{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T02:05:16Z","timestamp":1784167516491,"version":"3.55.0"},"reference-count":37,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2024,12,22]],"date-time":"2024-12-22T00:00:00Z","timestamp":1734825600000},"content-version":"unspecified","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,11,20]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"\n Background<\/jats:title>\n Antimicrobial resistance (AMR) is a global health and development concern. Antimicrobial misuse and overuse are key contributors to the emergence of drug-resistant infections.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The current study aimed to determine the level of perception and practices of physicians regarding AMR in a tertiary-level hospital.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n A tertiary care hospital in Dhaka, Bangladesh.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n The study included 360 physicians who worked for more than 6\u2009months in different departments of the hospital.<\/jats:p>\n <\/jats:sec>\n \n Primary and secondary outcome measures<\/jats:title>\n Perceptions of AMR among physicians and secondary outcome measures were to find out the practices of physicians regarding AMR. The current study used 8 defined responses and 6 multiple-choice questions for scoring physicians\u2019 perception of AMR and 12 items to score physicians\u2019 self-reported practice regarding AMR. After converting these scores into percentages, the median split method was used to categorise them into poor and good categories.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among 360 physicians, 51% were male, the median (IQR) age was 30 (27.0\u201334.0) years and 46% had private practices. More than half (52%) had a poor perception of AMR but had good practice (57%) with no significant association between perception and practice. The perception of AMR was significantly associated with age (p=0.048), years in practice (p=0.011) and AMR training (p=0.030). Physicians with private practice had 1.71 times higher odds of having a good perception of AMR (95%\u2009CI 2.07 to 2.75, p=0.026) and 2.44 times higher odds of having good practice (95%\u2009CI 1.51 to 3.94, p<0.001). The odds of having a good perception of AMR increase 1.20 times with a 1-year increase in years of practice (95%\u2009CI 1.01 to 1.44, p=0.042).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The study revealed that most physicians had poor perception but good practice regarding AMR. Both poor perception and good practice were associated with private practice. To increase good practice and perception regarding AMR, efforts need to be made to establish an AMR education programme for practicing physicians as soon as possible. Moreover, medical audits and continuous quality improvement (such as programmes for antimicrobial stewardship) should be legislated, and monitoring prescribing behaviour and formulating policies accordingly are the way forward in combating AMR.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-087201","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T15:39:43Z","timestamp":1734968383000},"page":"e087201","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Physician\u2019s perception and practices on antimicrobial resistance in a tertiary care hospital in Bangladesh: a cross-sectional study"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1823-3649","authenticated-orcid":false,"given":"Mohibbul","family":"Haque","sequence":"first","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Rezaul","family":"Karim","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2957-2518","authenticated-orcid":false,"given":"Sabrin","family":"Shohid","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadman Sakib","family":"Choudhury","sequence":"additional","affiliation":[{"name":"Infectious Disease Division, International Center for Diarrhoeal Diseases Research (icddr,b), Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilot","family":"Hossain","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rotna Rani","family":"Sen","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaity","family":"Dey","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4464-0064","authenticated-orcid":false,"given":"Sumaiya","family":"Khan","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meherun Nahar","family":"Munni","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia Afroze","family":"Shopna","sequence":"additional","affiliation":[{"name":"Ibn Sina Specialized Hospital, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6735-817X","authenticated-orcid":false,"given":"Razia","family":"Shultana","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6695-6342","authenticated-orcid":false,"given":"Md Fuad","family":"Al Fidah","sequence":"additional","affiliation":[{"name":"Nutrition Research Division, International Center for Diarrhoeal Diseases Research (icddr,b), Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0707-0437","authenticated-orcid":false,"given":"Md Abdullah Saeed","family":"Khan","sequence":"additional","affiliation":[{"name":"National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0279-1726","authenticated-orcid":false,"given":"Nasreen","family":"Farhana","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Mycology, National Institute of Preventive and Social Medicine, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,12,22]]},"reference":[{"key":"2025121409063649000_14.12.e087201.1","first-page":"1262","article-title":"Appraisal of antimicrobial prescribing practices of governmental and non-governmental dentists for hospitals in the western region of Saudi Arabia","volume":"34","author":"Al-Harthi","year":"2013","journal-title":"Saudi Med J"},{"key":"2025121409063649000_14.12.e087201.2","unstructured":"WHO . 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