Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals

Introduction Antibiotics are essential and abundantly prescribed in hospitals because of their effectiveness and lifesaving benefits. However, the unnecessary use of antibiotics has been observed in earlier studies, and it has persisted through recent years as a major issue since it is one of the le...

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Main Authors: Adel Alothman, Abdullah Algwizani, Mohammed Alsulaiman, Abdullah Alalwan, Salih Binsalih, Mohammad Bosaeed
Format: Article
Language:English
Published: SAGE Publishing 2016-01-01
Series:Infectious Diseases
Online Access:https://doi.org/10.4137/IDRT.S40047
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spelling doaj-3d636d4ee0a249dbbae23234dd1992bc2020-11-25T02:57:36ZengSAGE PublishingInfectious Diseases1178-63372016-01-01910.4137/IDRT.S40047Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference HospitalsAdel Alothman0Abdullah Algwizani1Mohammed Alsulaiman2Abdullah Alalwan3Salih Binsalih4Mohammad Bosaeed5King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.Division of Infectious Diseases, Department of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.Division of Infectious Diseases, Department of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.Introduction Antibiotics are essential and abundantly prescribed in hospitals because of their effectiveness and lifesaving benefits. However, the unnecessary use of antibiotics has been observed in earlier studies, and it has persisted through recent years as a major issue since it is one of the leading causes of antibiotic resistance. The increase in antibiotic resistance nowadays is one of the most critical concerns in global public health around the world. The objective of this study was to evaluate the knowledge and perceptions related to antibiotic prescription among physicians at our medical centers. Method A cross-sectional survey of non-infectious diseases specialized physicians. The study was conducted during 2015 at two tertiary care centers in Riyadh, Saudi Arabia. Result Of the 107 returned questionnaires, 93 were complete and valuable. Most respondents (82%) perceived antibiotic resistance to be a critical problem globally, and 78% also think that it is a very important national problem. These attitudes did not differ across specialty or level of training. Widespread antibiotic use and inappropriate empirical choices were believed by 81% of the participants to be important general causes of resistance. Only half of respondents thought that antibiotic restriction is a useful intervention to decrease the antibiotic resistance. The physicians believed educational interventions are the most useful and effective way to improve prescription patterns and decrease antibiotic resistance. Complications due to infection with resistant organisms were acknowledged by almost all of the participants, with some differences in their estimations of how often it will occur. Conclusion Antimicrobial resistance, globally and nationally, is considered as a serious threat, and physicians in this survey acknowledged that. Among the most significant factors is antimicrobial misuse, either by overprescribing or providing inappropriate drugs with some ambivalence, as well as the importance of hand hygiene and antibiotic restrictions. By adhering to local guidelines, continuous education, and other practical interventions, the burden of resistance can be alleviated, as highlighted in this survey.https://doi.org/10.4137/IDRT.S40047
collection DOAJ
language English
format Article
sources DOAJ
author Adel Alothman
Abdullah Algwizani
Mohammed Alsulaiman
Abdullah Alalwan
Salih Binsalih
Mohammad Bosaeed
spellingShingle Adel Alothman
Abdullah Algwizani
Mohammed Alsulaiman
Abdullah Alalwan
Salih Binsalih
Mohammad Bosaeed
Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals
Infectious Diseases
author_facet Adel Alothman
Abdullah Algwizani
Mohammed Alsulaiman
Abdullah Alalwan
Salih Binsalih
Mohammad Bosaeed
author_sort Adel Alothman
title Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals
title_short Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals
title_full Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals
title_fullStr Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals
title_full_unstemmed Knowledge and Attitude of Physicians toward Prescribing Antibiotics and the Risk of Resistance in Two Reference Hospitals
title_sort knowledge and attitude of physicians toward prescribing antibiotics and the risk of resistance in two reference hospitals
publisher SAGE Publishing
series Infectious Diseases
issn 1178-6337
publishDate 2016-01-01
description Introduction Antibiotics are essential and abundantly prescribed in hospitals because of their effectiveness and lifesaving benefits. However, the unnecessary use of antibiotics has been observed in earlier studies, and it has persisted through recent years as a major issue since it is one of the leading causes of antibiotic resistance. The increase in antibiotic resistance nowadays is one of the most critical concerns in global public health around the world. The objective of this study was to evaluate the knowledge and perceptions related to antibiotic prescription among physicians at our medical centers. Method A cross-sectional survey of non-infectious diseases specialized physicians. The study was conducted during 2015 at two tertiary care centers in Riyadh, Saudi Arabia. Result Of the 107 returned questionnaires, 93 were complete and valuable. Most respondents (82%) perceived antibiotic resistance to be a critical problem globally, and 78% also think that it is a very important national problem. These attitudes did not differ across specialty or level of training. Widespread antibiotic use and inappropriate empirical choices were believed by 81% of the participants to be important general causes of resistance. Only half of respondents thought that antibiotic restriction is a useful intervention to decrease the antibiotic resistance. The physicians believed educational interventions are the most useful and effective way to improve prescription patterns and decrease antibiotic resistance. Complications due to infection with resistant organisms were acknowledged by almost all of the participants, with some differences in their estimations of how often it will occur. Conclusion Antimicrobial resistance, globally and nationally, is considered as a serious threat, and physicians in this survey acknowledged that. Among the most significant factors is antimicrobial misuse, either by overprescribing or providing inappropriate drugs with some ambivalence, as well as the importance of hand hygiene and antibiotic restrictions. By adhering to local guidelines, continuous education, and other practical interventions, the burden of resistance can be alleviated, as highlighted in this survey.
url https://doi.org/10.4137/IDRT.S40047
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