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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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Drivers of inappropriate antibiotic use in low- and middle-income countries

TL;DR: In this article , the authors discuss the factors that drive inappropriate antibiotic use in low and middle-income countries (LMICs) where regulatory frame works are weak, and a clear knowledge of these factors will guide effective policy and decision making to curb inappropriate antibiotic usage and ultimately AMR.
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Determinants of clinician and patient to prescription of antimicrobials: Case of Mulanje, Southern Malawi

TL;DR: In this paper , the authors investigated factors that influence prescription behaviours of antimicrobials among clinical officers in various health facilities in Mulanje district, Southern Malawi, and found that patients' preferences, beliefs and clinicians' inadequate education on this issue were among the factors that contribute to inappropriate antimicrobial prescription.
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Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study

TL;DR: In this paper , the authors conducted a cross-sectional, questionnaire-based study on dentists in Spain, assessing prescribing quality (dependent variable) on the basis of their responses about the prescription of antibiotics in 14 clinical situations.
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Game-changer or gimmick: inflammatory markers to guide antibiotic treatment decisions in neonatal early-onset sepsis.

TL;DR: In this paper , the authors present the current state of knowledge regarding the diagnostic value and potential pitfalls in the interpretation of inflammatory markers for early-onset sepsis (EOS) diagnosis.
References
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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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