Physicians' attitude and knowledge regarding antibiotic use and resistance in ambulatory settings.

  title={Physicians' attitude and knowledge regarding antibiotic use and resistance in ambulatory settings.},
  author={Amanda Harris and Suganya Chandramohan and Reda A. Awali and Mehr Grewal and Glenn Tillotson and Teena Chopra},
  journal={American journal of infection control},

Primary Care Physicians’ Attitudes and Perceptions Towards Antibiotic Resistance and Antibiotic Stewardship: A National Survey

Primary care physicians generally did not recognize antibiotic resistance and inappropriate prescribing as issues in their practice and ranked antibiotic resistance as less important than other public health issues such as obesity, diabetes, opioids, smoking, and vaccine hesitancy.

Clinical diagnosis and treatment of common respiratory tract infections in relation to microbiological profiles in rural health facilities in China: implications for antibiotic stewardship

The study establishes the feasibility of conducting microbiological testing outside Tier 2 and 3 hospitals in rural China and reveals that prescription of antibiotics, especially broad-spectum and combined antibiotics, is still very common and there is a clear need for stewardship programs aimed at both reducing the number of prescriptions and promoting single and narrow-spectrum antibiotics.

The New Precision Stewards?

The precision health era is likely to reduce and respond to antimicrobial resistance (AMR). Our stewardship and precision efforts share terminology, seeking to deliver the “right drug, at the right



Antibiotic resistance: a survey of physician perceptions.

Although most physicians view antibiotic resistance as a serious national problem, perceptions about its local importance, its causes, and possible solutions vary more widely, which may compromise efforts to improve antibiotic prescribing and infection control practices.

Prescribing practices and attitudes toward giving children antibiotics.

Whether overprescribing is common in treatment of pediatric upper respiratory infections and whether antibiotic use was an important factor in promoting resistance in their communities is investigated and education in current treatment of Pediatrics and antimicrobial drug resistance is required.

Junior doctors' knowledge and perceptions of antibiotic resistance and prescribing: a survey in France and Scotland.

Assessment of junior doctors' perceptions of their antibiotic prescribing practice and of bacterial resistance provides helpful information for the design of strategies to optimize adherence to good antimicrobial stewardship.

Providers' beliefs and behaviors regarding antibiotic prescribing and antibiotic resistance in persons with spinal cord injury or disorder

The data show that the respondents are aware of and concerned with the problem of antibiotic resistance in their practice, and suggest that interventions should focus on provider education, particularly regarding appropriate antibiotic prescribing.

Physicians' Perceptions, Beliefs, Attitudes, and Knowledge Concerning Antimicrobial Resistance in a Brazilian Teaching Hospital

The results of this study warrant educational programs on antimicrobial resistance and the distribution of information regarding local antimicrobial susceptibility testing.

Behavior change strategies to influence antimicrobial prescribing in acute care: a systematic review.

  • E. CharaniR. Edwards A. Holmes
  • Medicine
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2011
A novel systematic review of both qualitative and quantitative literature on antimicrobial prescribing behavior in acute care found that behavioral sciences and social marketing were used and these influences were not given due consideration in the design and evaluation of interventions.

Antimicrobial resistance: risk associated with antibiotic overuse and initiatives to reduce the problem

Interventions to reduce overuse of antibiotics should encompass the enforcement of the policy of prohibiting the over-the-counter sale of antibiotics, the use of antimicrobial stewardship programmes, the active participation of clinicians in audits, the utilization of valid rapid point-of-care tests and the promotion of delayed antibiotic prescribing strategies.

Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011.

In the United States in 2010-2011, there was an estimated annual antibiotic prescription rate per 1000 population of 506, but only an estimated 353 antibiotic prescriptions were likely appropriate, supporting the need for establishing a goal for outpatient antibiotic stewardship.

Antibiotic prescribing for adults in ambulatory care in the USA, 2007-09.

Broad-spectrum agents constitute the majority of antibiotics in ambulatory care, and more than 25% of prescriptions are for conditions for which antibiotics are rarely indicated.

How can we improve antibiotic prescribing in primary care?

This review presents a broad perspective on antibiotic stewardship in primary care in high and high-middle income country settings, focussing on studies published in the last five years, and presents the limitations of available literature.