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Understanding physician antibiotic prescribing behaviour: a systematic review of qualitative studies.

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TLDR
It is revealed that: (i) antibiotic prescribing is a complex process influenced by factors affecting all the actors involved, including physicians, other healthcare providers, healthcare system, patients and the general public; and (ii) such factors are mutually dependent.
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This article is published in International Journal of Antimicrobial Agents.The article was published on 2013-03-01. It has received 351 citations till now.

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Effect of physicians' knowledge on antibiotics rational use in China's county hospitals.

TL;DR: Targeted training programs to promote physicians' knowledge of antibiotic especially at county hospitals in the western regions of China are urgently needed after results confirmed that Physicians' knowledge significantly influences rational antibiotic use.
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Reducing inappropriate antibiotic prescribing in upper respiratory tract infection in a primary care setting in Kolkata, India

Amy Dehn Lunn
TL;DR: This multifaceted intervention was successful at reducing inappropriate antibiotic prescribing in URTI in a non-governmental organisation’s primary care outreach clinics in Kolkata, India, from 62.6% to 30% over 4 months, suggesting that approaches previously used in Europe can successfully be applied to different settings.
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Use of diagnostic tests and the appropriateness of the treatment decision in patients with suspected urinary tract infection in primary care in Denmark – observational study

TL;DR: In a context with wide availability of diagnostic tests, GPs use diagnostic tests for the decision-making process in all patients with suspected UTI and urine culture is used in the majority of the patients and is associated with a higher proportion of appropriate treatment decisions.
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What are the challenges for antibiotic stewardship at the community level? An analysis of the drivers of antibiotic provision by informal healthcare providers in rural India.

TL;DR: In this paper, the authors analyzed the intrinsic and extrinsic drivers of antibiotic provision by Informal Providers (IPs) in rural West Bengal, to inform the design of community stewardship interventions and discussed the implications for a multi-stakeholder antibiotic stewardship strategy in this setting.
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Non-clinical factors determining the prescription of antibiotics by veterinarians: A systematic review

TL;DR: In this article, the authors carried out a bibliographic search of Medline, Web of Knowledge, and Cab Abstracts with the main objective of ascertaining the available evidence on non-clinical factors and attitudes that could influence the prescription of antibiotics by veterinarians.
References
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Book

Users' Guides to the Medical Literature

TL;DR: Without a way of critically appraising the information they receive, clinicians are relatively helpless in deciding what new information to learn and decide how to modify their practice.
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Outpatient antibiotic use in Europe and association with resistance: a cross-national database study

TL;DR: Outpatient antibiotic use in 26 countries in Europe between Jan 1, 1997, and Dec 31, 2002 was investigated by calculating the number of defined daily doses (DDD) per 1000 inhabitants per day according to WHO anatomic therapeutic chemical classification and DDD measurement methodology, and the ecological association between antibiotic use and antibiotic resistance rates was assessed using Spearman's correlation coefficients.
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Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis

TL;DR: Individuals prescribed an antibiotic in primary care for a respiratory or urinary infection develop bacterial resistance to that antibiotic, which not only increases the population carriage of organisms resistant to first line antibiotics, but also creates the conditions for increased use of second line antibiotics in the community.
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Variation in antibiotic use in the European Union

TL;DR: There was profound variation in use of different classes of antibiotics, and detailed knowledge of antibiotic use is necessary to implement national strategies for optimum antibiotic use, and to address the threat posed by resistant microorganisms.
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Interventions to improve antibiotic prescribing practices in ambulatory care

TL;DR: Multi-faceted interventions combining physician, patient and public education in a variety of venues and formats were the most successful in reducing antibiotic prescribing for inappropriate indications.
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