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Attitudes of house physicians concerning various antibiotic-use control programs
M D Murray1, R B Kohler, M C McCarthy
1School of Pharmacy and Pharmacal Sciences, Purdue University, West Lafayette, IN.
American Journal of Hospital Pharmacy
|March 1, 1988
Summary
Physicians prefer educational antibiotic control programs (ACPs) over restrictive or open prescribing. Educational ACPs led to fewer patient care problems and better antibiotic therapy outcomes.
Area of Science:
- Medical Sciences
- Infectious Diseases
- Hospital Administration
Background:
- Antibiotic stewardship is crucial for combating antimicrobial resistance.
- Different antibiotic control programs (ACPs) exist, varying in restrictiveness.
- Physician attitudes towards ACPs influence their effectiveness.
Purpose of the Study:
- To survey medical and surgical house physicians' attitudes and preferences regarding different ACP models.
- To compare physician experiences and perceptions of patient care under various ACPs.
Main Methods:
- A survey was distributed to resident physicians at three teaching hospitals with distinct ACPs: open prescribing, educational ACP, and restrictive ACP.
- Response rate was 77% after one follow-up.
Main Results:
- Physicians preferred the educational ACP over open prescribing and restrictive ACP.
- Fewer patient care problems were reported with the educational ACP.
- Physicians perceived the educational ACP as more beneficial for current and future antibiotic therapy.
Conclusions:
- Educational ACPs are preferred by physicians and associated with better patient care outcomes.
- ACPs are believed to be cost-effective and do not compromise patient care or physician performance.
- Educational ACPs are recommended for teaching hospitals with available infectious disease expertise.