Universidad Peruana Cayetano Heredia

Knowledge, attitudes and practice survey about antimicrobial resistance and prescribing among physicians in a hospital setting in Lima, Peru

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dc.contributor.author García Apac, Coralith Marlinda
dc.contributor.author Llamocca, L.P.
dc.contributor.author García, K.
dc.contributor.author Jiménez, A.
dc.contributor.author Samalvides Cuba, Frine
dc.contributor.author Gotuzzo Herencia, José Eduardo
dc.contributor.author Jacobs, J.
dc.date.accessioned 2022-01-18T19:34:36Z
dc.date.available 2022-01-18T19:34:36Z
dc.date.issued 2011
dc.identifier.uri https://hdl.handle.net/20.500.12866/11043
dc.description.abstract Background: Misuse of antimicrobials (AMs) and antimicrobial resistance (AMR) are global concerns. The present study evaluated knowledge, attitudes and practices about AMR and AM prescribing among medical doctors in two large public hospitals in Lima, Peru, a middle-income country.Methods: Cross-sectional study using a self-administered questionnaire. Results: A total of 256 participants completed the questionnaire (response rate 82%). Theoretical knowledge was good (mean score of 6 ± 1.3 on 7 questions) in contrast to poor awareness (< 33%) of local AMR rates of key-pathogens. Participants strongly agreed that AMR is a problem worldwide (70%) and in Peru (65%), but less in their own practice (22%). AM overuse was perceived both for the community (96%) and the hospital settings (90%). Patients' pressure to prescribing AMs was considered as contributing to AM overuse in the community (72%) more than in the hospital setting (50%). Confidence among AM prescribing was higher among attending physicians (82%) compared to residents (30%, p < 0.001%). Sources of information considered as very useful/useful included pocket-based AM prescribing guidelines (69%) and internet sources (62%). Fifty seven percent of participants regarded AMs in their hospitals to be of poor quality. Participants requested more AM prescribing educational programs (96%) and local AM guidelines (92%).Conclusions: This survey revealed topics to address during future AM prescribing interventions such as dissemination of information about local AMR rates, promoting confidence in the quality of locally available AMs, redaction and dissemination of local AM guidelines and addressing the general public, and exploring the possibilities of internet-based training. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Clinical Pharmacology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Peru en_US
dc.subject Cross-Sectional Studies en_US
dc.subject infection en_US
dc.subject Questionnaires en_US
dc.subject Internet en_US
dc.subject education program en_US
dc.subject health personnel attitude en_US
dc.subject multicenter study en_US
dc.subject quality control en_US
dc.subject antiinfective agent en_US
dc.subject resident en_US
dc.subject clinical trial en_US
dc.subject clinical practice en_US
dc.subject awareness en_US
dc.subject antibiotic resistance en_US
dc.subject Infection en_US
dc.subject Anti-Infective Agents en_US
dc.subject Antimicrobial resistance - antimicrobial use - knowledge en_US
dc.subject Attitude and practice survey en_US
dc.subject Attitude of Health Personnel en_US
dc.subject Drug Resistance, Microbial en_US
dc.subject Hospitals, Public en_US
dc.subject Hospitals, Urban en_US
dc.subject in service training en_US
dc.subject Inappropriate Prescribing en_US
dc.subject Inservice Training en_US
dc.subject knowledge en_US
dc.subject Medical Staff, Hospital en_US
dc.subject Patient Preference en_US
dc.subject physician en_US
dc.subject Physician's Practice Patterns en_US
dc.subject practice guideline en_US
dc.subject Practice Guidelines as Topic en_US
dc.subject prescription en_US
dc.subject Professional Competence en_US
dc.subject public hospital en_US
dc.title Knowledge, attitudes and practice survey about antimicrobial resistance and prescribing among physicians in a hospital setting in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/1472-6904-11-18
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.01.05
dc.relation.issn 1471-2210


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