title: [Self-assessment of patterns of antibiotic use in a university hospital].
abstract: BACKGROUND
  A questionnaire was used to determine the knowledge, attitudes and practices of antibiotic prescribing among doctors at a university hospital.
  
  
  METHODS
  An anonymous questionnaire was directly distributed by a staff member of the Infectious Diseases Department.
  
  
  RESULTS
  A total of 316 questionnaires were distributed with 100% response rate; antibiotic dose, route of administration, and treatment duration were always adjusted according to site of infection and underlying conditions in 65, 68 and 45%, respectively. Antibiotic de-escalation was recognized as usual practice in 20%; 31 and 10% considered potential microbiological resistances and economical-cost when taking prescription decisions, respectively; 16% admitted often prescribing antibiotics with no clinical indication. There were no major significant differences between staff and training physicians, or between surgical or medical specialists.
  
  
  CONCLUSIONS
  The self-perception of physicians and residents in our hospital is that they make improper use of antimicrobials.
authors.affiliation: Servicio de Medicina Interna-Infecciosas, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Medicina, Facultad de Medicina, Universidad de Murcia, Murcia, España.
authors.forename: J
authors.initials: J
authors.lastname: Gómez
authors.affiliation: Servicio de Medicina Interna-Infecciosas, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Medicina, Facultad de Medicina, Universidad de Murcia, Murcia, España. Electronic address: elisag@eresmas.net.
authors.forename: E
authors.initials: E
authors.lastname: García-Vázquez
authors.affiliation: Departamento de Farmacia, Hospital Clínico Universitario Virgen de la Arrixaca. Murcia, España.
authors.forename: C
authors.initials: C
authors.lastname: Bonillo
authors.affiliation: Servicio de Medicina Interna-Infecciosas, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Medicina, Facultad de Medicina, Universidad de Murcia, Murcia, España.
authors.forename: A
authors.initials: A
authors.lastname: Hernández
authors.affiliation: Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: M
authors.initials: M
authors.lastname: Bermejo
authors.affiliation: Departamento de Bioestadística, Facultad de Medicina, Universidad de Murcia, Murcia, España.
authors.forename: M
authors.initials: M
authors.lastname: Canteras
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D004352:Drug Resistance, Microbial; D004363:Drug Utilization / Q000706:statistics & numerical data*; D005180:Faculty, Medical; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D057970:Inappropriate Prescribing / Q000706:statistics & numerical data*; D007396:Internship and Residency; D008505:Medical Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D008511:Medicine; D012647:Self-Assessment; D013030:Spain; D011795:Surveys and Questionnaires
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibiotic stewardship programs; Antimicrobial use; Programas de optimización del uso de antibióticos; Programas de uso de antibióticos; Programs for optimizing the use of antibiotics; Recomendaciones; Recommendations; Uso de antimicrobianos