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Published on: May 2, 2018
Knowledge, Attitudes and Practice Regarding Antibiotic Prescription by Medical Interns: A Qualitative Study in Spain
Germán Molina-Romera1, Olalla Vazquez-Cancela1, Juan Manuel Vazquez-Lago1
1Preventive Medicine and Public Health Department, University Hospital of Santiago de Compostela, 15706 Santiago de Compostela, Spain.
Abstract:
Antibiotic resistance is an issue of growing importance in the public health sphere. Medical interns are of great relevance when it comes to the source of this problem. This study therefore sought to ascertain which factors influence the management of antibiotic therapy by this population, in order to pinpoint the possible causes of misprescribing habits. We conducted a qualitative study based on focus group techniques, with groups consisting of medical interns from the Santiago de Compostela Clinical University Teaching Hospital. Our study identified factors which the participants considered to be determinants of antibiotic use and their relationship with the appearance of resistance. The single most repeated factor was the influence of the attending physician's judgement; other factors included a high healthcare burden or prescribing inertia. This stage is an opportunity to correct misprescribing habits, by implementing educational interventions aimed at modifying the identified factors.
Insights
Medical interns
Area of Science:
- Public Health
- Medical Education
- Infectious Diseases
Background:
- Antibiotic resistance poses a significant global public health threat.
- Medical interns play a crucial role in antibiotic prescribing practices.
- Understanding factors influencing intern prescribing is vital to combat resistance.
Purpose of the Study:
- To identify factors influencing antibiotic therapy management by medical interns.
- To pinpoint causes of antibiotic misprescribing habits among interns.
- To inform educational interventions for improving antibiotic stewardship.
Main Methods:
- Qualitative study utilizing focus group techniques.
- Involved medical interns from Santiago de Compostela Clinical University Teaching Hospital.
- Explored participants' perspectives on antibiotic use and resistance.
Main Results:
- Attending physician's judgment was the most frequently cited factor influencing antibiotic use.
- Other significant factors included high healthcare burden and prescribing inertia.
- Identified key determinants of antibiotic prescribing and their link to resistance.
Conclusions:
- Medical interns' antibiotic prescribing is influenced by senior physician judgment, workload, and inertia.
- Targeted educational interventions can address these factors to correct misprescribing.
- Interventions at this training stage are crucial for promoting antibiotic stewardship.
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