Physicians' Perceptions, Beliefs, Attitudes, and Knowledge Concerning Antimicrobial Resistance in a Brazilian Teaching Hospital

Abstract

This cross-sectional survey assessed physicians' perceptions, knowledge and practices concerning antimicrobial resistance. Ninety-nine percent of participants reported that they perceived antimicrobial resistance as an important problem, and 86.7% agreed that antimicrobials are overprescribed, but only 2.9% rated "practicing antimicrobial control" as the most important strategy for preventing resistance. The results of this study warrant educational programs on antimicrobial resistance and the distribution of information regarding local antimicrobial susceptibility testing.

Clinicians' Knowledge, Attitudes, and Practices regarding Infections with Multidrug-Resistant Gram-Negative Bacilli in Intensive Care Units

“…26,27 Previous studies have found that respondents underestimated the prevalence of resistance, particularly at their own institution. 21,24,25 As noted in previous studies and our study, most healthcare providers believed that excess use of antimicrobials was a cause of resistance, 24,25 but fewer believed that antimicrobials were overused in the hospitals in which they worked. 22,23 Our survey uncovered a substantial knowledge gap which may delay appropriate implementation of transmission precautions and thus facilitate transmission of multidrugresistant organisms.…”

“…20 Several surveys about antimicrobial resistance have been conducted with different types of healthcare workers, including medical students, residents, and attending physicians (Table 6). [21][22][23][24][25] These previous studies have found that 87% to 97% of respondents viewed resistance as a national problem while fewer (55% to 93%) viewed resistance as a local problem. 17,19,[21][22][23][24] In contrast, we found that the vast majority of respondents at our institution agreed that MDR-GNB infections were a serious problem in ICUs both in the U.S. and at our medical center.…”

“…Previous studies have also explored the educational needs of healthcare professionals regarding antimicrobial use and resistance (Table 6). [21][22][23][24][25] Many respondents desired educational sessions on antimicrobial use, prescribing guidelines, and feedback on their prescribing practices. 22,23,25 As we and others have noted, interactive education appears to be generally preferred to didactic sessions or handouts as reflected in providers' desire for feedback or preference for the advice of local experts and local resources.…”

“…22,23,25 As we and others have noted, interactive education appears to be generally preferred to didactic sessions or handouts as reflected in providers' desire for feedback or preference for the advice of local experts and local resources. 21,25 As further evidence of the effectiveness of prescriber audit and feedback, this evidence-based strategy is recommended to improve antimicrobial stewardship. 29 This study had several limitations.…”

Knowledge, attitudes and practice survey about antimicrobial resistance and prescribing among physicians in a tertiary care teaching hospital in Eastern India

“…KAP-surveys about antimicrobial resistance have been conducted among doctors in the community setting, but only few have been reported from the hospital setting. 6,7 The bacterial disease burden in India is very high. So antibiotics play a huge role in controlling morbidity and mortality from such diseases.…”