Evidence map›Paper›PMID 29237649›Full record

ArticleCanadian family physician Medecin de famille canadien2017

Canadian physicians' knowledge and counseling practices related to antibiotic use and antimicrobial resistance: Two-cycle national survey.

Courtney R Smith, Lisa Pogany, Simon Foley, Jun Wu, Karen Timmerman, Margaret Gale-Rowe, Alain Demers

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Antimicrobial stewardship by family physicians.Canadian family physician Medecin de famille canadien · 2018
    Article
  9. Assessing uptake of national HIV screening and testing guidance-Part 2: Knowledge, comfort and practice.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2017
    Article
  10. Assessing uptake of national HIV screening and testing guidance-Part 1: Awareness, use and usefulness.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Courtney R SmithEpidemiologist at the Centre for Food-borne, Environmental and Zoonotic Infectious Diseases at the Public Health Agency of Canada in Guelph, Ont. courtneyrady.smith@mail.utoronto.ca.
Lisa PoganySenior Policy Analyst at the Centre for Communicable Diseases and Infection Control at the Public Health Agency of Canada in Ottawa, Ont.
Simon FoleyAdvisor at the Treasury Board of Canada in Ottawa.
Jun WuActing Manager, at the Centre for Communicable Diseases and Infection Control at the Public Health Agency of Canada in Ottawa.
Karen TimmermanSenior Epidemiologist, at the Centre for Communicable Diseases and Infection Control at the Public Health Agency of Canada in Ottawa.
Margaret Gale-RoweActing Director, at the Centre for Communicable Diseases and Infection Control at the Public Health Agency of Canada in Ottawa.
Alain DemersSenior Epidemiologist at the Centre for Chronic Disease Prevention at the Public Health Agency of Canada in Ottawa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo establish a baseline for physicians' knowledge of and counseling practices on the use of antibiotics and antimicrobial resistance (AMR), and to determine potential changes in these measures after the implementation of a national AMR awareness campaign.

designCross-sectional design.

settingCanada.

participantsA total of 1600 physicians.

main outcome measuresPhysicians' knowledge of and counseling practices on antibiotic use and AMR at baseline and after implementation of the AMR awareness campaign.

resultsA total of 336 physicians responded to the first-cycle survey (before the campaign), and 351 physicians responded to the second-cycle survey (after the campaign). Overall, physicians' knowledge of appropriate antibiotic use and AMR was high and their counseling practices in relation to antibiotics were appropriate in both surveys. Counseling levels about topics related to infection prevention and control (eg, food handling, household hygiene) were slightly lower. Counseling levels were also lower for certain antibiotic-use practices (eg, proper disposal of antibiotics). In addition, physicians with less than 10 years of practice experience had significantly lower odds of counseling their patients on topics related to preventing antibiotic resistance and infection prevention than those with 15 or more years of practice experience (adjusted odds ratio = 0.27, 95% CI 0.10 to 0.74). Significantly more physicians from the second-cycle survey counseled patients on the appropriate disposal of antibiotics (

conclusionPhysicians' knowledge of and levels of counseling on the use of antibiotics and AMR were high and fairly stable in both survey results. This shows that Canadian physicians are demonstrating behaviour patterns of AMR stewardship. Existing gaps in counseling practices might be a result of physicians believing that pharmacists or nurses are addressing these issues with patients. Future national surveys conducted among pharmacists and nurses would contribute to the evidence base for AMR stewardship activities.

Indexed as

Anti-Bacterial AgentsCanadaClinical CompetenceCounselingCross-Sectional StudiesDrug Resistance, BacterialHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansMedication Therapy ManagementNeeds AssessmentPhysiciansPractice Patterns, Physicians'Anti-Bacterial Agents

Identifiers

PMID29237649
PMCPMC5729157

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.