Temporal patterns of antibiotic prescribing for sore throat, otitis media, and sinusitis: a longitudinal study of general practitioner registrars.

Autor:	Turner A; Faculty of Medicine, General Practice Clinical Unit, The University of Queensland, Brisbane, Australia.; NSW & ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation, Newcastle, Australia., van Driel ML; Faculty of Medicine, General Practice Clinical Unit, The University of Queensland, Brisbane, Australia., Mitchell BL; Faculty of Medicine, General Practice Clinical Unit, The University of Queensland, Brisbane, Australia., Davis JS; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia., Fielding A; NSW & ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation, Newcastle, Australia.; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia., Davey A; NSW & ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation, Newcastle, Australia.; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia., Holliday E; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia., Ball J; Clinical Research Design and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute, New Lambton Heights, Australia., Ralston A; NSW & ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation, Newcastle, Australia.; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia., Tapley A; NSW & ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation, Newcastle, Australia.; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia., Mulquiney K; NSW & ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation, Newcastle, Australia.; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia., Baillie EJ; Faculty of Medicine, General Practice Clinical Unit, The University of Queensland, Brisbane, Australia., Spike N; Eastern Victoria General Practice Training, Regional Training Organisation, Hawthorn, Australia.; Department of General Practice and Primary Health Care, University of Melbourne, Carlton, Australia.; School of Rural Health, Monash University, Clayton, Australia., Clarke L; General Practice Training Tasmania, Regional Training Organisation, Hobart, Australia., Magin P; NSW & ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation, Newcastle, Australia.; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
Jazyk:	angličtina
Zdroj:	Family practice [Fam Pract] 2024 Jun 12; Vol. 41 (3), pp. 283-291.
DOI:	10.1093/fampra/cmad055
Abstrakt:	Background: Antibiotics provide minimal benefit for sore throat, otitis media, and sinusitis. Antibiotic stewardship, with reduced prescribing, is required to address antibiotic resistance. As most antibiotic prescribing occurs in general practice and prescribing habits develop early, general practitioner (GP) trainees (registrars) are important for effective antibiotic stewardship. Objectives: To establish temporal trends in Australian registrars' antibiotic prescribing for acute sore throat, acute otitis media, and acute sinusitis. Design: A longitudinal analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) study from 2010 to 2019. Participants: ReCEnT is an ongoing cohort study of registrars' in-consultation experiences and clinical behaviours. Pre-2016, 5 of 17 Australian training regions participated. From 2016, 3 of 9 regions (42% of Australian registrars) participate. Main Measures: The outcome was prescription of an antibiotic for a new acute problem/diagnosis of sore throat, otitis media, or sinusitis. The study factor was year (2010-2019). Key Results: Antibiotics were prescribed in 66% of sore throat diagnoses, 81% of otitis media, and in 72% of sinusitis. Prescribing frequencies decreased between 2010 and 2019 by 16% for sore throat (from 76% to 60%) by 11% for otitis media (from 88% to 77%) and by 18% for sinusitis (from 84% to 66%). In multivariable analyses, "Year" was associated with reduced prescribing for sore throat (OR 0.89; 95%CI 0.86-0.92; p < 0.001), otitis media (OR 0.90; 95%CI 0.86-0.94; p < 0.001), and sinusitis (OR 0.90; 95%CI 0.86, 0.94; p < 0.001). Conclusions: Registrars' prescribing rates for sore throat, otitis media, and sinusitis significantly decreased during the period 2010-2019. However, educational (and other) interventions to further reduce prescribing are warranted. (© The Author(s) 2023. Published by Oxford University Press.)
Databáze:	MEDLINE
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