Young doctors' perspectives on antibiotic use and resistance: a multinational and inter-specialty cross-sectional European Society of Clinical Microbiology and Infectious Diseases (ESCMID) survey.
Background: Postgraduate training has the potential to shape the prescribing practices of young doctors.Objectives: To investigate the practices, attitudes and beliefs on antibiotic use and resistance in young doctors of different specialties.Methods: We performed an international web-based explorat...
| Publicado en: | Journal of Antimicrobial Chemotherapy (JAC) Vol. 74; no. 12; pp. 3611 - 3619 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139710065&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139710065 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03057453 N5O jtl: Journal of Antimicrobial Chemotherapy (JAC) issn: 03057453 maglogo: N pubinfo: dt: Dec2019 vid: 74 iid: 12 pid: 622 pub: Oxford University Press / USA artinfo: ui: 139710065 139710065 NLM31504568 139710065 10.1093/jac/dkz375 NLM31504568 139710065 ppf: 3611 ppct: 8 formats: tig: atl: Young doctors' perspectives on antibiotic use and resistance: a multinational and inter-specialty cross-sectional European Society of Clinical Microbiology and Infectious Diseases (ESCMID) survey. aug: au: Beović, Bojana Doušak, May Pulcini, Céline Béraud, Guillaume Pardo, Jose Ramon Paño Sánchez-Fabra, David Kofteridis, Diamantis Cortez, Joana Pagani, Leonardo Klešnik, Maša Nadrah, Kristina Fink, Mitja Hafner Nathwani, Dilip Uhan, Samo Paño Pardo, Jose Ramon Hafner Fink, Mitja affil: University Medical Centre Ljubljana, Ljubljana, Slovenia sug: subj: International Relations Antibiotics Therapeutic Use Physicians Attitude to Health Cross Sectional Studies Education, Medical Europe Human Female Drug Resistance, Microbial Male Internal Medicine Validation Studies Comparative Studies Evaluation Research Multicenter Studies Female Male ab: Background: Postgraduate training has the potential to shape the prescribing practices of young doctors.Objectives: To investigate the practices, attitudes and beliefs on antibiotic use and resistance in young doctors of different specialties.Methods: We performed an international web-based exploratory survey. Principal component analysis (PCA) and bivariate and multivariate [analysis of variance (ANOVA)] analyses were used to investigate differences between young doctors according to their country of specialization, specialty, year of training and gender.Results: Of the 2366 participants from France, Greece, Italy, Portugal, Slovenia and Spain, 54.2% of young doctors prescribed antibiotics predominantly as instructed by a mentor. Associations between the variability of answers and the country of training were observed across most questions, followed by variability according to the specialty. Very few differences were associated with the year of training and gender. PCA revealed five dimensions of antibiotic prescribing culture: self-assessment of knowledge, consideration of side effects, perception of prescription patterns, consideration of patient sickness and perception of antibiotic resistance. Only the country of specialization (partial η2 0.010-0.111) and the type of specialization (0.013-0.032) had a significant effect on all five identified dimensions (P < 0.01). The strongest effects were observed on self-assessed knowledge and in the perception of antibiotic resistance.Conclusions: The country of specialization followed by the type of specialization are the most important determinants of young doctors' perspectives on antibiotic use and resistance. The inclusion of competencies in antibiotic use in all specialty curricula and international harmonization of training should be considered. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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