Centre Hospitalier Universitaire de Nice, Service d'Infectiologie, Hôpital l'Archet 1, Nice, France.
Clin Microbiol Infect. 2011 Jan;17(1):80-7. doi: 10.1111/j.1469-0691.2010.03179.x.
Our objective was to assess junior doctors' perceptions of their antibiotic prescribing practice and of bacterial resistance. We surveyed 190 postgraduate doctors still in training at two university teaching hospitals, in Nice (France) and Dundee (Scotland, UK), and 139 of them (73%) responded to the survey. The main results presented in this abstract are combined for Nice and Dundee, because there was no statistical difference for these points between the two hospitals. Antibiotic resistance was perceived as a national problem by 95% of the junior doctors, but only 63% rated the problem as important in their own daily practice. Their perceptions of the causes of antibiotic resistance were sometimes at variance with available medical evidence, with excessive duration of antibiotic treatment and poor hand hygiene practices rarely being perceived as important drivers for resistance. Only 31% and 26% of the doctors knew the correct prevalences of antibiotic misuse and of methicillin-resistant Staphylococcus aureus in hospitals, respectively. They preferred educational interventions, such as specific teaching sessions, availability of guidelines or readily accessible advice from an infectious diseases specialist, to improve antibiotic prescribing, rather than restricted prescription of antibiotics. These data provide helpful information for the design of strategies to optimize adherence to good antimicrobial stewardship.
我们的目的是评估初级医生对抗生素处方实践和细菌耐药性的看法。我们调查了尼斯（法国）和邓迪（苏格兰，英国）两所大学教学医院的 190 名仍在培训中的住院医师，其中 139 名（73%）对调查做出了回应。本摘要中的主要结果是尼斯和邓迪的综合结果，因为这两个医院在这些方面没有统计学差异。95%的初级医生认为抗生素耐药性是一个全国性问题，但只有 63%的人认为该问题在他们自己的日常实践中很重要。他们对抗生素耐药性的看法有时与现有医学证据不符，过度的抗生素治疗时间和不良的手卫生习惯很少被认为是耐药性的重要驱动因素。只有 31%和 26%的医生分别知道医院中抗生素滥用和耐甲氧西林金黄色葡萄球菌的正确流行率。他们更喜欢教育干预措施，如专门的教学课程、指南的可用性或从传染病专家那里获得便捷的咨询建议，以改善抗生素的处方，而不是限制抗生素的处方。这些数据为制定策略提供了有益的信息，以优化对抗生素的合理使用。
