Do resident physicians use antibiotics appropriately in treating upper respiratory infections? A survey of 11...

Area of Science:

• Infectious Diseases
• Medical Education
• Public Health

Background:

• Antibiotic resistance is a growing global health threat.
• Primary care physicians play a crucial role in antibiotic prescribing practices.
• Understanding resident physicians' perspectives on antibiotic resistance is vital for targeted interventions.

Purpose of the Study:

• To assess primary care resident physicians' knowledge and attitudes regarding antibiotic resistance.
• To investigate their management practices for upper respiratory infections (URIs).
• To identify factors influencing antibiotic prescribing for viral illnesses.

Main Methods:

• A survey was administered to resident physicians across 11 primary care programs.
• The survey focused on the management of URIs and perceptions of antibiotic resistance.
• Data analysis examined knowledge, attitudes, and self-reported prescribing behaviors.

Main Results:

• Physicians identified antibiotic overuse as the primary driver of resistance.
• However, knowledge regarding antimicrobial resistance mechanisms and epidemiology was limited.
• A significant willingness to prescribe antibiotics for common viral URIs was reported.

Conclusions:

• Despite recognizing the threat of antibiotic resistance, gaps in knowledge persist among resident physicians.
• Prescribing practices for viral URIs may exacerbate the development of antibiotic resistance.
• Educational interventions targeting antimicrobial stewardship are needed for primary care residents.