Avaliação da percepção, crença, atitude e conhecimento médico em relação à resistência bacteriana aos antimicrobianos. / Physicians perception, belief, attitude, and knowledge concerning antimicrobial resistance.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Purpose: To assess physicians knowledge, beliefs, perceptions, and attitudes about antimicrobial resistance. To know their barriers and suggestions in order to design more effective interventions. Methods: We conducted a cross sectional survey of physicians at University Hospital of UNIFESP-EPM (Hospital São Paulo), during July 1st and September 30th 2005, by a self-administered questionnaire using the Health Belief Model as a framework. The questionnaire was based in the topics of Campaign to Prevent Antimicrobial Resistance in Healthcare Setting for Centers for Diseases Control and Prevention, 2002. Results: The survey was completed by 310 house staff physicians, included medicine residents (89,4%) and medicine attending physicians (10,6%). Antibiotic resistance was perceived as a very important problem by 99% of the respondents. Most of physicians (86,7%) agreed antibiotics are overused in general and 97,7% them believed that widespread and inappropriate antibiotic use were important causes of resistance. One hundred forty physicians (45%) indicated choose antibiotic using cultures as effective strategy for preventing antimicrobial resistance. Conclusions: The most of respondents are concerned about antimicrobial resistance as a problem and this perception is correlated with physicians antimicrobial prescribing experience. Physicians stated that they wanted more antimicrobial education. The most of respondents believed that divulgation of identification and susceptibility tests at hospital is useful. Interventions are more likely to be effective if professionals beliefs, perceptions and attitudes were known. PDF created with pdfFactory trial version www.pdffactory.com

ASSUNTO(S)

microbiologia 1. resistência bacteriana a drogas. 2. percepção. 3. psicologia em saúde. 4. antibióticos/uso terapêutico. 5. infecção hospitalar.

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