The treatment of carbapenem-resistant Enterobacteriaceae (CRE) is diverse in each region due to the difference in local resistant patterns of CRE. We aimed to explore how physicians in Thailand decide on selection options for treating CRE infections. In this study, 25 physicians who were not infectious disease (ID) specialists participated in this semi-structured in-depth interview. We found that they, in general, did not provide empiric antibiotics for the treatment of CRE. However, some patients, e.g., those with prior carbapenems exposure may have brought CRE to physicians’ attention. ID specialists played critical roles in both empiric and specific CRE treatment. There were multiple scenarios when CRE management deviated from recommendations, especially when physicians perceived that the evidence that supported the recommendations was weak. Several supportive factors, challenges, and improvements were also suggested. In conclusion, ID specialists, adequate information, and consistent implementation of infectious control policy are crucial to the treatment and prevention of CRE infection.

A study was done to describe awareness, knowledge and attitude level on Urinary Tract Infection among university students of Burapha University, Thailand. Cross-sectional study was conducted with the use of self-modified questionnaire consisting of socio-demographic questions and AKA domains. Total of 91 respondents (male students n=13 and female n=76) aged 19 years old participated. The total AKA level was found to be in high category (75.86 ± 13.81) and between the domains, Attitude (70.00 ± 13.28) is categorized as positive, followed by both Knowledge (57.24 ± 15.94) and Awareness (39.37 ± 13.01) which is categorized as moderate. Correlation between Awareness-Attitude was found significant at p=0.003. After the adjustment of covariates, female gender was found to have the strongest relationship compared to other covariates and all independent factors combined accounted 14.8% of variability in Total AKA. The sociodemographic factors’ of the students influenced the level of AKA and female gender have found to have be best predictor for Total AKA on UTI. Thus, this research has provided ample findings to further formulate an educational tool for the public.

Introduction: A cross-sectional study was conducted to provide preliminary insight of Awareness, Knowledge and Attitude (AKA) assessment on urinary tract infection (UTI) among adolescents which includes the general level of AKA and correlation between the domains as well as the relationship between Total AKA and the sociodemographic factors. Methods: A modified and adapted questionnaire was developed, consisting of socio-demographic questions and AKA domains employing descriptive statistics, linear regression and multiple regression analysis via SPSS Version 23.0. Results: In general, AKA level was reported as moderate (0.5 ± 0.11). Among the three domains, Knowledge (0.70 ± 0.12) risen with the most astounding mean, took after Awareness (0.36 ± 0.22) and Attitude (0.65 ± 0.11). A positive but weak correlation was found between the domains; Awareness and Knowledge is significant at p = 0.034, r = 0.157; R2 = 0.02 and similarly, a weak correlation was also found between Knowledge and Attitude which is significant at p = 0.000, r = 0.411; R2 = 0.17. After covariates adjustment, female gender was found to have the strongest relationship with Total AKA. Conclusion: The general level of Total AKA on UTI is moderate. The AKA domains in this study was found to be positively correlated and female was found to be the best predictor for a better Total AKA on UTI. Thus, these findings provide important information to formulate an effective education intervention to improve the AKA on UTI among adolescents.