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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 Garcia, C.
dc.contributor.author Llamocca, L. P.
dc.contributor.author Garcia, K.
dc.contributor.author Jimenez, A.
dc.contributor.author Samalvides, F.
dc.contributor.author Gotuzzo, E.
dc.contributor.author Jacobs, J.
dc.date.accessioned 2011-11-29T10:29:02Z
dc.date.available 2011-11-29T10:29:02Z
dc.date.issued 2011
dc.identifier.issn 1472-6904
dc.identifier.doi http://dx.doi.org/10.1186/1472-6904-11-18
dc.identifier.other ITG-CLA
dc.identifier.other CLINIC
dc.identifier.other U-CLIBIO
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other FTA
dc.identifier.other URL
dc.identifier.other Abstract
dc.identifier.other UPD40
dc.identifier.uri http://hdl.handle.net/10390/6730
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
dc.language English en
dc.subject Infectious diseases en
dc.subject Antimicrobial resistance en
dc.subject Staphylococcus aureus en
dc.subject Klebsiella pneumoniae en
dc.subject Pseudomonas aeruginosa en
dc.subject Professional competence en
dc.subject Knowledge en
dc.subject Attitudes en
dc.subject Practices en
dc.subject KAP en
dc.subject Prescription en
dc.subject Treatment en
dc.subject Management en
dc.subject Decision making en
dc.subject Medical doctors en
dc.subject Public sector en
dc.subject Hospitals en
dc.subject Peru en
dc.subject America, Latin en
dc.title Knowledge, attitudes and practice survey about antimicrobial resistance and prescribing among physicians in a hospital setting in Lima, Peru en
dc.type Article-E en
dc.citation.issue 18 en
dc.citation.jtitle BMC Clinical Pharmacology en
dc.citation.volume 11 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/22085536
dc.identifier.url http://www.biomedcentral.com/1472-6904/11/18
dc.citation.jabbreviation BMC Clin Pharmacol en


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