PMID: 11332898May 3, 2001Paper

Antibiotic prescribing practices in a teaching clinic: comparison of resident and staff physicians

Southern Medical Journal
B A Mincey, M A Parkulo

Abstract

The widespread and often inappropriate use of broad spectrum antibiotics in the outpatient setting is recognized as a significant contributing factor to the spread of bacterial resistance. We hypothesized that residents prescribe broader spectrum antibiotics more frequently than staff physicians and adopt more appropriate prescribing practices with increasing levels of training. All patient visits for acute sinusitis in our teaching practice between July 1, 1995, and June 30, 1997, were reviewed. Comparisons of antibiotics prescribed were made between staff and residents at each level of training. First- and second-year residents were more likely to prescribe narrow spectrum antibiotics (56%) than third-year residents (35%) or staff (34%). Junior residents in our program are more likely to prescribe narrow spectrum antibiotics for the treatment of acute sinusitis than are senior residents or staff. With advancement in level of training, prescribing practices of residents come to resemble those of their supervising staff physicians.

Citations

Mar 12, 2011·The Journal of Antimicrobial Chemotherapy·Jean-Christophe LucetPhilippe Ravaud
Jan 21, 2006·Journal of General Internal Medicine·Judith L BowenSuzanne Brandenburg
Feb 4, 2012·Journal of General Internal Medicine·Gail V BerkenblitP Todd Korthuis
Jun 1, 2005·The American Journal of Medicine·Christianne L RoumieMarie R Griffin
Sep 3, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Anthea DallasParker Magin

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