{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T09:26:54Z","timestamp":1768037214488,"version":"3.49.0"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T00:00:00Z","timestamp":1651622400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X22001003_as1\"><jats:title>Objective:<\/jats:title><jats:p>As part of a project to implement antimicrobial dashboards at select facilities, we assessed physician attitudes and knowledge regarding antibiotic prescribing.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22001003_as2\"><jats:title>Design:<\/jats:title><jats:p>An online survey explored attitudes toward antimicrobial use and assessed respondents\u2019 management of four clinical scenarios: cellulitis, community-acquired pneumonia, non\u2013catheter-associated asymptomatic bacteriuria, and catheter-associated asymptomatic bacteriuria.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22001003_as3\"><jats:title>Setting:<\/jats:title><jats:p>This study was conducted across 16 Veterans\u2019 Affairs (VA) medical centers in 2017.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22001003_as4\"><jats:title>Participants:<\/jats:title><jats:p>Physicians working in inpatient settings specializing in infectious diseases (ID), hospital medicine, and non-ID\/hospitalist internal medicine.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22001003_as5\"><jats:title>Methods:<\/jats:title><jats:p>Scenario responses were scored by assigning +1 for answers most consistent with guidelines, 0 for less guideline-concordant but acceptable answers and \u22121 for guideline-discordant answers. Scores were normalized to 100% guideline concordant to 100% guideline discordant across all questions within a scenario, and mean scores were calculated across respondents by specialty. Differences in mean score per scenario were tested using analysis of variance (ANOVA).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22001003_as6\"><jats:title>Results:<\/jats:title><jats:p>Overall, 139 physicians completed the survey (19 ID physicians, 62 hospitalists, and 58 other internists). Attitudes were similar across the 3 groups. We detected a significant difference in cellulitis scenario scores (concordance: ID physicians, 76%; hospitalists, 58%; other internists, 52%; <jats:italic>P<\/jats:italic> = .0087). Scores were numerically but not significantly different across groups for community-acquired pneumonia (concordance: ID physicians, 75%; hospitalists, 60%; other internists, 56%; <jats:italic>P<\/jats:italic> = .0914), for non\u2013catheter-associated asymptomatic bacteriuria (concordance: ID physicians, 65%; hospitalists, 55%; other internists, 40%; <jats:italic>P<\/jats:italic> = .322), and for catheter-associated asymptomatic bacteriuria (concordance: ID physicians, 27% concordant; hospitalists, 8% discordant; other internists 13% discordant; <jats:italic>P<\/jats:italic> = .12).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22001003_as7\"><jats:title>Conclusions:<\/jats:title><jats:p>Significant differences in performance regarding management of cellulitis and low overall performance regarding asymptomatic bacteriuria point to these conditions as being potentially high-yield targets for stewardship interventions.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2022.100","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T09:02:26Z","timestamp":1651654946000},"page":"400-405","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Performance of infectious diseases specialists, hospitalists, and other internal medicine physicians in antimicrobial case-based scenarios: Potential impact of antimicrobial stewardship programs at 16 Veterans\u2019 Affairs medical centers"],"prefix":"10.1017","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4041-2811","authenticated-orcid":false,"given":"Christopher J.","family":"Graber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4551-9012","authenticated-orcid":false,"given":"Alissa R.","family":"Simon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4542-992X","authenticated-orcid":false,"given":"Matthew Bidwell","family":"Goetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto M.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorie M.","family":"Butler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann F.","family":"Chou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter A.","family":"Glassman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,5,4]]},"reference":[{"key":"S0899823X22001003_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ447"},{"key":"S0899823X22001003_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu296"},{"key":"S0899823X22001003_ref1","doi-asserted-by":"publisher","DOI":"10.1086\/510393"},{"key":"S0899823X22001003_ref12","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02395-16"},{"key":"S0899823X22001003_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2019.191"},{"key":"S0899823X22001003_ref4","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciz941"},{"key":"S0899823X22001003_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2016.328"},{"key":"S0899823X22001003_ref6","doi-asserted-by":"publisher","DOI":"10.1086\/511159"},{"key":"S0899823X22001003_ref17","doi-asserted-by":"publisher","DOI":"10.1080\/1120009X.2020.1755589"},{"key":"S0899823X22001003_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw118"},{"key":"S0899823X22001003_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.1878"},{"key":"S0899823X22001003_ref20","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-10-200411160-00008"},{"key":"S0899823X22001003_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw649"},{"key":"S0899823X22001003_ref7","doi-asserted-by":"publisher","DOI":"10.1086\/427507"},{"key":"S0899823X22001003_ref14","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit498"},{"key":"S0899823X22001003_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.1317"},{"key":"S0899823X22001003_ref19","first-page":"517","volume":"45","author":"Baker","year":"2019","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"S0899823X22001003_ref18","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciz650"},{"key":"S0899823X22001003_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2021.10"},{"key":"S0899823X22001003_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2019.189"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X22001003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T08:30:54Z","timestamp":1696926654000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X22001003\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,4]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["S0899823X22001003"],"URL":"https:\/\/doi.org\/10.1017\/ice.2022.100","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,4]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}