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Antibiotic Resistance
A Survey of Physician Perceptions
C. William Wester, MD;
Lakshmi Durairaj, MD;
Arthur T. Evans, MD, MPH;
David N. Schwartz, MD;
Shahid Husain, MD;
Enrique Martinez, MD
Arch Intern Med. 2002;162:2210-2216.
Background Antibiotic resistance is caused partly by excessive antibiotic prescribing,
yet little is known about prescribers' views on this problem.
Methods We surveyed 490 internal medicine physicians at 4 Chicago-area hospitals
to assess their attitudes about the importance of antibiotic resistance, knowledge
of its prevalence, self-reported experience with antibiotic resistance, beliefs
about its causes, and attitudes about interventions designed to address the
problem.
Results The response rate was 87% (424 of 490 physicians). Antibiotic resistance
was perceived as a very important national problem by 87% of the respondents,
but only 55% rated the problem as very important at their own hospitals. Nearly
all physicians (97%) believed that widespread and inappropriate antibiotic
use were important causes of resistance. Yet, only 60% favored restricting
use of broad-spectrum antibiotics, although this percentage varied by hospital
and physician group.
Conclusions Although most physicians view antibiotic resistance as a serious national
problem, perceptions about its local importance, its causes, and possible
solutions vary more widely. Disparities in physician knowledge, beliefs, and
attitudes may compromise efforts to improve antibiotic prescribing and infection
control practices.
From the Department of Medicine, Cook County Hospital and Rush Medical
College, Chicago, Ill.
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