A nationwide questionnaire survey of clinic doctors on antimicrobial stewardship in Japan

Yoshiaki Gu, Yumiko Fujitomo, Hiroshi Soeda, Chikara Nakahama, Naoki Hasegawa, Shigefumi Maesaki, Masayuki Maeda, Tetsuya Matsumoto, Isao Miyairi, Norio Ohmagari

研究成果: Article査読

13 被引用数 (Scopus)


Background: Clinics are high prescribers of antimicrobials in Japan, but the present situation and the attitude of clinic doctors toward prescribing them remain unclear. Objective: To investigate the present situation at clinics and clinic doctors' attitude toward antimicrobial stewardship. Study design: A questionnaire survey of clinic doctors. Methods: A questionnaire targeting doctors was sent to 1500 clinics that were randomly selected from across the country. Results: Among 274 respondents (response rate, 18.3%), 269 provided consent and their responses were analyzed. Awareness of the National Action Plan on Antimicrobial Resistance and the Manual of Antimicrobial Stewardship was low, but awareness of antimicrobial stewardship was high. A certain proportion of doctors prescribed antimicrobials for the common cold and acute bronchitis, and macrolides were the most commonly prescribed group of antimicrobials. Such prescription was not based solely on the doctors' knowledge but was also influenced by complex factors such as the doctor–patient relationship. Conclusion: Various measures such as improving doctor–patient communication and improving clinic doctors' knowledge are necessary to promote antimicrobial stewardship in the outpatient setting.

ジャーナルJournal of Infection and Chemotherapy
出版ステータスPublished - 2020 2月

ASJC Scopus subject areas

  • 微生物学(医療)
  • 薬理学(医学)
  • 感染症


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