000099321 001__ 99321 000099321 005__ 20210223204726.0 000099321 0247_ $$2doi$$a10.1093/jac/dkz375 000099321 0248_ $$2sideral$$a122876 000099321 037__ $$aART-2019-122876 000099321 041__ $$aeng 000099321 100__ $$aBeovic, B. 000099321 245__ $$aYoung doctors' perspectives on antibiotic use and resistance: A multinational and inter-specialty cross-sectional European Society of Clinical Microbiology and Infectious Diseases (ESCMID) survey 000099321 260__ $$c2019 000099321 5060_ $$aAccess copy available to the general public$$fUnrestricted 000099321 5203_ $$aBackground: Postgraduate training has the potential to shape the prescribing practices of young doctors. Objectives: To investigate the practices, attitudes and beliefs on antibiotic use and resistance in young doctors of different specialties. Methods: We performed an international web-based exploratory survey. Principal component analysis (PCA) and bivariate and multivariate [analysis of variance (ANOVA)] analyses were used to investigate differences between young doctors according to their country of specialization, specialty, year of training and gender. Results: Of the 2366 participants from France, Greece, Italy, Portugal, Slovenia and Spain, 54.2% of young doctors prescribed antibiotics predominantly as instructed by a mentor. Associations between the variability of answers and the country of training were observed across most questions, followed by variability according to the specialty. Very few differences were associated with the year of training and gender. PCA revealed five dimensions of antibiotic prescribing culture: self-assessment of knowledge, consideration of side effects, perception of prescription patterns, consideration of patient sickness and perception of antibiotic resistance. Only the country of specialization (partial ¿2 0.010-0.111) and the type of specialization (0.013-0.032) had a significant effect on all five identified dimensions (P < 0.01). The strongest effects were observed on self-assessed knowledge and in the perception of antibiotic resistance. Conclusions: The country of specialization followed by the type of specialization are the most important determinants of young doctors' perspectives on antibiotic use and resistance. The inclusion of competencies in antibiotic use in all specialty curricula and international harmonization of training should be considered. 000099321 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000099321 590__ $$a5.439$$b2019 000099321 591__ $$aINFECTIOUS DISEASES$$b10 / 93 = 0.108$$c2019$$dQ1$$eT1 000099321 591__ $$aPHARMACOLOGY & PHARMACY$$b22 / 270 = 0.081$$c2019$$dQ1$$eT1 000099321 591__ $$aMICROBIOLOGY$$b24 / 134 = 0.179$$c2019$$dQ1$$eT1 000099321 592__ $$a2.23$$b2019 000099321 593__ $$aInfectious Diseases$$c2019$$dQ1 000099321 593__ $$aPharmacology (medical)$$c2019$$dQ1 000099321 593__ $$aPharmacology$$c2019$$dQ1 000099321 593__ $$aMicrobiology (medical)$$c2019$$dQ1 000099321 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion 000099321 700__ $$aDoušak, M. 000099321 700__ $$aPulcini, C. 000099321 700__ $$aBéraud, G. 000099321 700__ $$0(orcid)0000-0002-9600-8116$$aPaño Pardo, J.R.$$uUniversidad de Zaragoza 000099321 700__ $$aSánchez-Fabra, D.$$uUniversidad de Zaragoza 000099321 700__ $$aKofteridis, D. 000099321 700__ $$aCortez, J. 000099321 700__ $$aPagani, L. 000099321 700__ $$aKlešnik, M. 000099321 700__ $$aNadrah, K. 000099321 700__ $$aHafner Fink, M. 000099321 700__ $$aNathwani, D. 000099321 700__ $$aUhan, S. 000099321 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina 000099321 773__ $$g74, 12 (2019), 3611-3618$$pJ. antimicrob. chemother.$$tThe Journal of antimicrobial chemotherapy$$x0305-7453 000099321 8564_ $$s352791$$uhttps://zaguan.unizar.es/record/99321/files/texto_completo.pdf$$yPostprint 000099321 8564_ $$s3000897$$uhttps://zaguan.unizar.es/record/99321/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint 000099321 909CO $$ooai:zaguan.unizar.es:99321$$particulos$$pdriver 000099321 951__ $$a2021-02-23-19:04:15 000099321 980__ $$aARTICLE