Journal ArticleDOI
Understanding physician antibiotic prescribing behaviour: a systematic review of qualitative studies.
António Teixeira Rodrigues,António Teixeira Rodrigues,Fátima Roque,Fátima Roque,Amílcar Falcão,Adolfo Figueiras,Maria Teresa Herdeiro +6 more
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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.About:
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.read more
Citations
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Cross-sectional study on the drug utilization and evaluation indicator of antibiotics used in pediatric population.
TL;DR: In this paper, the authors explored the applicability of drug use indicators in terms of their applicability to children and developed methods for evaluating and monitoring rational paediatric medications, such as those similar to the drug utilisation index (DUI) based on the Anatomical Therapeutic Chemical/Defined Daily Dose (DDD) and widely used for the assessment of appropriate dosage in adults.
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
Gloria Cordoba,Anne Holm,Tina Møller Sørensen,Volkert Siersma,Håkon Sandholdt,Marjukka Mäkelä,Niels Frimodt-Møller,Lars Bjerrum +7 more
TL;DR: In this paper, the authors investigated the use of diagnostic tests in primary care patients with suspected urinary tract infection (UTI) and to assess the appropriateness of the treatment decision (TD) under daily practice conditions in Denmark.
Journal ArticleDOI
Knowledge, Attitudes, Perception and Reported Practices of Healthcare Providers on Antibiotic Use and Resistance in Pregnancy, Childbirth and Children under Two in Lao PDR: A Mixed Methods Study
Vanphanom Sychareun,Amphoy Sihavong,Anna Machowska,Xanded Onthongdee,Kongmany Chaleunvong,Bounxou Keohavong,Jaran Eriksen,Claudia Hanson,Manivanh Vongsouvath,Gaetano Marrone,Annelie Brauner,Mayfong Mayxay,Sengchanh Kounnavong,Cecilia Stålsby Lundborg +13 more
TL;DR: In this paper, a mixed-method study with data collection in 2019 via structured interviews among 217 healthcare providers who prescribed/dispensed antibiotics in one rural and one urban district in Vientiane province and individual qualitative interviews with 30 HCPs and stakeholders.
Journal ArticleDOI
Primary care clinicians' views of paediatric respiratory infection surveillance information to inform clinical decision-making: a qualitative study.
TL;DR: It is hypothesized that real-time paediatric RTI surveillance data could reduce diagnostic uncertainty and help reduce unnecessary antibiotic prescribing and more work is needed to develop a surveillance intervention if it is to beneficially influence decision-making and antibiotic prescribing in primary care.
References
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Users' Guides to the Medical Literature
Gordon H. Guyatt,Drummond Rennie +1 more
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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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Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis
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Katherine E. Fleming-Dutra,Adam L. Hersh,Daniel J. Shapiro,Monina Bartoces,Eva A. Enns,Thomas M. File,Jonathan A. Finkelstein,Jeffrey S. Gerber,David Y. Hyun,Jeffrey A. Linder,Ruth Lynfield,David J. Margolis,Larissa S May,Daniel Merenstein,Joshua P. Metlay,Jason G. Newland,Jay F. Piccirillo,Rebecca M. Roberts,Guillermo V. Sanchez,Katie J. Suda,Ann Thomas,Teri Moser Woo,Rachel M Zetts,Lauri A. Hicks +23 more