Immediate and delayed antibiotic prescribing strategies used by Australian early-career GPs: a cross-sectional analysis.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Andrew R DaveyParker Magin

Abstract

Antibiotics are overused for non-pneumonia acute respiratory tract infections (ARTIs). To establish prevalence and explore associations of delayed and immediate antibiotic prescribing strategies of Australian early-career GPs (specialist GP vocational trainees, also known as GP registrars) for non-pneumonia ARTIs. Cross-sectional analysis of data collected between September 2016 and December 2017 from the Registrar Clinical Encounters in Training cohort (ReCEnT) study, an ongoing cohort study of GP registrars' in-practice clinical experiences in four Australian states and territories. Multinomial logistic regression with outcome antibiotic prescribing (no prescribing, immediate prescribing, and delayed prescribing). Of 7156 new ARTI diagnoses, no antibiotics were prescribed for 4892 (68%); antibiotics were prescribed for immediate use for 1614 diagnoses (23%) and delayed antibiotics were used for 650 diagnoses (9%). Delayed prescribing was used in 22% of otitis media, 16% of sinusitis, 13% of sore throat, 11% of acute bronchitis/bronchiolitis, and 5% of upper respiratory tract infection (URTI) diagnoses. Delayed prescribing was used for 29% of all prescriptions written. Delayed prescribing and immediate prescribing were associa...Continue Reading

References

Oct 12, 2010·Pharmacy World & Science : PWS·Ingunn BjörnsdóttirEbba Holme Hansen
Jul 19, 2011·The Journal of Antimicrobial Chemotherapy·Sarah Tonkin-CrinePaul Little
Jun 8, 2012·BMC Family Practice·Simon MorganMieke L van Driel
Jul 16, 2014·The Lancet Infectious Diseases·Thomas P Van BoeckelRamanan Laxminarayan
Sep 3, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Anthea DallasParker Magin
Oct 25, 2016·The International Journal of Pharmacy Practice·Lisa G PontMieke L van Driel
Jul 14, 2017·The Medical Journal of Australia·Amanda R McCulloughChristopher B Del Mar
Sep 8, 2017·The Cochrane Database of Systematic Reviews·Geoffrey Kp SpurlingRebecca Farley

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