METHODS: A study on longitudinally collected NTS isolates from a medical center in Taiwan from 2011 to 2019 was undertaken. The multidrug resistance (MDR) and extensively drug resistance (XDR) phenotypes were determined according to internationally used definitions. Molecular serotyping was performed on the resistant NTS.
RESULTS: Notably 16.1% (870/5412) of the isolates were MDR, while XDR accounted for 2.1% (111/5412). Both MDR and XDR NTS have increased significantly from 2011 to 2019, especially from 2015 to 2017 (MDR from 9.6% in 2015 to 23.1% 2017; XDR from 1.4% in 2016 to 4.7% in 2017). S. Anatum was the commonest NTS serotype expressing MDR and XDR, in 256/559 (45.8%) and 81/111 (73.0%) of the isolates, respectively, followed by S. Typhimurium and S. Goldcoast. Children
STUDY DESIGN: Cross-sectional, semi-structured online survey.
METHODS: An anonymized, self-administered, semi-structured online survey was conducted via Google Forms between July and October 2024. Survey invitations were distributed via email, professional networks, and social media where appropriate. The survey assessed respondents' demographics, respondents' prior use of QPLs (Yes/No), prior awareness of the existence of QPLs (Yes/No), preferred communication style (single-response, multiple-choice), and perceived barriers and facilitators to implementation (open-ended response). All questions excluding the two open-ended questions were required for submission. Descriptive statistics were used to analyze quantitative data, and thematic analysis following Braun and Clarke's framework was used for open-ended responses.
RESULTS: Among 85 respondents, 84.7% reported being unaware of QPLs, and 22.4% reported having implemented QPLs in their clinical practice. Among respondents who had not implemented QPLs, 68.2% indicated that they were "Somewhat" or "Very" willing to implement them. Most respondents favored communication styles that emphasize sharing information (16.4%), open and inclusive communication (15.6%), and supportive counseling (15.6%). QPLs are aligned with current attitudes toward patient-provider communication in ANCCA countries.
CONCLUSION: There is substantial opportunity to introduce QPLs across ANCCA countries. This study provides foundational evidence to guide their effective implementation, promoting patient-centered care in Asia.