Evidence map›Paper›PMID 41754390›Full record

ArticlePathogens (Basel, Switzerland)2026

Knowledge, Attitudes and Practices of Physicians Regarding Antifungal Therapy in Tertiary Care Patients: A Cross-Sectional Survey in Greece.

Georgios Kariniotakis, Evangelos I Kritsotakis, Stamatis Karakonstantis, Petros Ioannou, Diamantis P Kofteridis

Abstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Georgios KariniotakisDivision of Internal Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Evangelos I KritsotakisLaboratory of Biostatistics, School of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0002-9526-3852
Stamatis KarakonstantisDivision of Internal Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0002-2643-3184
Petros IoannouDivision of Internal Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0003-1082-5674
Diamantis P KofteridisDivision of Internal Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0003-0255-5926

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rising incidence of invasive fungal infections (IFIs) and the associated antifungal resistance underscore the need for antifungal stewardship (AFS) programs. Evaluating physicians' knowledge and practices is crucial for identifying gaps and planning effective AFS interventions. A self-administered questionnaire was distributed to staff and resident physicians at a referral university-affiliated hospital in Greece in November 2025. The survey examined participants' knowledge on fungal diagnosis and treatment, their prescribing attitudes and practices, and their AFS-related education, knowledge and preferences. In total, 70 physicians (46 residents and 24 staff consultants) participated in the survey from medical departments (63%), surgical departments (30%), and intensive care units (7%). Physicians surveyed demonstrated a low average knowledge score of 36.6% correct answers (SD, 22.7%; range 0% to 90%) regarding IFIs and antifungal agents, and significant variation was observed across different hospital departments. Awareness of risk factors for IFI varied widely, with recognition rates of different factors ranging from 10% to 100% across departments. Many physicians (71%) reported a lack of confidence in prescribing antifungal therapy and reliance on infectious disease experts was common (84%). Most preferred training methods were case-based discussions and printed guidelines. The substantial knowledge gaps and low confidence in prescribing antifungals among physicians highlight the urgent need for education and implementation of local guidelines to optimize antifungal use that might improve patient outcomes.

Indexed as

Antifungal AgentsHealth Knowledge, Attitudes, PracticeInvasive Fungal InfectionsPhysiciansPractice Patterns, Physicians'AdultAntimicrobial StewardshipAttitude of Health PersonnelCross-Sectional StudiesFemaleGreeceHumansMaleMiddle AgedSurveys and QuestionnairesTertiary Health CareAntifungal Agentsantifungalattitudesresistancestewardship

Identifiers

PMID41754390
PMCPMC12942650

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.