Adherence barriers to antimicrobial treatment guidelines in teaching hospital, the Netherlands

Emerg Infect Dis. 2004 Mar;10(3):522-5. doi: 10.3201/eid1003.030292.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Attitude of Health Personnel*
  • Guideline Adherence / statistics & numerical data*
  • Hospitals, Teaching
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Practice Guidelines as Topic*
  • Practice Patterns, Physicians'*


  • Anti-Bacterial Agents