Table 1 Characteristics of antimicrobial prescribing practices and knowledge scores
From: Antimicrobial stewardship in pediatrics: focusing on the challenges clinicians face
Staff physician n = 46 (%) | Resident physician n = 31 (%) | |
|---|---|---|
Frequency of daily antimicrobial prescribing | ||
0-1 times/day | 24 (52.2) | 13 (41.9) |
2-4 times/day | 6 (13.0) | 15 (48.4) |
>4 times/day | 16 (34.8) | 3 (9.7) |
Formal education of antimicrobial prescribing in past year | ||
NO | 38 (82.6) | 8 (25.8) |
YES | 8 (17.4) | 23 (74.2) |
Formal education on antimicrobial stewardship in past year | ||
NO | 43 (93.5) | 25 (80.7) |
YES | 3 (6.5) | 6 (19.4) |
Resources in making antimicrobial decisions | ||
CHEO/HSC manual/Lexicomp/Sanford guide/Red Book | 15 (32.6) | 18 (58.1) |
Pharmacist | 12 (26.1) | 4 (12.9) |
Staff/Peer recommendation/Senior resident recommendation | 14 (30.4) | 9 (29.0) |
Other | 5 (10.9) | 0 (0.0) |
Parameter with greatest impact in decreasing antimicrobial use ∫ | ||
Decreasing the length of antimicrobial therapy | 2 (4.4) | 4 (12.9) |
Discontinuing antimicrobials if there is no documented infection | 28 (60.9) | 11 (35.5) |
Early conversion from intravenous to oral therapy | 3 (6.5) | 1 (3.2) |
Narrow spectrum antibiotics versus broad spectrum antibiotics | 9 (19.6) | 15 (48.4) |
Antimicrobial stewardship parameter most difficult to achieve ≠ | ||
Decreasing the length of antimicrobial therapy | 9 (20.9) | 6 (19.4) |
Discontinuing antimicrobials if there is no documented infection | 21 (48.8) | 9 (29.0) |
Early conversion from intravenous to oral therapy | 5 (11.6) | 5 (16.1) |
Narrow spectrum antibiotics versus broad spectrum antibiotics | 8 (18.6) | 11 (35.5) |
Overall Percent correct on antimicrobial resistance knowledge scores (mean ± sd)* | 57.5 ± 16.6 | 43.8 ± 12.6 |
Percent correct on clinical vignettes questions (mean ± sd)* | 46.3 ± 21.3 | 43.9 ± 13.2 |