Developing and implementing approaches to limit antimicrobial resistance

Chu, Lena; Yeung, Howa

doi:10.1016/j.jaad.2022.03.069

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Existing antibiotic stewardship interventions focus on acute infections and have limited relevance to managing acne and other chronic skin conditions . Successful design and implementation of antibiotic stewardship programs in dermatology require careful consideration of the clinical factors associated with long-term antibiotic treatment for acne, including clinician and patient values, institutional context, and resources . This study aimed to identify the salient barriers and facilitators to long-term antibiotic prescriptions for moderate to severe acne treatment by dermatologists in the clinical setting.…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators Affecting Long-Term Antibiotic Prescriptions for Acne Treatment

Festok,

Ahuja,

Chen

et al. 2024

JAMA Dermatol

Self Cite

View full text Add to dashboard Cite

ImportanceDermatologists prescribe more oral antibiotics per clinician than clinicians in any other specialty. Despite clinical guidelines that recommend limitation of long-term oral antibiotic treatments for acne to less than 3 months, there is little evidence to guide the design and implementation of an antibiotic stewardship program in clinical practice.ObjectiveTo identify salient barriers and facilitators to long-term antibiotic prescriptions for acne treatment.Design, Setting, and ParticipantsThis qualitative study assessed data collected from stakeholders (including dermatologists, infectious disease physicians, dermatology resident physicians, and nonphysician clinicians) via an online survey and semistructured video interviews between March and August 2021. Data analyses were performed from August 12, 2021, to January 20, 2024.Main Outcomes and MeasuresOnline survey and qualitative video interviews developed with the Theoretical Domains Framework. Thematic analyses were used to identify salient themes on barriers and facilitators to long-term antibiotic prescriptions for acne treatment.ResultsAmong 30 participants (14 [47%] males and 16 [53%] females) who completed the study requirements and were included in the analysis, knowledge of antibiotic guideline recommendations was high and antibiotic stewardship was believed to be a professional responsibility. Five salient themes were to be affecting long-term antibiotic prescriptions: perceived lack of evidence to justify change in dermatologic practice, difficulty navigating patient demands and satisfaction, discomfort with discussing contraception, iPLEDGE-related barriers, and the absence of an effective system to measure progress on antibiotic stewardship.Conclusions and RelevanceThe findings of this qualitative study indicate that multiple salient factors affect long-term antibiotic prescribing practices for acne treatment. These factors should be considered in the design and implementation of any future outpatient antibiotic stewardship program for clinical dermatology.

show abstract

Section: Introductionmentioning

confidence: 99%