Alshukaili Shaima, Al-Saffar Hussain, Al-Rawahi Hatem, Al Yazidi Laila
College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Child Health Department, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.
Sultan Qaboos Univ Med J. 2025 May 2;25(1):474-484. doi: 10.18295/2075-0528.2861.
This study aimed to evaluate antibiotic prescription knowledge and practices among Oman Medical Specialty Board (OMSB) paediatric residents. The goal was to identify educational opportunities to reduce antimicrobial resistance and improve patient care.
A survey-based cross-sectional study was conducted among the OMSB paediatric residents from August 2023 to September 2023. The online survey involved three parts: residents' demographics, knowledge of 12 common paediatric infection scenarios and clinical practice. Participants were asked to choose the proper antibiotic choices and duration for each scenario. Data analysis was performed using SPSS.
A total of 74 responses were obtained, resulting in an 84% response rate. No significant differences were observed in the knowledge of antibiotic prescriptions among paediatric residents at different stages of their residency. The highest knowledge-based adherence rate to local antibiotic guidelines was noted in the acute sinusitis scenario (n = 70; 94.6%), followed by the acute meningitis scenario (n = 68; 91.9%). Conversely, the lowest adherence was observed in the acute otitis media (n = 16; 21.6%), followed by cellulitis (n = 23; 31.1%). Residents exhibited proficient clinical judgement by consulting infectious disease specialists when required based on the scenarios provided.
The low knowledge-based adherence to antibiotic guidelines for common paediatric infections, coupled with the lack of significant differences in antibiotic knowledge between senior and junior paediatric residents, underscores the need for collective educational interventions. These interventions aim to advance knowledge and skills in antimicrobial stewardship and local antibiotic guidelines application.
本研究旨在评估阿曼医学专科委员会（OMSB）儿科住院医师对抗生素处方的知识和实践。目标是确定减少抗菌药物耐药性并改善患者护理的教育机会。
2023年8月至2023年9月对OMSB儿科住院医师进行了一项基于调查的横断面研究。在线调查包括三个部分：住院医师的人口统计学信息、对12种常见儿科感染情况的知识以及临床实践。要求参与者为每种情况选择合适的抗生素选择和疗程。使用SPSS进行数据分析。
共获得74份回复，回复率为84%。在住院医师不同阶段，儿科住院医师对抗生素处方的知识未观察到显著差异。在急性鼻窦炎情况（n = 70；94.6%）中，基于知识的对当地抗生素指南的依从率最高，其次是急性脑膜炎情况（n = 68；91.9%）。相反，在急性中耳炎（n = 16；21.6%）中观察到最低依从率，其次是蜂窝织炎（n = 23；31.1%）。根据提供的情况，住院医师在需要时通过咨询传染病专家表现出了熟练的临床判断力。
儿科常见感染中基于知识的抗生素指南依从性较低，以及高级和初级儿科住院医师之间抗生素知识缺乏显著差异，凸显了集体教育干预的必要性。这些干预旨在提高抗菌药物管理和当地抗生素指南应用方面的知识和技能。
