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.

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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