Patient-related determinants of antibiotic use: a systematic review

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
Veronica ZanichelliBenedikt Huttner

Abstract

We aimed to assess patient-related determinants potentially influencing antibiotic use. Studies published in MEDLINE until 30 September 2015 were searched. We included: qualitative studies describing patients' self-reported determinants of antibiotic use; and quantitative studies on either self-reported or objectively assessed determinants associated with antibiotic use. Whenever possible, reported determinants were categorized as 'barriers' or 'facilitators' of responsible antibiotic use. A total of 87 studies from 33 countries were included. Seventy-five (86.2%) were quantitative and described self-reported (45/75, 60.0%), objectively assessed (20/75, 26.7%) or self-reported and objectively assessed (10/75, 13.3%) patient-related determinants. Twelve (12/87, 13.8%) were qualitative studies or had a qualitative and quantitative component. Eighty-six of the studies (98.8%) concerned the outpatient setting. We identified seven broad categories of determinants having an impact on different aspects of antibiotic use (in descending order of frequency): demographic and socio-economic characteristics, patient-doctor interactions (e.g. counselling), treatment characteristics (e.g. administration frequency), attitudes (e.g. expecting a...Continue Reading

Citations

Sep 27, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Annelie A MonnierInge C Gyssens
Sep 29, 2020·Pragmatic and Observational Research·Alike W van der VeldenAdrian Shephard
Jul 10, 2020·BMC Family Practice·M L AventM L van Driel
Jan 8, 2021·Frontiers in Public Health·Caroline E WagnerRamanan Laxminarayan
Feb 17, 2021·ELife·Gwenan M KnightClare Ir Chandler
Nov 5, 2020·Antimicrobial Resistance and Infection Control·Natalia Nogueira-UzalAdolfo Figueiras
Jul 9, 2021·Journal of Multidisciplinary Healthcare·Muhammad AnwarFahad Saleem
Jan 12, 2021·Saudi Pharmaceutical Journal : SPJ : the Official Publication of the Saudi Pharmaceutical Society·Saleh AlghamdiNada Atef Shebl

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