Ney Katheryn, Durkin Michael J, Politi Mary C, Haar Viktoria Vonder, Turabelidze George, Hsueh Kevin
Division of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
School of Public Health, Washington University, St. Louis, Missouri, USA.
Mo Med. 2025 Jul-Aug;122(4):324-328.
To understand the perceptions, knowledge, and opportunities to improve antibiotic prescribing practices among outpatient providers.
We disseminated a survey to a convenience sample of primary care and internal medicine physicians and mid-level providers practicing in the state of Missouri.
Sixty-seven providers completed the survey. Most (64%) providers reported reviewing best practice guidelines and educational materials on a regular basis. Providers were most interested in patient-facing educational materials that would help support best practices. However, substantial variability existed in responses about antibiotic prescribing; some (15%) respondents stated that they rarely review guidelines or use antibiotic stewardship resources. Providers felt that any feedback about antibiotic prescribing practices should be provided via email and should focus on reducing antibiotic use for viral conditions.
Missouri survey respondents generally support appropriate antibiotic use to address antibiotic resistance. However, findings also suggest that delivering resources to targeted populations of over-prescribers may be beneficial. Future interventions should include physician-endorsed education to support safe antibiotic use and explore electronic feedback for viral conditions.
了解门诊医疗服务提供者对抗生素处方开具行为改进的看法、知识和机会。
我们向密苏里州从事初级保健、内科的医生以及中级医疗服务提供者的便利样本发放了一份调查问卷。
67名医疗服务提供者完成了调查。大多数（64%）医疗服务提供者报告称会定期查阅最佳实践指南和教育资料。医疗服务提供者对有助于支持最佳实践的面向患者的教育资料最感兴趣。然而，在抗生素处方开具的回答方面存在很大差异；一些（15%）受访者表示他们很少查阅指南或使用抗生素管理资源。医疗服务提供者认为，任何关于抗生素处方开具行为的反馈都应通过电子邮件提供，并且应侧重于减少针对病毒性疾病使用抗生素。
密苏里州的调查受访者普遍支持合理使用抗生素以应对抗生素耐药性问题。然而，研究结果还表明，向过度开具处方的目标人群提供资源可能会有所帮助。未来的干预措施应包括医生认可的教育，以支持安全使用抗生素，并探索针对病毒性疾病的电子反馈。
