Antibiotic stewardship based on education: minor impact on knowledge, perception and attitude

Infectious Diseases
Mona KjærsgaardNina Ank

Abstract

Purpose: The purpose of this study was to implement an education-based antibiotic stewardship programme at two regional hospitals in Denmark, and thereby reduce consumption of antibiotics in general and cephalosporins and fluoroquinolones in particular. We aimed to improve physicians' knowledge, prescribing practices and perceptions and attitudes towards antibiotics, and to achieve changes in behaviour. Methods: The antibiotic stewardship programme comprised education, guidelines, audits and feedback and ward rounds by a clinical microbiologist. The ward rounds were implemented only at one hospital. The effects of the programme were evaluated using a questionnaire, audits of prescriptions (initial choice of antibiotics, indication for antibiotic treatment, re-assessment of treatment) and data on antibiotic consumption. Results: The survey revealed an improvement in junior doctors' knowledge, perception and attitude and self-reported prescribing practice. In the audit results, a larger proportion of prescribed antibiotics was in accordance with guidelines, particularly when we evaluated re-assessment of antibiotic treatment at the hospital where ward rounds had been implemented. The increase was equivalent to risk ratio (RR) 1.1...Continue Reading

References

Nov 1, 1992·The Journal of Antimicrobial Chemotherapy·I C GyssensJ W van der Meer
Oct 15, 2005·Clinical Microbiology Reviews·Conan MacDougall, Ron E Polk
Dec 19, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Timothy H DellitUNKNOWN Society for Healthcare Epidemiology of America
Jan 11, 2007·Antimicrobial Agents and Chemotherapy·Ina WillemsenJan Kluytmans
Mar 8, 2007·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·C PulciniP M Roger
Feb 6, 2010·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·C PulciniD Nathwani
Jan 31, 2013·Virulence·Céline Pulcini, Inge C Gyssens
Mar 23, 2013·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·J M CisnerosUNKNOWN PRIOAM team
Apr 11, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E CharaniA Holmes
Nov 6, 2013·The Journal of Antimicrobial Chemotherapy·Oliver J DyarUNKNOWN ESGAP (ESCMID Study Group for Antibiotic Policies)
Jan 24, 2014·Applied Clinical Informatics·M T BaysariR O Day
Apr 5, 2014·The Journal of Antimicrobial Chemotherapy·Karen MattickCharlotte Rees
Sep 28, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Loria A Pollack, Arjun Srinivasan
Dec 17, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kelley R LeeSandra R Arnold
Apr 16, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Tamar F BarlamKavita K Trivedi
Apr 7, 2018·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·C PulciniR Laxminarayan
Apr 13, 2018·Journal of Biomedical Informatics·Signe H KragelundNina Ank

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Citations

Dec 30, 2020·Journal of Primary Care & Community Health·Xavier SánchezRuth Jimbo
Jun 25, 2021·Infectious Diseases·Sofieke P de WildeElsbeth J Nagtegaal
May 17, 2021·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Saori YamaguchiKoji Kawakami

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