Italian young doctors' knowledge, attitudes and practices on antibiotic use and resistance: A national cross-sectional survey
Italian young doctors' knowledge, attitudes and practices on antibiotic use and resistance: A national cross-sectional survey
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DOI：
10.1016/j.jgar.2020.08.022
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发表时间：
2020-12-01
影响因子：
4.6
通讯作者：
Fantoni, M.
中科院分区：
文献类型：
--
作者：
Di Gennaro, F.;Marotta, C.;Fantoni, M.
目标：抗生素耐药性（AMR）是全球主要的健康问题之一。临床医生应在抗击抗菌素耐药性方面发挥核心作用，而医疗培训是抗击抗菌素耐药性的关键问题；因此，评估年轻医生的知识、态度和实践水平对于未来的抗菌药物管理（AMS）计划至关重要。方法：在意大利进行了一项全国性、横断面、多中心调查。对知识和态度进行了描述性分析，并对其决定因素进行了单变量和多变量分析。结果：总体而言，1179 名年轻医生参与了调查，其中 1055 名（89.5%）完成了所有部分。关于问卷的知识部分，几乎所有参与者都声称知道所提出的不同种类的细菌，但在临床测验中，对耐万古霉素肠球菌（VRE）问题正确回答的参与者百分比为23%，对碳青霉烯类耐药肠杆菌科细菌（CRE）问题正确回答的比例为42%，对产生广谱β-内酰胺酶的问题正确回答的参与者比例为32% 肠杆菌 (ESBL) 和 27% 的耐甲氧西林金黄色葡萄球菌 (MRSA)。同样，81% 的参与者不同意他们在医疗培训期间充分解决了抗菌素耐药性问题，71% 的参与者不同意他们从导师那里得到了正确的例子。最后，记录显示，人们对拟议的抗击抗菌素耐药性行动的同意率很高；特别是，同意参与主动监测系统或 AMS 计划的受访者比例为 76%。结论：解决 AMR 问题应成为政治家和所有卫生工作者的首要任务。迫切需要将抗生素使用能力纳入所有专业课程。 (C) 2020 作者。由爱思唯尔有限公司代表国际抗菌化疗协会出版。
Objectives: Antimicrobial resistance (AMR) is one of the major health issues worldwide. Clinicians should play a central role to fight AMR, and medical training is a pivotal issue to combat it; therefore, assessing levels of knowledge, attitudes and practices among young doctors is essential for future antimicrobial stewardship (AMS) programmes.Methods: A nationwide, cross sectional, multicentre survey was conducted in Italy. A descriptive analysis of knowledge and attitudes was performed, along with a univariate and multivariate analysis of their determinants.Results: Overall, 1179 young doctors accessed the survey and 1055 (89.5%) completed all sections. Regarding the knowledge section of the questionnaire, almost all participants declared to know the different species of bacteria proposed, however the percentage of participants who correctly responded to clinical quizzes was 23% for the question on vancomycin-resistant enterococci (VRE), 42% on carbapenem-resistant Enterobacteriaceae (CRE), 32% on extended-spectrum beta-lactamase producing enterobacteria (ESBL) and 27% on methicillin-resistantStaphylococcus aureus (MRSA). Similarly, 81% of participants disagreed in stating that AMR was adequately addressed during their medical training and 71% disagreed that they received the right example from their tutors. Finally, a high rate of agreement with the proposed actions to combat AMR was documented; in particular, the percentage agreement was 76% for respondents who agreed to be part of an active surveillance system or AMS programme.Conclusions: Tackling AMR should be a priority for politicians and for all health workers. Inclusion of competencies in antibiotic use in all specialty curricula is urgently needed. (C) 2020 The Authors. Published by Elsevier Ltd on behalf of International Society for Antimicrobial Chemotherapy.