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Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
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Antibiotic prescribing knowledge, attitudes, and practice among physicians in teaching hospitals in South India

Nimmy Thakolkaran1, A Veena Shetty1, Neevan D R D'Souza2,3

  • 1Department of Microbiology, K.S. Hegde Medical Academy, NITTE University, Mangalore, Karnataka, India.

Journal of Family Medicine and Primary Care
|February 9, 2018
PubMed
Abstract

Insights

Physician antibiotic prescribing in India is suboptimal. Knowledge of antibiotic resistance and experience influence prescribing, with most physicians believing overuse is common. Educational programs are key to improving antimicrobial stewardship.

Area of Science:

  • Medical Research
  • Public Health
  • Infectious Diseases

Background:

  • Antibiotic overuse is a significant global public health concern.
  • Limited data exists on physician antibiotic prescribing patterns in India.

Purpose of the Study:

  • To evaluate antibiotic prescribing knowledge, attitudes, and practices among physicians in Mangalore, South India.
  • To identify factors influencing physician antibiotic prescribing behavior.

Main Methods:

  • A cross-sectional descriptive study design was employed.
  • Anonymous on-site surveys with Likert scales were administered to physicians at academic tertiary hospitals.
  • Data analysis was performed using SPSS version 15.0.

Main Results:

  • Physician knowledge of bacterial resistance patterns correlated with receiving resistance updates and participating in antibiotic courses.
  • More experienced physicians were less likely to prescribe antibiotics for uncomplicated bronchitis and acute gastroenteritis.
  • A majority of physicians (89%) believed in antibiotic overuse, and 45% reported their hospitals lacked an infection control policy.

Conclusions:

  • The study offers insights into physician antibiotic prescribing in Indian teaching hospitals.
  • Educational initiatives and antimicrobial stewardship programs are crucial for combating antibiotic resistance.
  • Promoting judicious antimicrobial use is essential for public health.
Keywords:
Antimicrobial resistanceIndiaattitudesknowledgephysicianspractices

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