Adherence Barriers to Antimicrobial Treatment Guidelines in Teaching Hospital, the Netherlands

Abstract

To optimize appropriate antimicrobial use in a university hospital and identify barriers hampering implementation strategies, physicians were interviewed regarding their opinions on antimicrobial policies. Results indicated that effective strategies should include regular updates of guidelines that incorporate the views of relevant departments and focus on addressing senior staff and residents because residents do not make independent decisions in a teaching-hospital setting.

Keywords

• antibiotics
• guidelines
• implementation
• prescribing-behavior
• therapeutic drug use
• qualitative research