Intern doctors’ views on the current and future antibiotic resistance situation of Chattagram Maa O Shishu Hospital Medical College, Bangladesh

Figures & data

Table 1 Demography of study population

Academic year	Sex		Age (years)		Total
	Male	Female	22–24	25–28
Intern doctor	12	38	15	35	50

Table 2 Levels of confidence of antibiotics prescribing

Areas of confidence in prescribing	Very unconfident, N (%)	Unconfident, N (%)	Confident, N (%)	Very confident, N (%)	Uncertain, N (%)
Making an accurate diagnosis of infection/sepsis	0	1 (2.0)	45 (90.0)	3 (6.0)	1 (2.0)
Deciding not to prescribe an antibiotic if the patient has fever but no severity criteria, and if you are not sure about your diagnosis	0	2 (4.0)	38 (76)	6 (12)	4 (8)
Choosing the correct antibiotic	0	6 (12)	38 (76)	2 (4)	4 (8)
Choosing the correct dose and interval of administration	0	2 (4)	42 (84)	6 (12)	0
Using a combination therapy if appropriate	0	12 (24)	23 (46)	5 (10)	10 (20)
Choosing between IV and oral administration	0	2 (4)	39 (78)	9 (18)	0
Interpreting microbiological results	0	7 (14)	33 (66)	7 (14)	3 (6)
Planning to streamline/stop the antibiotic treatment according to clinical evaluation and investigations	0	6 (12)	37 (74)	2 (4)	5 (10)
Planning the duration of the antibiotic treatment	0	2 (4)	42 (84)	4 (8)	2 (4)

Note: N=50.

Abbreviation: IV, intravenous.

Table 3 Interns’ view regarding contributors to resistance

Contributors to resistance	Very important, N (%)	Moderately important, N (%)	Slightly important, N (%)	Not important at all, N (%)
Too many antibiotic prescriptions	33 (66.0)	3 (6.0)	1 (2.0)	13 (26.0)
Too many broad spectrum antibiotics used	30 (60.0)	8 (16)	2 (4)	10 (20)
Too long durations of antibiotic treatment	12 (24)	13 (26)	17 (34)	8 (16)
Dosing of antibiotics are too low	12 (24)	24 (48)	7 (14)	7 (14)
Excessive use of antibiotics in livestock	30 (60)	5 (10)	3 (6)	12 (24)
Poor hand hygiene	22 (44)	11 (22)	9 (18)	8 (16)
Not removing the focus of infection	33 (66)	7 (14)	9 (18)	1 (2)
Paying too much attention to pharmaceutical representatives/advertising	21 (42)	8 (16)	12 (24)	9 (18)

Note: N=50.

Figure 1 Interns’ perception and comparison with death from RTA compared to AR.

Abbreviations: AR, antimicrobial resistance; RTA, road traffic accident.

Figure 2 Interns’ perception and comparison with death from lung cancer compared to AR.

Abbreviation: AR, antimicrobial resistance.