Use of delayed antibiotic prescription in primary care : a cross-sectional study

Autor: de la Poza Abad, Mariam, Mas Dalmau, Gemma, Gich, Ignasi, Martínez García, Laura, Llor, Carl, Alonso-Coello, Pablo, Universitat Autònoma de Barcelona
Rok vydání: 2019
Předmět:
Male
Time Factors
Cross-sectional study
Nurses
Inappropriate Prescribing
Delayed antibiotic prescription
Severity of Illness Index
law.invention
Pulmonary Disease
Chronic Obstructive
0302 clinical medicine
Randomized controlled trial
law
Surveys and Questionnaires
Health care
030212 general & internal medicine
Practice Patterns
Physicians'
Sinusitis
Survey
Respiratory Tract Infections
Response rate (survey)
lcsh:R5-920
Infectious disease
Practice Patterns
Nurses'
Respiratory tract infections
030503 health policy & services
Physicians
Family
Pharyngitis
Middle Aged
Primary care
Anti-Bacterial Agents
Tonsillitis
Urinary Tract Infections
Disease Progression
Bronchitis
Female
lcsh:Medicine (General)
0305 other medical science
Family Practice
Research Article
Adult
medicine.medical_specialty
03 medical and health sciences
Patient satisfaction
Internal medicine
medicine
Humans
Primary Health Care
business.industry
medicine.disease
Otitis Media
Spain
business
Zdroj: Dipòsit Digital de Documents de la UAB
Universitat Autònoma de Barcelona
BMC Family Practice
BMC Family Practice, Vol 20, Iss 1, Pp 1-6 (2019)
Popis: Background One of several strategies developed to reduce inappropriate antibiotic use in situations where the indication is not clear is delayed antibiotic prescription (DAP), defined as an antibiotic prescription issued for the patient to take only in case of feeling worse or not feeling better several days after the visit. We conducted a survey to identify DAP use in Spanish primary care settings. Methods We surveyed 23 healthcare centers located in 4 autonomous regions where a randomized controlled trial (RCT) on DAP was underway. The primary variable was use of DAP. Categorical and quantitative variables were analyzed by means of the chi-squared test and non-parametric tests, respectively. Results The survey was sent to 375 healthcare professionals, 215 of whom responded (57.3% response rate), with 46% of these respondents declaring that they had used DAP in routine practice before the RCT started (66.6% afterwards), mostly (91.5%) for respiratory tract infections (RTIs), followed by urinary infections (45.1%). Regarding DAP use for RTIs, the most frequent conditions were pharyngotonsillitis (88.7%), acute bronchitis (62.7%), mild chronic obstructive pulmonary disease exacerbations (59.9%), sinusitis (51.4%), and acute otitis media (45.1%). Most respondents considered that DAP reduced emergency visits (85.4%), scheduled visits (79%) and inappropriate antibiotic use (73.7%) and most also perceived patients to be generally satisfied with the DAP approach (75.6%). Having participated or not in the DAP RCT (74.1% versus 46.2%; p
Databáze: OpenAIRE
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