Awareness Regarding Antimicrobial Resistance and Antibiotic Prescribing Behavior among Physicians: Results from a Nationwide Cross-Sectional Survey in India

Niti Mittal, Parul Goel, Kapil Goel*, Rashmi Sharma, Bhola Nath, Surjit Singh, Pugazhenthan Thangaraju, Rakesh Mittal, Kahkasha, Prasanna Mithra, Rajesh Sahu, Raman P. Priyadarshini, Nikita Sharma, Star Pala, Suneel Kumar Rohilla, Jyoti Kaushal, Sanjit Sah, Sarvesh Rustagi, Ranjit Sah, Joshuan J. Barboza*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

(1) Background: Understanding the physicians’ knowledge, attitudes, and antimicrobial prescribing behavior is a crucial step towards designing strategies for the optimal use of these agents. (2) Methods: A cross-sectional online survey was conducted among clinicians across India between May and July 2022 using a self-administered questionnaire in English comprising 35 questions pertaining to demographic characteristics, knowledge, attitude, and practices domains. (3) Results: A total of 544 responses were received from 710 physicians contacted. Sixty percent of participants were males, with mean age of 34.7 years. Mean ± Standard Deviation scores for knowledge, attitude, and practices domains were 8 ± 1.6, 20.2 ± 3.5, and 15.3 ± 2.1, respectively. Higher scores were associated with basic [odds ratio (95% Confidence Interval), p value: 2.95 (1.21, 7.2), 0.02], medical and allied sciences [2.71 (1.09, 6.67), 0.03], and central zone [3.75 (1.39, 10.12), 0.009]. A substantial proportion of dissatisfactory responses were found regarding hospital antibiograms, antibiotics effective against anaerobes, WHO AWaRe (access, watch, and reserve) classification of antibiotics, and the role of infection prevention and control (IPC) measures in the containment of antimicrobial resistance (AMR). (4) Conclusions: There is a need to sensitize and educate clinicians on various issues related to antimicrobial use, such as antibiograms, double anaerobic cover, IPC practices, and guideline-based recommendations, to curb the AMR pandemic.

Original languageEnglish
Article number1496
JournalAntibiotics
Volume12
Issue number10
DOIs
StatePublished - Oct 2023

Keywords

  • antibiograms
  • antimicrobial resistance
  • prescribing practices
  • stewardship

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