Young doctors' perspectives on antibiotic use and resistance: a multinational and inter-specialty cross-sectional European Society of Clinical Microbiology and Infectious Diseases (ESCMID) survey

Bojana Beović (Lead / Corresponding author), May Doušak, Céline Pulcini, Guillaume Béraud, Jose Ramon Paño Pardo, David Sánchez-Fabra, Diamantis Kofteridis, Joana Cortez, Leonardo Pagani, Maša Klešnik, Kristina Nadrah, Mitja Hafner Fink, Dilip Nathwani, Samo Uhan

    Research output: Contribution to journalArticle

    Abstract

    Background: Postgraduate training has the potential to shape the prescribing practices of young doctors.

    Objectives: To investigate the practices, attitudes and beliefs on antibiotic use and resistance in young doctors of different specialties.

    Methods: We performed an international web-based exploratory survey. Principal component analysis (PCA) and bivariate and multivariate [analysis of variance (ANOVA)] analyses were used to investigate differences between young doctors according to their country of specialization, specialty, year of training and gender.

    Results: Of the 2366 participants from France, Greece, Italy, Portugal, Slovenia and Spain, 54.2% of young doctors prescribed antibiotics predominantly as instructed by a mentor. Associations between the variability of answers and the country of training were observed across most questions, followed by variability according to the specialty. Very few differences were associated with the year of training and gender. PCA revealed five dimensions of antibiotic prescribing culture: self-assessment of knowledge, consideration of side effects, perception of prescription patterns, consideration of patient sickness and perception of antibiotic resistance. Only the country of specialization (partial η2 0.010-0.111) and the type of specialization (0.013-0.032) had a significant effect on all five identified dimensions (P < 0.01). The strongest effects were observed on self-assessed knowledge and in the perception of antibiotic resistance.

    Conclusions: The country of specialization followed by the type of specialization are the most important determinants of young doctors' perspectives on antibiotic use and resistance. The inclusion of competencies in antibiotic use in all specialty curricula and international harmonization of training should be considered.

    Original languageEnglish
    Pages (from-to)3611-3618
    Number of pages8
    JournalJournal of Antimicrobial Chemotherapy
    Volume74
    Issue number12
    Early online date3 Sep 2019
    DOIs
    Publication statusPublished - 1 Dec 2019

    Keywords

    • antibiotics
    • antibiotic resistance
    • bacterial
    • communicable disease
    • microbiology
    • gender
    • multi-antibiotic resistance
    • prescribing behavior

    Fingerprint Dive into the research topics of 'Young doctors' perspectives on antibiotic use and resistance: a multinational and inter-specialty cross-sectional European Society of Clinical Microbiology and Infectious Diseases (ESCMID) survey'. Together they form a unique fingerprint.

  • Cite this

    Beović, B., Doušak, M., Pulcini, C., Béraud, G., Paño Pardo, J. R., Sánchez-Fabra, D., Kofteridis, D., Cortez, J., Pagani, L., Klešnik, M., Nadrah, K., Hafner Fink, M., Nathwani, D., & Uhan, S. (2019). Young doctors' perspectives on antibiotic use and resistance: a multinational and inter-specialty cross-sectional European Society of Clinical Microbiology and Infectious Diseases (ESCMID) survey. Journal of Antimicrobial Chemotherapy, 74(12), 3611-3618. https://doi.org/10.1093/jac/dkz375