Our study aimed to identify the (1) prevalence of mobile device and antimicrobial resource use by GPs, (2) factors that buy AZD5363 may influence

use of an antimicrobial guidance app, and (3) antimicrobial-related app features that GPs would find useful. A 22-item online questionnaire was constructed following critical review of the literature and iteratively developed following piloting on a limited number of clinicians. A sample size calculation identified that 260 responses were needed and the questionnaire was distributed in November 2013 through a national internet-based network which included approximately 56,800 clinicians (89% of all UK registered GPs) to maximise recruitment diversity. Participants were stratified to be representative in number across England, Scotland, Wales and Northern Ireland. Data were analysed using descriptive statistics. Logistic regression was used to assess the relationship between GP variables and their intention to use an app for national antimicrobial guidance. NVP-BGJ398 Ethical review was not required as the research involved healthcare staff recruited as research participants by virtue of their professional role. We capped the survey at 264 responses which were

received by 27 November: 58% were GP principals, 31% salaried GPs, 11% locum GPs and 1 GP registrar. Median age of GPs was 41 years (IQR 37–49) and 57% were male. The majority (92%) owned at least one mobile device, of these, the three most common were: iPad® (53%), iPhone®

(51%) and Android™ smartphone (33%). The paper British National Formulary (BNF®) and BNF for Children (BNFC®) were more widely used (74% and 68% of 264 GPs, respectively used these at least monthly) for antimicrobial information than the Aspartate BNF® website (32%), BNFC® website (20%), ‘MIMS™’ (paper 27%, website 4%), local guidance (paper 39%, electronic 44%) or national guidance (paper 14%, website 28%). Furthermore, 14% used the BNF® app, 8% BNFC® app and 5% local guidance app. Four in five GPs would use an app to access their local (80%) and national (78%) antimicrobial guidance if it was available. Compared to GPs aged 29–39 years, those aged 40–49 years and 50–65 years were less likely to use an app for national antimicrobial guidance (40–49 years: OR 0.57, 95% CI 0.25–1.31; 50–59 years: OR 0.18, 95% CI 0.08–0.43). GPs wanted an antimicrobial app that provides links to: paediatric doses (72%), advice in pregnancy (72%), local microbiological susceptibility patterns (61%), and hospital antimicrobial prescribing guidance (52%). The majority (61%) of GPs would access medical information from a mobile device in front of a patient but half (53%) believed patients’ acceptance of this practise was situation dependent. Our study has quantified the use of antimicrobial resources by GPs, identified that mobile device ownership is high, and that GPs (particularly younger GPs) would use an antimicrobial app.