middleton Veterans Affairs Medical Center, Madison, Wisconsin, USA.
  • Steinberger A; University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Shutske J; University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Ruegg PL; University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Sethi AK; University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Goldberg T; Michigan State University, East Lansing, Michigan, USA.
  • Leite de Campos J; University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Suen G; University of Wisconsin-Madison, Madison, Wisconsin, USA.
  • Safdar N; Michigan State University, East Lansing, Michigan, USA.
medRxiv ; 2020 Nov 03.
Article en En | MEDLINE | ID: mdl-33173906
We studied farmworker practices potentially contributing to transmission of bacteria and antimicrobial resistant genes (ARGs) among animals and farm workers to identify human behavioral interventions to reduce exposure risk. Ten focus groups were conducted on eight farms to explore potentially high-risk practices and farmworker knowledge and experiences with antimicrobial use and resistance using the Systems Engineering in Patient Safety (SEIPS) framework. Farmworkers were asked to describe common tasks and the policies guiding these practices. We found workers demonstrated knowledge of the role of antibiotic stewardship in preventing the spread of ARGs. Knowledge of various forms of personal protective equipment was higher for workers who commonly reported glove-use. Knowledge regarding the importance of reducing ARG transmission varied but was greater than previously reported. Programs to reduce ARG spread on dairy farms should focus on proper hand hygiene and personal protective equipment use but at the level of knowledge, beliefs, and practices.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: MedRxiv Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: MedRxiv Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos