Attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi-part training course – a pilot study
Background: A plethora of antimicrobial stewardship (AMS) programs has been initiated during the past years, focusing on hospital settings. Primary-care physicians have seldom been addressed, although the majority of antibiotic prescriptions are issued for outpatients. We sought to investigate attit...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2023-10-01
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| Series: | GMS Hygiene and Infection Control |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/dgkh/2023-18/dgkh000450.shtml |
| _version_ | 1797629454817689600 |
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| author | Last, Katharina Simon, Arne Gärtner, Barbara C. Becker, Sören L. Papan, Cihan |
| author_facet | Last, Katharina Simon, Arne Gärtner, Barbara C. Becker, Sören L. Papan, Cihan |
| author_sort | Last, Katharina |
| collection | DOAJ |
| description | Background: A plethora of antimicrobial stewardship (AMS) programs has been initiated during the past years, focusing on hospital settings. Primary-care physicians have seldom been addressed, although the majority of antibiotic prescriptions are issued for outpatients. We sought to investigate attitudes of primary-care physicians and the impact of a customized training course.Methods: Primary-care physicians in southwest Germany were invited to a multi-part training course on AMS in the primary-care setting. Participants were asked to answer a questionnaire about their attitude and factors that hinder them from implementing AMS or enable them to perform AMS. In addition, a knowledge assessment exam at the beginning and end of the training was conducted on selected infectious diseases/syndromes.Results: In total, 36 primary-care physicians participated in the training course. The predominant age group was 51–60 years old (36%; 13/36). The majority, 23/35 (66%), indicated never having had AMS training, while 22/35 (63%) acknowledged partly implementing AMS activitin their daily routine. The primary barrier was lack of expertise, while the main motives were reducing antimicrobial resistance and optimizing patient care. The provision of guidelines was regarded as more important than feedback on their prescription behavior. Exam performance improved from the initial to the final exam on all topics.Conclusion: Customized AMS training courses are a feasible and potentially complimentary tool to address antibiotic misuse in the primary-care setting. |
| first_indexed | 2024-03-11T10:54:37Z |
| format | Article |
| id | doaj.art-d12458c5cbd74f609adcd50b0908da48 |
| institution | Directory Open Access Journal |
| issn | 2196-5226 |
| language | deu |
| last_indexed | 2024-03-11T10:54:37Z |
| publishDate | 2023-10-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Hygiene and Infection Control |
| spelling | doaj.art-d12458c5cbd74f609adcd50b0908da482023-11-13T12:04:41ZdeuGerman Medical Science GMS Publishing HouseGMS Hygiene and Infection Control2196-52262023-10-0118Doc2410.3205/dgkh000450Attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi-part training course – a pilot studyLast, Katharina0Simon, Arne1Gärtner, Barbara C.2Becker, Sören L.3Papan, Cihan4Institute for Hygiene and Public Health, University Hospital Bonn, Bonn, GermanyPediatric Oncology, Saarland University Medical Center, Homburg, GermanyCenter for Infectious Diseases, Institute of Medical Microbiology and Hygiene, Saarland University, Homburg, GermanyCenter for Infectious Diseases, Institute of Medical Microbiology and Hygiene, Saarland University, Homburg, GermanyInstitute for Hygiene and Public Health, University Hospital Bonn, Bonn, GermanyBackground: A plethora of antimicrobial stewardship (AMS) programs has been initiated during the past years, focusing on hospital settings. Primary-care physicians have seldom been addressed, although the majority of antibiotic prescriptions are issued for outpatients. We sought to investigate attitudes of primary-care physicians and the impact of a customized training course.Methods: Primary-care physicians in southwest Germany were invited to a multi-part training course on AMS in the primary-care setting. Participants were asked to answer a questionnaire about their attitude and factors that hinder them from implementing AMS or enable them to perform AMS. In addition, a knowledge assessment exam at the beginning and end of the training was conducted on selected infectious diseases/syndromes.Results: In total, 36 primary-care physicians participated in the training course. The predominant age group was 51–60 years old (36%; 13/36). The majority, 23/35 (66%), indicated never having had AMS training, while 22/35 (63%) acknowledged partly implementing AMS activitin their daily routine. The primary barrier was lack of expertise, while the main motives were reducing antimicrobial resistance and optimizing patient care. The provision of guidelines was regarded as more important than feedback on their prescription behavior. Exam performance improved from the initial to the final exam on all topics.Conclusion: Customized AMS training courses are a feasible and potentially complimentary tool to address antibiotic misuse in the primary-care setting.http://www.egms.de/static/en/journals/dgkh/2023-18/dgkh000450.shtmlantimicrobial stewardshipantibiotic stewardshipantimicrobial resistanceprimary careantibiotic prescribingpost-graduate medical training |
| spellingShingle | Last, Katharina Simon, Arne Gärtner, Barbara C. Becker, Sören L. Papan, Cihan Attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi-part training course – a pilot study GMS Hygiene and Infection Control antimicrobial stewardship antibiotic stewardship antimicrobial resistance primary care antibiotic prescribing post-graduate medical training |
| title | Attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi-part training course – a pilot study |
| title_full | Attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi-part training course – a pilot study |
| title_fullStr | Attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi-part training course – a pilot study |
| title_full_unstemmed | Attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi-part training course – a pilot study |
| title_short | Attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi-part training course – a pilot study |
| title_sort | attitudes of primary care physicians towards antimicrobial stewardship and the impact of a multi part training course a pilot study |
| topic | antimicrobial stewardship antibiotic stewardship antimicrobial resistance primary care antibiotic prescribing post-graduate medical training |
| url | http://www.egms.de/static/en/journals/dgkh/2023-18/dgkh000450.shtml |
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