Knowledge, Attitudes and Practice Regarding Antibiotic Prescription by Medical Interns: A Qualitative Study in Spain

Author:

Molina-Romera Germán1ORCID,Vazquez-Cancela Olalla1,Vazquez-Lago Juan Manuel1ORCID,Montes-Villalba Rodrigo Alonso1,Roque Fátima23ORCID,Herdeiro Maria Teresa4ORCID,Figueiras Adolfo56ORCID

Affiliation:

1. Preventive Medicine and Public Health Department, University Hospital of Santiago de Compostela, 15706 Santiago de Compostela, Spain

2. Research Unit for Inland Development, Guarda Polytechnic Institute (UDI-IPG), 6300 Guarda, Portugal

3. Health Sciences Research Centre Interior (Centro de Investigação em Ciências da Saúde-CICS/UBI), University of Beira, 6200 Covilhã, Portugal

4. Department of Medical Sciences, iBiMED-Institute of Biomedicine, University of Aveiro, 3810 Aveiro, Portugal

5. Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiología y Salud Pública/CIBERESP), 15706 Santiago de Compostela, Spain

6. Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela—IDIS), University of Santiago de Compostela, 15706 Santiago de Compostela, Spain

Abstract

Antibiotic resistance is an issue of growing importance in the public health sphere. Medical interns are of great relevance when it comes to the source of this problem. This study therefore sought to ascertain which factors influence the management of antibiotic therapy by this population, in order to pinpoint the possible causes of misprescribing habits. We conducted a qualitative study based on focus group techniques, with groups consisting of medical interns from the Santiago de Compostela Clinical University Teaching Hospital. Our study identified factors which the participants considered to be determinants of antibiotic use and their relationship with the appearance of resistance. The single most repeated factor was the influence of the attending physician’s judgement; other factors included a high healthcare burden or prescribing inertia. This stage is an opportunity to correct misprescribing habits, by implementing educational interventions aimed at modifying the identified factors.

Funder

Carlos III Institute of Health

European Regional Development Fund

Publisher

MDPI AG

Subject

Pharmacology (medical),Infectious Diseases,Microbiology (medical),General Pharmacology, Toxicology and Pharmaceutics,Biochemistry,Microbiology

Reference43 articles.

1. (2022, November 17). World Health Organization Antimicrobial Resistance: Global Report on Surveillance 2014. Available online: https://apps.who.int/iris/handle/10665/112642.

2. Economic Burden of Antibiotic Resistance: How Much Do We Really Know?;Gandra;Clin. Microbiol. Infect.,2014

3. Antimicrobial Resistance: Implications and Costs;Dadgostar;Infect. Drug Resist.,2019

4. Bacteria Antibiotic Resistance: New Challenges and Opportunities for Implant-Associated Orthopedic Infections;Li;J. Orthop. Res.,2017

5. (2022, July 08). O’Neill J Review on Antimicrobial Resistance Antimicrobial Resistance: Tackling a Crisis for the Health and Wealth of Nations. London: Review on Antimicrobial Resistance. Available online: Https://Amr-Review.Org/Sites/Default/Files/AMR%20Review%20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%20wealth%20of%20nations_1.pdf.

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