| Title: |
Antibiotic Stewardship in Vermont: Prescribers’ Attitudes and Perceptions |
| Authors: |
Feder, Andries; Kale, Arya; Ali, Saim; Cordero, Francisco; Manogaran, Erin; Briche, Martin; Moshashaian, Ranya; Chiavacci, Sarah; Kelso, Patsy, PhD; Lafferty, Allison, MD; Carney, Jan K, MD, MPH |
| Source: |
Public Health Projects, 2008-present |
| Publisher Information: |
UVM ScholarWorks |
| Publication Year: |
2025 |
| Collection: |
The University of Vermont: ScholarWorks @ UVM |
| Subject Terms: |
Community Health and Preventive Medicine; Health Services Research; Public Health |
| Description: |
Background: Antibiotic stewardship is essential for minimizing the adverse effects of inappropriate prescribing, including the emergence of drug-resistant pathogens and iatrogenic C. Difficile infection. In collaboration with the Vermont Department of Health, we surveyed Vermont prescribers' perceptions and attitudes towards antibiotic resistance and stewardship initiatives. Methods: We conducted a statewide survey of 82 practicing prescribers in Vermont, distributed via messaging from the Vermont Department of Health. Regression models were used to analyze statistically significant trends. Results: Respondents included physicians, nurse practitioners, dentists, and physician assistants. Most respondents (85%) agreed that antibiotic resistance was a concern for their practice. However, fewer (52.5%) agreed that inappropriate prescribing was an issue in their practice. Physicians had the highest proportion of respondents who disagreed that inappropriate antibiotic prescribing was a concern in their practice, but had the highest share agree that antibiotic resistance was a concern. Conclusion: Healthcare providers’ perception that inappropriate prescribing is not an issue in their workplace presents a challenge for implementing effective antibiotic stewardship measures. Out of all proposed interventions, most respondents (86%) indicated that instruction on how and when to de-label a penicillin allergy in the medical record would be a useful stewardship strategy. Targeted educational interventions, specialty-specific guidelines, and regional collaborations within the medical community can better improve antibiotic stewardship. ; https://scholarworks.uvm.edu/comphp_gallery/1324/thumbnail.jpg |
| Document Type: |
text |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
https://scholarworks.uvm.edu/comphp_gallery/324; https://scholarworks.uvm.edu/context/comphp_gallery/article/1324/viewcontent/VTDEPTHEALTH.pdf |
| Availability: |
https://scholarworks.uvm.edu/comphp_gallery/324; https://scholarworks.uvm.edu/context/comphp_gallery/article/1324/viewcontent/VTDEPTHEALTH.pdf |
| Rights: |
http://creativecommons.org/licenses/by-nc/3.0/ |
| Accession Number: |
edsbas.9349E687 |
| Database: |
BASE |
