Antibiotic resistance - A survey of physician perceptions
Antibiotic resistance - A survey of physician perceptions
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DOI：
10.1001/archinte.162.19.2210
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发表时间：
2002-10-28
影响因子：
--
通讯作者：
Martinez, E
中科院分区：
文献类型：
--
作者：
Wester, CW;Durairaj, L;Martinez, E
背景资料：抗生素耐药性的部分原因是过量的抗生素处方，但很少有人知道处方医生对这个问题的看法。我们调查了芝加哥地区4家医院的490名内科医生，以评估他们对抗生素耐药性重要性的态度，对抗生素耐药性患病率的了解，自我报告的抗生素耐药性经历，对其原因的信念，结果：490名医生中有424名医生的应答率为87%。87%的受访者认为抗生素耐药性是一个非常重要的国家问题，但只有55%的受访者认为这个问题在他们自己的医院非常重要。几乎所有的医生（97%）都认为广泛和不适当的抗生素使用是耐药性的重要原因。然而，只有60%的人赞成限制使用广谱抗生素，虽然这一比例不同的医院和医生group.Conclusions：虽然大多数医生认为抗生素耐药性作为一个严重的国家问题，其本地的重要性，其原因和可能的解决方案的看法有很大的不同。医生知识、信念和态度的差异可能会影响改善抗生素处方和感染控制实践的努力。
Background: Antibiotic resistance is caused partly by excessive antibiotic prescribing, yet little is known about prescribers' views on this problem.Methods: We surveyed 490 internal medicine physicians at 4 Chicago-area hospitals to assess their attitudes about the importance of antibiotic resistance, knowledge of its prevalence, self-reported experience with antibiotic resistance, beliefs about its causes, and attitudes about interventions designed to address the problem.Results: The response rate was 87% (424 of 490 physicians). Antibiotic resistance was perceived as a very important national problem by 87% of the respondents, but only 55% rated the problem as very important at their own hospitals. Nearly all physicians (97%) believed that widespread and inappropriate antibiotic use were important causes of resistance. Yet, only 60% favored restricting use of broad-spectrum antibiotics, although this percentage varied by hospital and physician group.Conclusions: Although most physicians view antibiotic resistance as a serious national problem, perceptions about its local importance, its causes, and possible solutions vary more widely. Disparities in physician knowledge, beliefs, and attitudes may compromise efforts to improve antibiotic prescribing and infection control practices.