Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-17T22:58:52.846Z Has data issue: false hasContentIssue false

Faculty and Resident Physicians' Attitudes, Perceptions, and Knowledge about Antimicrobial Use and Resistance

Published online by Cambridge University Press:  02 January 2015

Lilian Abbo*
Affiliation:
Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida Antimicrobial Stewardship Program, Jackson Memorial Hospital, Miami, Florida
Ronda Sinkowitz-Cochran
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Laura Smith
Affiliation:
Antimicrobial Stewardship Program, Jackson Memorial Hospital, Miami, Florida
Ella Ariza-Heredia
Affiliation:
Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida
Orlando Gómez-Marín
Affiliation:
Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, Florida
Arjun Srinivasan
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Thomas M. Hooton
Affiliation:
Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida
*
University of Miami Miller School of Medicine, 1400 NW 10th Street, Suite 813A (D-90A), Miami, FL 33136 (labbo@med.miami.edu)

Extract

We surveyed faculty and residents to assess attitudes, perceptions, and knowledge about antimicrobial use and resistance. Most respondents were concerned about resistance when prescribing antibiotics and agreed that antibiotics are overused, that inappropriate use is professionally unethical, and that others, but not themselves, overprescribe antibiotics. Antimicrobial stewardship programs should capitalize on these perceptions.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Dellit, TH, Owens, RC, McGowan, JE Jr, et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007;44(2):159177.CrossRefGoogle Scholar
2.Strategy for the Control of Antimicrobial Resistance in Ireland (SARI). Guidelines for antimicrobial stewardship in hospitals in Ireland. Hospital Antimicrobial Stewardship Working Group Web site. http://www.hpsc.ie/hpsc/. Accessed June 17, 2010.Google Scholar
3.Guerra, CM, Pereira, CA, Neves Neto, AR, Cardo, DM, Correa, L. Physicians' perceptions, beliefs, attitudes, and knowledge concerning antimicrobial resistance in a Brazilian teaching hospital. Infect Control Hosp Epidemiol 2007;28(12):14111414.CrossRefGoogle Scholar
4.Giblin, TB, Sinkowitz-Cochran, RL, Harris, PL, et al. Clinicians' perceptions of the problem of antimicrobial resistance in health care facilities. Arch Intern Med 2004;164(15):16621668.CrossRefGoogle ScholarPubMed
5.Cabana, MD, Rand, CS, Powe, NR, et al. Why don't physicians follow clinical practice guidelines? a framework for improvement. JAMA 1999;282(15):14581465.CrossRefGoogle ScholarPubMed
6.Abboud, PA, Cabana, MD. Understanding barriers to the adoption of clinical decision rules. Ann Emerg Med 2001;38(6):703704.CrossRefGoogle Scholar
7.Antoine, TL, Curtis, AB, Blumberg, HM, et al. Knowledge, attitudes, and behaviors regarding piperacillin-tazobactam prescribing practices: results from a multicenter study. Infect Control Hosp Epidemiol 2006;27(11):12741277.CrossRefGoogle ScholarPubMed
8.Srinivasan, A, Song, X, Richards, A, Sinkowitz-Cochran, R, Cardo, D, Rand, C. A survey of knowledge, attitudes, and beliefs of house staff physicians from various specialties concerning antimicrobial use and resistance. Arch Intern Med 2004;164(13):14511456.CrossRefGoogle ScholarPubMed
9.Wester, CW, Durairaj, L, Evans, AT, Schwartz, DN, Husain, S, Martinez, E. Antibiotic resistance: a survey of physician perceptions. Arch Intern Med 2002;162(19):22102216.CrossRefGoogle ScholarPubMed
10.Miller, BA, Chen, LF, Sexton, DJ, Anderson, DJ. The impact of hospital-onset healthcare facility associated (HO-HCFA) Clostridium difficile infection (CD1) in community hospitals: surpassing methicillin-resistant Staphylococcus aureus (MRSA) as the new superbug. Paper presented at: Fifth Decennial International Conference on Healthcare-Associated Infections; March 20, 2010; Atlanta. Abstract 386.Google Scholar
11.Martin, SJ, Micek, ST, Wood, GC. Antimicrobial resistance: consideration as an adverse drug event. Crit Care Med 2010;38(suppl 6):S155S161.CrossRefGoogle ScholarPubMed
12.Dubberke, ER, Gerding, DN, Classen, D, et al. Strategies to prevent Clostridium difficile infections in acute care hospitals. Infect Control Hosp Epidemiol 2008;29(suppl 1):S81S92.CrossRefGoogle ScholarPubMed
13.Gould, IM. Antibiotic resistance: the perfect storm. Int J Antimicrob Agents 2009;34(suppl 3):S2S5.CrossRefGoogle ScholarPubMed