Knowledge of antimicrobial stewardship
| Questions asked | Total n=807 | Medical organisation level | City level | Title | Major | |||||
| Tertiary n=644 | Secondary n=112 | Pm/Pv n=51 | 1/new1/2* n=651 | Others n=156 | IT/RS n=443 | ACP/ CP n=364 | WM n=386 | TCM/IM n=421 | ||
| Self-reported knowledge of antimicrobial stewardship % | ||||||||||
| Very familiar | 16.1 | 17.1 | 12.5 | 11.8 | 16.9 | 12.8 | 10.6 | 22.8 | 18.9 | 13.5 |
| Familiar | 48.9 | 49.4 | 52.7 | 35.3 | 48.8 | 49.4 | 44.0 | 54.9 | 47.2 | 50.6 |
| Know a little | 31.0 | 30.0 | 32.1 | 41.2 | 30.0 | 35.3 | 39.5 | 20.6 | 30.3 | 31.6 |
| Do not know | 4.0 | 3.6 | 2.7 | 11.8 | 4.3 | 2.6 | 5.9 | 1.6 | 3.6 | 4.3 |
| Tested results of knowledge of antimicrobial prescribing | ||||||||||
| Which surgery should apply perioperative antimicrobial prophylaxis | ||||||||||
| % of correct | 91.9 | 91.6 | 93.8 | 92.2 | 92.5 | 89.7 | 92.3 | 91.5 | 92.2 | 91.7 |
| Which antimicrobial should be used for extended-spectrum β-lactamases-producing bacterial infection | ||||||||||
| % of correct | 70.5 | 72.1 | 74.1 | 43.1 | 69.3 | 75.6 | 65.2 | 76.9 | 78.2 | 63.4 |
| For how long a restricted antibiotic can be used in emergent medical situations | ||||||||||
| % of correct | 66.7 | 67.7 | 72.3 | 41.2 | 66.1 | 69.2 | 64.3 | 69.5 | 72.3 | 61.5 |
| Criteria for prescribing antimicrobials (multiple choice) % | ||||||||||
| Symptom | 72.9 | 75.9 | 67.9 | 45.1 | 72.4 | 75.0 | 74.3 | 71.2 | 75.6 | 70.3 |
| Sign | 71.4 | 73.6 | 70.5 | 45.1 | 70.8 | 74.4 | 71.1 | 71.7 | 72.8 | 70.1 |
| Full blood count | 94.2 | 95.0 | 92.0 | 88.2 | 95.4 | 89.1 | 95.0 | 93.1 | 92.7 | 95.5 |
| CRP | 62.9 | 64.0 | 59.8 | 56.9 | 62.2 | 66.0 | 61.9 | 64.3 | 61.7 | 64.1 |
| PD | 77.0 | 83.2 | 65.2 | 23.5 | 92.0 | 78.2 | 75.4 | 78.8 | 84.2 | 70.3 |
| Diagnosis | 60.5 | 62.9 | 58.9 | 33.3 | 60.7 | 59.6 | 58.9 | 62.4 | 68.9 | 52.7 |
| Others | 18.2 | 19.3 | 14.3 | 13.7 | 18.7 | 16.0 | 17.8 | 18.7 | 21.5 | 15.2 |
*1/new1/2: first/new first/second-tier (first-tier city, such as Beijing, Shanghai; new first-tier city, such as Chengdu, Hangzhou; second-tier city, such as Shenyang, Xi’an).
ACP/CP, associate chief-physician/chief-physician; CRP, C reactive protein; IT/RS, intern/resident; PD, pathogen detection; Pm/Pv, primary/private clinic; TCM/IM, traditional Chinese medicine/integrative medicine of traditional Chinese medicine and western medicine; WM, western medicine.