Physicians’ attitude and knowledge regarding antibiotic use and resistance in ambulatory settings

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

“…Although most participants recognized that antibiotic resistance and inappropriate outpatient prescribing is a problem in the United States, there was less recognition that these were problems within their own practices. This finding is consistent with previous quantitative and qualitative studies that found high levels of awareness among clinicians of antibiotic resistance and prescribing as national issues, with less recognition as issues within their own practice [ 16–21 ]. This lack of recognition of physicians’ own contributions to inappropriate prescribing presents a barrier to encouraging widespread stewardship uptake.…”

Behavioral Economics and Ambulatory Antibiotic Stewardship: A Narrative Review

“…56,57 For example, in a survey of 323 physicians, 99% of respondents considered antibiotic resistance as a national problem, but only 63% believed that it was a problem in their workspace, and thus likely did not recognize antibiotic overprescribing as a concrete problem. 126 It is challenging to get someone to change their behavior if he feels his behavior is not problematic.…”

“…Because the dominant paradigm in ambulatory care underlies most of the research cited in the present article-patients are seeking relief or treatment, and clinicians are acquiescing or trying to balance not prescribing antibiotics with maintaining safetyhas been, in some ways, broken, could the COVID pandemic be an opportunity to break with the past? Just as clinicians with different cognitive frames have different antibiotic prescribing rates, 126 Going forward, it will be important to continue to monitor ambulatory visits and ambulatory antibiotic prescribing to determine whether the decreases of 2020 persist. Behavioral economics provides opportunities to leverage dramatic shifts in care and behavior to change future behavior.…”

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

“…However, the most commonly prescribed antibiotics observed in this study belong to broad spectrum antibiotics and around one third of the prescriptions contained two or more types of antibiotics. This may be attributed mainly to medical uncertainty though decisions on which speci c antibiotics to use depends on a variety of factors including availability, price, sensitivity, adverse effects and other characteristics of the antibiotics under concern [24][25][26] . Rural and township healthcare doctors in China work in a di cult situation in which microbiological tests are unavailable and it is hard to tell the pathogen and its sensitivity to speci c antibiotics from clinical symptoms/history.…”