{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T10:55:26Z","timestamp":1773744926025,"version":"3.50.1"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>\n            Objective\u2003Antibiotic stewardship should be an essential component of neonatology training as neonatal intensive care units (NICU) have unique stewardship needs. Our aim was to assess neonatology fellowship trainees' knowledge, attitudes, and perceptions about antibiotic stewardship to inform sustainable curriculum development.<\/jats:p><jats:p>\n            Study Design\u2003We distributed an electronic survey to neonatology fellows in the United States over 4 months (January\u2013April 2018) via Accreditation Council for Graduate Medical Education program directors.<\/jats:p><jats:p>\n            Results\u2003Of 99 programs in the United States with an estimated 700 fellows, 159 (23%) fellows from 52 training programs (53%) responded to the survey and 139 (87%) provided analyzed responses. Majority of respondents were training in southern (59; 42%) and northeastern (43; 31%) regions and were equally spread across all 3 years of training. One hundred (72%) respondents reported an antibiotic stewardship program (ASP) in their institution. While 86% (120\/139) were able to identify the components of an ASP, 59% (82\/139) either did not or were unsure if they had received antibiotic stewardship training during fellowship.<\/jats:p><jats:p>Furthermore, while answering case studies, 124 (89%) respondents identified the optimal antibiotic for methicillin susceptible Staphylococcus aureus (MSSA) infection and 69 (50%) respondents chose appropriate empiric antibiotics for neonatal meningitis. Notably, fellowship training year was not significantly related to the proportion of incorrect knowledge responses (p\u2009=\u20090.40). Most survey respondents (81; 59%) identified small group sessions as the most useful teaching format, while others chose audit and feedback of individual prescribing behavior (52; 38%) and didactic lectures (52; 38%). Finally, ninety-five (69%) respondents preferred trainee-led ASP interventions targeting focal areas such as antifungal and surgical prophylaxis.<\/jats:p><jats:p>\n            Conclusion\u2003Antibiotic stewardship is a critical part of neonatology training. Neonatology fellows report variation in access to ASP during their training. Fellows prefer dedicated trainee-led interventions and stewardship curriculum taught within small group settings to promote targeted NICU ASP.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0041-1732418","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:34:33Z","timestamp":1626741273000},"page":"893-897","source":"Crossref","is-referenced-by-count":6,"title":["Knowledge, Attitudes, and Perceptions about Antibiotic Stewardship Programs among Neonatology Trainees"],"prefix":"10.1055","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0839-568X","authenticated-orcid":false,"given":"Ibukunoluwa C.","family":"Kalu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Disease, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sagori","family":"Mukhopadhyay","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dmitry","family":"Dukhovny","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Young","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Disease, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith A.","family":"Guzman-Cottrill","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Disease, Department of Pediatrics, Oregon Health & Science University, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"353","DOI":"10.5116\/ijme.59ba.2d47","article-title":"A review of antimicrobial stewardship training in medical education","volume":"8","author":"S L Silverberg","year":"2017","journal-title":"Int J Med Educ"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.idc.2014.02.001","article-title":"Health care provider education as a tool to enhance antibiotic stewardship practices","volume":"28","author":"C A Ohl","year":"2014","journal-title":"Infect Dis Clin North Am"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"2275","DOI":"10.1093\/jac\/dkq357","article-title":"Antibiotic stewardship programmes--what's missing?","volume":"65","author":"E Charani","year":"2010","journal-title":"J Antimicrob Chemother"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1038\/jp.2015.70","article-title":"Ethics and professionalism education during neonatal-perinatal fellowship training in the United States","volume":"35","author":"C L Cummings","year":"2015","journal-title":"J Perinatol"},{"issue":"11","key":"ref5","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1016\/j.ajic.2016.07.005","article-title":"Social media as a tool for antimicrobial stewardship","volume":"44","author":"J Pisano","year":"2016","journal-title":"Am J Infect Control"},{"issue":"10","key":"ref6","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1017\/ice.2017.151","article-title":"Implementation of an antimicrobial stewardship program in a neonatal intensive care unit","volume":"38","author":"N I Nzegwu","year":"2017","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"e20190589","DOI":"10.1542\/peds.2019-0589","article-title":"A collaborative multicenter QI initiative to improve antibiotic stewardship in newborns","volume":"144","author":"D Dukhovny","year":"2019","journal-title":"Pediatrics"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"e20174322","DOI":"10.1542\/peds.2017-4322","article-title":"Adherence of newborn-specific antibiotic stewardship programs to CDC recommendations","volume":"142","author":"T Ho","year":"2018","journal-title":"Pediatrics"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.idc.2014.01.005","article-title":"Antimicrobial stewardship in the NICU","volume":"28","author":"J B Cantey","year":"2014","journal-title":"Infect Dis Clin North Am"},{"issue":"12","key":"ref10","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1001\/jamapediatrics.2016.2132","article-title":"Association between antibiotic use and neonatal mortality and morbidities in very low-birth-weight infants without culture-proven sepsis or necrotizing enterocolitis","volume":"170","author":"J Y Ting","year":"2016","journal-title":"JAMA Pediatr"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.jpeds.2018.07.036","article-title":"Early antibiotic exposure and adverse outcomes in preterm, very low birth weight infants","volume":"203","author":"J B Cantey","year":"2018","journal-title":"J Pediatr"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1732418.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T23:00:43Z","timestamp":1684537243000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1732418"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,19]]},"references-count":11,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2023,5,19]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1732418","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,19]]}}}