[Self-assessment of patterns of antibiotic use in a university hospital]

Enferm Infecc Microbiol Clin. 2014 Oct;32(8):507-10. doi: 10.1016/j.eimc.2014.03.009. Epub 2014 Jun 2.
[Article in Spanish]

Abstract

Introduction: A questionnaire was used to determine the knowledge, attitudes and practices of antibiotic prescribing among doctors at a university hospital.

Methods: An anonymous questionnaire was directly distributed by a staff member of the Infectious Diseases Department.

Results: A total of 316 questionnaires were distributed with 100% response rate; antibiotic dose, route of administration, and treatment duration were always adjusted according to site of infection and underlying conditions in 65, 68 and 45%, respectively. Antibiotic de-escalation was recognized as usual practice in 20%; 31 and 10% considered potential microbiological resistances and economical-cost when taking prescription decisions, respectively; 16% admitted often prescribing antibiotics with no clinical indication. There were no major significant differences between staff and training physicians, or between surgical or medical specialists.

Conclusions: The self-perception of physicians and residents in our hospital is that they make improper use of antimicrobials.

Keywords: Antibiotic stewardship programs; Antimicrobial use; Programas de optimización del uso de antibióticos; Programas de uso de antibióticos; Programs for optimizing the use of antibiotics; Recomendaciones; Recommendations; Uso de antimicrobianos.

Publication types

  • English Abstract

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Attitude of Health Personnel
  • Drug Resistance, Microbial
  • Drug Utilization / statistics & numerical data*
  • Faculty, Medical
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice*
  • Hospitals, University / statistics & numerical data*
  • Humans
  • Inappropriate Prescribing / statistics & numerical data*
  • Internship and Residency
  • Medical Staff, Hospital / psychology*
  • Medical Staff, Hospital / statistics & numerical data
  • Medicine
  • Self-Assessment
  • Spain
  • Surveys and Questionnaires

Substances

  • Anti-Bacterial Agents