Exploring patient- and doctor-related variables associated with antibiotic prescribing for respiratory infections in primary care

Mazzaglia, Giampiero; Caputi, Achille P.; Rossi, Alessandro; Bettoncelli, Germano; Stefanini, Giovanni; Ventriglia, Giuseppe; Nardi, Roberto; Brignoli, Ovidio; Cricelli, Claudio

doi:10.1007/s00228-003-0669-0

Cited by 50 publications

(39 citation statements)

References 27 publications

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“…At present, five types of vancomycin resistance have been reported for Enterococci [33]. On the other hand, multidrug resistant P. aeruginosa strains are one of the most common Gram-negative bacilli which are the cause of nosocomial infections with a high incidence of morbidity and mortality [34,35].…”

Section: Discussionmentioning

confidence: 99%

Awareness and Beliefs of Antimicrobial Resistance among Health Professionals Working at Tikur Anbessa Specialized Hospital, Addis Ababa: Ethiopia

Berha¹,

Amin²,

Alebachew³

2017

J Bioanal Biomed

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Introduction: Antimicrobial Resistance (AMR) threatens the effective prevention and treatment of an everincreasing range of infections caused by bacteria, parasites, viruses and fungi. In recent years, since the rate at which resistance occurs has outpaced the development of new drug replacements, it has become necessary to use the currently available agents, optimally and appropriately. The aim of this study was to assess the medical staff awareness towards the most common resistant bacteria species, the factors contributing to the lack of awareness, and the possible measures to address the awareness gap. Methods:A structured questionnaire was administered to 205 health care professionals including physicians, pharmacists, and nurses at Tikur Anbessa Specialized Hospitals, Addis Ababa-Ethiopia. Results:The study identified that most of the responding physicians and pharmacists considered Pseudomonas aeruginosa and methicillin-resistant Staphylococcus aureus (MRSA) as the most frequently encountered resistant bacterial species. However, nurses recognized both MRSA and extended-spectrum β-lactamase producing Gramnegative bacilli (ESBL) as the most prevalent resistant species. Majority of physicians (79.2%) and pharmacists (79.9%) reported prolonged hospitalization as a factor likely to contribute to the increased incidence of bacterial resistance. About 66.0% of pharmacists indicated that the use of antibiotics without prescription as a significant reason for the development of bacterial resistance. Most of the physicians (71.4%) reported that appropriate infection control is the most important measure to reduce bacterial resistance. Conclusion:The findings of this study revealed that there was good awareness of the most common AMR etiologies and their risk factors among the different discipline health professionals. Even though there was a varying level of awareness among the health care professionals. Continuous medical education programs would be desirable to keep the health care professionals updated and diminish the future risk of excessive bacterial resistance.

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Section: Discussionmentioning

confidence: 99%

Awareness and Beliefs of Antimicrobial Resistance among Health Professionals Working at Tikur Anbessa Specialized Hospital, Addis Ababa: Ethiopia

Berha¹,

Amin²,

Alebachew³

2017

J Bioanal Biomed

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“…This finding partly reflects the profile observed in the Italian adult population. [14] Amoxi-clavulanic acid was the most prescribed antibiotic and it was prescribed by more than 96% of physicians, despite the fact that amoxicillin is considered the antibiotic of choice for the most common infections in the paediatric age group [15][16][17] and is the most prescribed antibiotic in other countries [6]. Moreover, nearly 1 out of 10 general practitioners never prescribed amoxicillin…”

Section: Discussionmentioning

confidence: 99%

Differences in the drug prescriptions to children by Italian paediatricians and general practitioners

Clavenna

Sequi

Bonati

2010

Eur J Clin Pharmacol

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“…Thirdly, the educational aspect, which is related mainly to the professional or cultural background of the physicians, is thought to play a role [24]. Finally, it was shown that the physicians who take care of a large number of patients are more likely to prescribe antibiotics when these are not appro priate [25,26]. Nosocomial infections are the most common complications affecting hospitalized patients.…”

Section: Medical Staff Awareness Of Bacterial O R I G I N a L P A P Ementioning

confidence: 99%

Awareness of bacterial resistance among physicians, pharmacists and nurses

Alzoubi

Ayoub²,

Al-Sakaji³

et al. 2009

International Journal of Occupational Medicine and Environmental Health

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Objective:To assess the level of medical staff awareness of bacterial resistance and characterize the most common resistant bacterial species, the factors contributing to the development of such resistance, and the possible measures to limit the increasing rate of resistance to current antibacterial therapies. Method: A questionnaire was administered to 352 health care professionals including physicians, pharmacists and nurses at four central university hospitals in Jordan. Results: Our results indicate that most of the responding physicians and pharmacists considered Pseudomonas aeruginosa and methicilinresistant Staphylococcus aureus the most frequently encountered resistant bacterial species. However, nurses recognized both methicilin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococci (VRE) as the most prevalent resistant species. Physicians and nurses (50.0% and 61.6%, respectively) reported prolonged hospitalization as a factor likely to contribute to the increased incidence of bacterial resistance. About 58% of pharmacists indicated the use of antibiotics without prescription as a significant reason for the development of bacterial resistance. Most of physicians (61.2%) reported that appropriate infection control is the most important measure to reduce bacterial resistance. Pharmacists (58.1%) recognized better adherence to the infection control guidelines as the most important factor that could reduce the risk of bacterial resistance. Conclusion: The findings of this study indicate a varying level of awareness of bacterial resistance among the health care professionals. Thus, serious efforts are still needed to develop and implement strategies to decrease the future risk of bacterial resistance to antibiotics.

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Exploring patient- and doctor-related variables associated with antibiotic prescribing for respiratory infections in primary care

Cited by 50 publications

References 27 publications

Awareness and Beliefs of Antimicrobial Resistance among Health Professionals Working at Tikur Anbessa Specialized Hospital, Addis Ababa: Ethiopia

Awareness and Beliefs of Antimicrobial Resistance among Health Professionals Working at Tikur Anbessa Specialized Hospital, Addis Ababa: Ethiopia

Differences in the drug prescriptions to children by Italian paediatricians and general practitioners

Awareness of bacterial resistance among physicians, pharmacists and nurses

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