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. 2021 Jan 5;10(1):47. doi: 10.3390/antibiotics10010047

Table 2.

Convergence and divergence in the attitudes of GPs and CPs about AMS programs and collaborative implementation.

Survey Items CP’s Agreement GP’s Agreement p-Value 95% CI
AMS programs
I am familiar with the term antimicrobial stewardship (AMS) 72.9 447/613 68.9 266/386 0.1735 −1.72% to 9.85%
AMS programs in my practice will significantly reduce inappropriate use of antimicrobials 66.8 409/612 61.7 237/384 0.1010 −0.97% to 11.23%
AMS programs will reduce health care costs associated with infections 83 508/612 70.8 273/383 < 0.0001 6.82% to 17.69%
Individual efforts at AMS have minimal impact on the problem of antimicrobial resistance 32.7 200/612 24.6 204/383 <0.0065 2.29% to 13.66%
I require adequate training to undertake AMS 76.5 468/612 46.4 179/385 <0.0001 23.99% to 35.96%
Use of AMS strategies
I use national antimicrobial guidelines when prescribing/dispensing antimicrobials to my patients 45.5 274/602 83.2 321/385 <0.0001 32.00% to 42.90%
I educate my patients or their carers about unintended consequences of antimicrobial use like antimicrobial resistance, impact on gut microbiota etc. 76.8 467/608 82.4 316/383 0.0353 0.38% to 10.55%
I share patient information leaflets about infections when I counsel my patients or carers who require antimicrobials or may have an infection 24.5 149/608 20.2 78/384 0.1162 −1.09% to 9.45%
I use rapid point-of-care tests to guide my clinical decision about whether to prescribe/dispense an antibiotic to the patients with pharyngitis or the flu 19.1 114/596 18.4 71/382 0.7848 −4.42% to 5.59%
Attitudes towards GP–pharmacist collaboration
Improving AMS in the community will need a policy that supports better collaboration between general practice and pharmacy 92.4 560/606 60.9 235/381 <0.0001 26.16% to 36.81%
Pharmacists with knowledge of antimicrobials and infections should attend regular group meetings of GPs within general practice clinic to discuss antimicrobial pharmacotherapy 82.5 509/605 54.9 212/381 <0.0001 21.71% to 33.35%
GPs should be receptive to pharmacists providing advice about the choice of antimicrobial prescribed 92.6 561/606 63 195/382 <0.0001 24.34% to 34.87%
GPs should be receptive to pharmacists making recommendations in consultation to the doses or formulations of the antimicrobial prescribed 93.6 567/606 50.5 244/381 <0.0001 37.63% to 48.37%
A pharmacist co-located within general practice can help optimise antimicrobial therapy of patients with infections 79.5 482/606 39.8 154/382 <0.0001 33.66% to 45.35%
An electronic prescription exchange technology between GP and pharmacy should be introduced for reviewing the appropriateness of antimicrobial prescriptions 74.3 449/605 26.3 140/382 <0.0001 42.11% to 53.32%
The “My Health Record” could improve communication between GPs and community pharmacists about antimicrobial prescriptions 67.2 416/604 30.9 119/382 <0.0001 30.14% to 42.01%
Future needs to practice AMS
I would be willing to participate in a program of training focused on AMS 87.3 529/606 72 278/386 <0.0001 10.16% to 20.56%
I support the introduction of standard guidelines to assist in the implementation of AMS programs 93.6 566/605 80 309/386 <0.0001 9.28% to 18.19%
I support a policy that limits accessibility of some antimicrobials in the community 69.5 420/604 74.4 287/386 0.0962 −0.88% to 10.47%
Professional GP/pharmacy organisations should define my roles and responsibilities regarding AMS activities 74.6 449/602 39.9 153/382 <0.0001 28.53% to 40.52%
I support the involvement of a specialist physician and a pharmacist providing individualised antimicrobial prescribing advice and feedback to GPs 86.5 523/604 46.1 178/386 <0.0001 34.60% to 45.90%