Evidence synthesis for policies to address antibiotic misuse in Hungary

Hajdu, Ágnes; Szilágyi, Emese; Kurcz, Andrea; Benkő, Ria; Matuz, Mária; Székely, Edit; Palásti, Ágnes; Borbás, I.; Babarczy, Balázs; Szigeti, Sz; Kuchenmüller, Tanja

doi:10.1093/eurpub/cky214.207

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“…2 While Hungary has developed, but is still to adopt its National Action Plan on AMR, recommended by the WHO, an evidence brief for policy on antibiotic misuse in Hungary identified multiple contributing factors including inappropriate prescribing practices, public misconceptions, prescribing pressure from patients, unavailability of certain narrowspectrum antibiotics, healthcare system resource deficiencies and marketing by pharmaceutical companies. 3 One policy solution advanced in the brief is increasing the awareness of health practitioners and the general public about rational antibiotic use and AMR. This is in line with the priorities of the WHO Global Action Plan on AMR.…”

Section: Introductionmentioning

confidence: 99%

Hungarian general practice paediatricians’ antibiotic prescribing behaviour for suspected respiratory tract infections: a qualitative study

Babarczy,

Hajdu,

Benko

et al. 2024

BMJ Open

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ObjectivesInappropriate antibiotic prescribing is a major cause of antimicrobial resistance (AMR). The aim of this study was to explore paediatric general practitioners’ (GP Peds) antibiotic prescription practice in suspected respiratory tract infections (RTIs), using the capability–opportunity–motivation–behaviour framework.DesignThe design is a qualitative study based on individual, semistructured telephone or virtual interviews.SettingPaediatric general practice in Hungary. We applied stratified maximum variation sampling to cover the categories of age, sex and geographical location of participants.ParticipantsWe interviewed 22 GP Peds. Nine were male and 13 were female: 2 of them were less than 40 years old, 14 were between 40 and 60 years, and 6 were above 60 years. 10 worked in low-antibiotic prescription areas, 5 in areas with medium levels of antibiotic prescription, 3 in high-antibiotic prescription areas, and 4 in and around the capital city.ResultsStudy participants had varying antibiotic prescription preferences. Personal experience and physical examination play a central role in GP Peds’ diagnostic and treatment practice. Participants emphasised the need to treat children in their entirety, taking their personal medical record, social background and sometimes parents’ preferences into account, besides the acute clinical manifestation of RTI. Most respondents were confident they apply the most effective therapy even if, in some cases, this meant prescribing medicines with a higher chance of contributing to the development of AMR. Some participants felt antibiotic prescription frequency has decreased in recent years.ConclusionsOur findings suggest that a more prudent attitude toward antibiotic prescribing may have become more common but also highlight relevant gaps in both physicians’ and public knowledge of antibiotics and AMR. To reinforce awareness and close remaining gaps, Hungary should adopt its national AMR National Action Plan and further increase its efforts towards active professional communication and feedback for primary care physicians.

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Section: Introductionmentioning

confidence: 99%