Antimicrobial Stewardship Programs (ASPS) in pediatric primary care

Ballesteros, María Rosa Albañil; Arranz, Cristina Rodríguez; Alés, Rafael Jiménez; Álvarez, Josefa Ares; Hiraldo, E. Muñoz; Castellanos, Pilar Lupiani; Chamorro, María José Martínez; Vera, César García; Arrabal, María Carmen Suárez

doi:10.1016/j.anpede.2022.12.002

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…According to data of the European Centre for Disease Prevention and Control (ECDC), the percentage of antibiotic consumption in Spain, both in the hospital and in primary care centers, is one of the highest in comparison with other European countries, increasing from a 15.7 daily dose per 1000 inhabitants in 2012 to a 20.0 daily dose per 1000 inhabitants (DID) in 2021 [ 4 ]. As regards antibiotic consumptions in infants under three years of age, there are no official nationwide figures data in Spain [ 5 ]. However, there is evidence suggesting a high antibiotic consumption in this age group [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Inappropriate Use of Antibiotics in Infants under 3 Years of Age in Primary Care: A Qualitative Study of the Paediatricians’ Perceptions

et al. 2023

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Antibiotic consumption in infants of less than three years is higher than average the average consumption for general population. The aim of this study was to explore paediatricians’ opinions regarding factors influencing inappropriate use of antibiotics in early infancy in primary care. A qualitative study based on the grounded theory using convenience sampling was conducted in Murcia Region, Spain. Three focal discussion groups were developed with 25 participants from 9 health areas (HA) of Murcia Region. Paediatricians perceived that health care pressure was an influential factor in the prescribing behaviour, forcing them to prescribe antibiotics for a rapid cure in unjustified circumstances. Participants believed that antibiotic consuming was related to parents’ self-medication due to their perceptions about the curative potential of antibiotics together with facilities to obtain these agents from pharmacies without prescription. The misuse of antibiotics by paediatricians was associated to the lack of education on antibiotic prescription and the limited use of clinical guidelines. Not prescribing an antibiotic in the presence of a potentially severe disease generated more fear than an unnecessary prescription. The clinical interaction asymmetry was more evident, when paediatricians use trapping risk strategies as a mechanism to justify a restrictive prescribing behaviour. The rational model of clinical decision-making in antibiotic prescribing among paediatricians was determined by factors associated with health care management, social awareness and knowledge of the population and pressure of families’ demands. The present findings have contributed to the design and implementation of health interventions in the community for improving awareness of the appropriate use of antibiotics, as well as for a better quality of prescription by peadiatricians.

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Section: Introductionmentioning

confidence: 99%

Factors Influencing Inappropriate Use of Antibiotics in Infants under 3 Years of Age in Primary Care: A Qualitative Study of the Paediatricians’ Perceptions

et al. 2023

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“…Given that interns admit to being well informed about the prescribing of antibiotics but do not apply this knowledge, due to the prescribing habits imposed by the attending physicians who tutor them, educational interventions to improve antibiotic prescribing should be targeted at establishing a two-way relationship between attending physicians and interns, and a system of learning based on training in which the tutor both involves the intern and makes him/her participate in decisions from the outset [ 32 ]. In addition, antibiotic use policies and stewardship programmes can positively influence these professionals just as they are effective in other populations [ 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Practice Regarding Antibiotic Prescription by Medical Interns: A Qualitative Study in Spain

et al. 2023

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Antibiotic resistance is an issue of growing importance in the public health sphere. Medical interns are of great relevance when it comes to the source of this problem. This study therefore sought to ascertain which factors influence the management of antibiotic therapy by this population, in order to pinpoint the possible causes of misprescribing habits. We conducted a qualitative study based on focus group techniques, with groups consisting of medical interns from the Santiago de Compostela Clinical University Teaching Hospital. Our study identified factors which the participants considered to be determinants of antibiotic use and their relationship with the appearance of resistance. The single most repeated factor was the influence of the attending physician’s judgement; other factors included a high healthcare burden or prescribing inertia. This stage is an opportunity to correct misprescribing habits, by implementing educational interventions aimed at modifying the identified factors.

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Antimicrobial Stewardship Programs (ASPS) in pediatric primary care

Cited by 2 publications

References 18 publications

Factors Influencing Inappropriate Use of Antibiotics in Infants under 3 Years of Age in Primary Care: A Qualitative Study of the Paediatricians’ Perceptions

Factors Influencing Inappropriate Use of Antibiotics in Infants under 3 Years of Age in Primary Care: A Qualitative Study of the Paediatricians’ Perceptions

Knowledge, Attitudes and Practice Regarding Antibiotic Prescription by Medical Interns: A Qualitative Study in Spain

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