Skip to main content

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
  1. *Estimates provided are of the weighted mean and standard deviation, weighted by the number of questions attempted within the questionnaire. P value for group comparisons were computed using the weighted students’ t test. 4 staff physicians did not answer this question, 3 physicians did not answer this question.