Reasons for choice of antibiotic for the empirical treatment of CAP by Canadian infectious disease physicians.

The Canadian Journal of Infectious Diseases = Journal Canadien Des Maladies Infectieuses
J Pendergrast, T Marrie

Abstract

Previous studies have documented substantial variation in physician prescribing practices for the treatment of community-acquired pneumonia. Much of this variation is the result of empirical treatment, in which physicians must choose antibiotics in the a8bsence of culture and sensitivity data. To explore the factors that influence antibiotic choice for the empirical treatment of community-acquired pneumonia. Case-based questionnaires were mailed to all 157 members of the Canadian Infectious Disease Society in June 1996. The questionnaires presented three clinical cases and asked respondents which antibiotics they would most likely prescribe. Half the questionnaires were closed-ended, and half were open-ended. In the former, respondents were asked to explain their antibiotic choice by assigning weights to a list of clinical factors. In the latter, respondents were asked to explain their antibiotic choice by providing a short written answer. Respondents were grouped by the class of antibiotics they selected. These groups were then compared with regards to respondent characteristics (age, years of infectious disease experience, adult versus pediatric practice, country of training, province of practice) and rationale for the treatm...Continue Reading

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