Sunday, April 28, 2024

Antibiotic use and resistance patterns at Rumphi District Hospital in Malawi: a cross-sectional study Full Text

cross section design

The primary goal of a cross-sectional study is to examine and analyze the relationships or associations between different variables within a population at a specific point in time. Still, they use longitudinal studies, due to their nature, to dissect the research from the cross-sectional studies for further research. Explanatory cross-sectional studies go beyond identifying associations; they aim to explain why certain patterns or relationships are observed.

What is the best study design?

Observational studies monitor study participants without providing study interventions. This paper describes the cross-sectional design, examines the strengths and weaknesses, and discusses some methods to report the results. Future articles will focus on other observational methods, the cohort, and case-control designs. However, simulation-based education does not only bring the aforementioned positive outcomes to participating students. Studies on nursing students in Korea have reported that nursing students who participated in simulation-based education felt nervous and anxious, overwhelmed and embarrassed, and guilty about making mistakes [5, 8, 9].

Descriptive vs analytical studies

In a cross-sectional study, the investigator measures the outcome and the exposures in the study participants at the same time. Once the participants have been selected for the study, the investigator follows the study to assess the exposure and the outcomes. Cross-sectional designs are used for population-based surveys and to assess the prevalence of diseases in clinic-based samples.

Cross-sectional studies are also known as descriptive research

However, cross-sectional studies can offer valuable insights into a population and lay the foundations for future research using experimental or longitudinal studies. In cross-sectional research, researchers typically use a sampling frame to identify a population of interest, such as individuals who enjoy vaping. By collecting relevant data from the sample, researchers can generalize their findings to describe the characteristics of the broader vaping population.

Examples of Cross-Sectional Data

Similarly, if the OR was less than 1, it implies that the exposed (obese) group, were less likely to be sedentary (outcome) compared to the non-obese group (unexposed) (Tenny & Hoffman, 2019). When you want to examine the prevalence of some outcome at a certain moment in time, a cross-sectional study is the best choice. Both systems place randomized controlled trials (RCT) at the highest level and case series or expert opinions at the lowest level.

Cross-sectional vs longitudinal studies

Below, we explore three significant benefits of employing cross-sectional studies in research endeavors. An example might be exploring the usage patterns of a new technology within a population to identify trends and areas for in-depth study. For instance, an analytical cross-sectional study might investigate the relationship between lifestyle choices and blood pressure levels across various age groups. We encourage the readers to go through some of these studies to understand the design and analysis of cross-sectional studies. Sometimes only cross-sectional data are available for analysis; other times your research question may only require a cross-sectional study to answer it. Prominent examples include the censuses of several countries like the US or France, which survey a cross-sectional snapshot of the country’s residents on important measures.

Examples of Cross-Sectional Studies

In a special way we would like to thank the Commonwealth Pharmacist Association (CPA), as well as Dr Watipaso Kasambala, Ellen Mzima from Ministry of Health for supporting Point Prevalence Survey. Lastly we would like to thank the Director of Health and Social Services for Rumphi District Hospital, Dr Westain Nyirenda for granting authorization to conduct the study at the facility. It is quite concerning to note that strong antibiotics such as Tigecycline that have shown 100% sensitivity over all resistant isolates are not included in the Malawi essential medicines list.

Those receiving a paper extended instrument were sent the extended survey in the language in which the screener was completed. The survey analysis is drawn from a national cross-sectional survey conducted for Pew Research Center by Westat. The sampling design of the survey was an address-based sampling (ABS) approach, supplemented by list samples, to reach a nationally representative group of respondents.

What’s the difference between cross-sectional and cohort studies?

cross section design

A large-scale study on nursing students from Korean universities in different cities and regions could provide better insight and generalizable findings on simulation satisfaction in Korean universities. Additionally, self-reporting surveys may produce skewed, exaggerated, or understated results influenced by social desirability. The association between simulation design and educational satisfaction in the model was partially mediated by the mediating variable, which was the flow of the simulation. In other words, simulation design has a direct effect on simulation educational satisfaction, and an indirect effect on nursing students’ simulation educational satisfaction by affecting the flow of the simulation.

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In December 2022 a mailing was added for eligible respondents who had completed a screener questionnaire, either by web or paper but who had not yet completed the extended survey. It was sent to those who had received their last mailing in the standard sequence at least four weeks earlier. It included a cover letter, a paper copy of the extended survey, and a business reply envelope, and was assembled in a 9×12 envelope with a $1 bill made visible through the envelope window. Mailing addresses in census tracts from the lowest density stratum, strata 3, were excluded from the sampling frame. As a result, the frame excluded 54.1% of the 2020 census tracts, 49.1% of the U.S. adult population, including 9.1% of adults who self-identified as Asian alone or in combination with other races or Hispanic ethnicity.

Stress and low self-confidence due to simulation-based education [10] and the idea that others are watching them lead to anxiety, resulting in passivity when participating in simulations with peers [11]. Additionally, high anxiety levels experienced during the simulation process can drive learners into a panic, which leads to negative learning effects and decreases simulation educational satisfaction [12, 13]. This cross-sectional study was conducted using 143 fourth-year nursing students who had participated in classes using simulations at three universities in Seoul, Daegu, and Jeonbuk. Demographic data, simulation design scale (SDS), flow in simulation, and the educational satisfaction scale in simulation were collected via an online questionnaire.

Since cross-sectional studies are suitable for examining chronic diseases or conditions, the POR is generally the ideal measure of association to use (Alexander, 2015a). However, these datasets are often aggregated to a regional level, which may prevent the investigation of certain research questions. You will also be restricted to whichever variables the original researchers decided to study. You then decide to design a longitudinal study to further examine this link in younger patients. Without first conducting the cross-sectional study, you would not have known to focus on younger patients in particular. Whereas epidemiology is the study of disease occurrence and transmission in a human population, epidemiological studies focus on the distribution and determinants of disease.

You would not attempt to influence either group of individuals to modify their behavior or concerns. In other words, with cross-sectional research, the researcher tries to gather data without interfering in the results. Cross-sectional research studies gather data at one point in time, so insights from this type of research are a snapshot of a particular moment. For example, if the smoothie shop owner took a snap poll of customers on a Saturday and then again on a Monday, they might find that fruit and vegetable preferences differ across the two days. Each poll, in this case, would be considered an individual cross-sectional study with the data recorded describing preferences at each particular point in time. Selection bias can occur in cross-sectional studies if the sample is not representative of the population from which it was drawn.

The findings underline the need to revamp diagnostic microbiology to increase the uptake of antimicrobial susceptibility testing to guide specific prescriptions of broad-spectrum antibiotics in the watch list. We investigated antibiotic use and resistance patterns among patients with suspected first line antibiotic treatment failure at Rumphi District Hospital, Malawi. 2) Differences in simulation educational satisfaction according to the general characteristics of the participants were analyzed by t-test and one-way ANOVA, and Sheffe’s test was used as the post hoc test. To prevent duplicate survey participation, only one response could be submitted per IP, and only one response per item was allowed to exclude multiple responses. The mobile phone numbers collected for sending rewards were used to check for duplicate participation.

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