Reducing antibiotic prescribing in Australian general practice: time for a national strategy

The Medical Journal of Australia
Christopher B Del MarJonathan Dartnell

Abstract

In Australia, the antibiotic resistance crisis may be partly alleviated by reducing antibiotic use in general practice, which has relatively high prescribing rates - antibiotics are mostly prescribed for acute respiratory infections, for which they provide only minor benefits. Current surveillance is inadequate for monitoring community antibiotic resistance rates, prescribing rates by indication, and serious complications of acute respiratory infections (which antibiotic use earlier in the infection may have averted), making target setting difficult. Categories of interventions that may support general practitioners to reduce prescribing antibiotics are: regulatory (eg, changing the default to "no repeats" in electronic prescribing, changing the packaging of antibiotics to facilitate tailored amounts of antibiotics for the right indication and restricting access to prescribing selected antibiotics to conserve them), externally administered (eg, academic detailing and audit and feedback on total antibiotic use for individual GPs), interventions that GPs can individually implement (eg, delayed prescribing, shared decision making, public declarations in the practice about conserving antibiotics, and self-administered audit), suppo...Continue Reading

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Citations

Feb 27, 2020·The Journal of Antimicrobial Chemotherapy·Rebecca AndersonAmanda Gwee
Sep 12, 2020·The Journal of Applied Laboratory Medicine·Christopher P PriceAndrew St John
Mar 30, 2020·MMW Fortschritte der Medizin·Ludger Klimek, Peter Kardos
Apr 22, 2020·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·Wen-Qiang HeBette Liu
Apr 26, 2020·BMC Pediatrics·Gaston ArnoldaUNKNOWN CareTrack Kids investigative team

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