Factors influencing primary care physicians to prescribe antibiotics in Delhi India

Kotwani, Anita; Wattal, Chand; Katewa, Shashi; Joshi, P C; Holloway, Kathleen

doi:10.1093/fampra/cmq059

Cited by 167 publications

(194 citation statements)

References 18 publications

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“…There can be various factors behind this such as influence from the manufacturers to promote a specific brand. [22,23] in addition, the results show that 33% of medicines were injectable. As most the patients were pediatrics, injectable are the preferred dosage form to be prescribed.…”

Section: Discussionmentioning

confidence: 99%

A Study on Antibiotics Prescribing Pattern at Outpatient Department in Four Hospitals in Aden-Yemen

Alshakka¹,

Said²,

Babakri³

et al. 2016

JPPCM

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Section: Discussionmentioning

confidence: 99%

A Study on Antibiotics Prescribing Pattern at Outpatient Department in Four Hospitals in Aden-Yemen

Alshakka¹,

Said²,

Babakri³

et al. 2016

JPPCM

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“…A recent study from India suggested several interventions for improving antibiotic prescribing. These included training physicians through continuing medical education programmes regarding the rational use of antibiotics, educating patients and the public about antibiotics through several means including advertisements and pamphlets, and issuing clinical guidelines for appropriate use of antibiotics based on local microbiological data (64). The review by Huttner et al showed that several interventions have been successfully used to educate physicians regarding antibiotic prescription such as academic detailing, audit and feedback, and distribution of guidelines to physicians (51).…”

Section: Discussionmentioning

confidence: 99%

General practitioners’ knowledge, attitude and prescribing of antibiotics for upper respiratory tract infections in Selangor, Malaysia: findings and implications

Hassali

Kamil

Yusof

et al. 2015

Expert Review of Anti-infective Therapy

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Background: Antibiotics are widely prescribed especially for URTIs. Their irrational use can increase costs and resistance. Aim: Assess knowledge, attitude and prescribing of antibiotics for URTIs in, Selangor, Malaysia using a cross-sectional survey among GPs working in private clinics in 2011. Results: 139 physicians completed the questionnaire (response rate = 34.8%). 49.6% (n=69) agreed antibiotics are helpful in treating URTIs, with most GPs agreeing antibiotics may reduce URTI duration and complications. The majority of GPs reported they felt patients expected antibiotics, with 36.7% (n=51) agreeing patients would change doctors if they did not prescribe antibiotics and 21.6% (n=30) agreeing when requested they prescribe antibiotics even if they believe them unnecessary. When assessed against six criteria, most GPs had a moderate level of knowledge of prescribing for URTIs. However, antibiotic prescriptions could be appreciably reduced. Conclusion: Further programmes are needed to educate GPs and patients about antibiotics building on current initiatives.

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“…9,25 This is probably related to fear of complications in these vulnerable groups. 16 Although antibiotics were not justified for the prevention of serious complications for AURI, 26 the current analysis showed that such conservative practice (Factor 2) played a significant role in antibiotic prescribing.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Medical and psychosocial factors associated with antibiotic prescribing in primary care: survey questionnaire and factor analysis

et al. 2017

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BackgroundAcute upper respiratory infections (AURI) are the leading causes of antibiotic prescribing in primary care although antibiotics are often not indicated. AimTo gain an understanding of the knowledge, attitudes, and practices (KAP) of GPs in Singapore and the associated latent factors to guide the implementation of an effective programme to reduce antibiotic use in primary care. Design and settingAn anonymous survey on the KAP of antibiotic use in AURI of GPs in Singapore. MethodKAP survey questionnaires were posted to all GPs from a database. To ascertain the latent factors affecting prescribing patterns, exploratory factor analysis was performed. ResultsAmong 427 responses, 351 (82.2%) were from GPs working in private practice. It was found that 58.4% of GPs in the private versus 72.4% of those in the public sector recognised that >80% of AURIs were caused by viruses (P = 0.02). The majority of GPs (353/427; 82.7%) felt that antibiotics were overprescribed in primary care. Significant factors associated with low antibiotic prescribing were good medical knowledge and clinical competency (adjusted odds ratio [aOR] 3.2, 95% confidence interval [CI] = 2.4 to 4.3), good clinical practice (aOR 2.7 [95% CI = 2.0 to 3.6]), availability of diagnostic tests (aOR 1.4 [95% CI = 1.1 to 1.8]), and desire to improve clinical practice (aOR 1.5 [95% CI = 1.2 to 1.9]). The conservative practice of giving antibiotics 'to be on the safe side' is significantly less likely to be associated with low antibiotic prescribing (aOR 0.7 [95% CI = 0.5 to 0.9]). ConclusionThis is the first KAP survey on antibiotic prescribing for AURI among GPs in Singapore. With the latent factors identified, future interventions should be directed at addressing these factors to reduce inappropriate antibiotic prescribing.

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Factors influencing primary care physicians to prescribe antibiotics in Delhi India

Abstract: exploration of doctors' antibiotic use practices and possible interventions will be helpful in carrying out interventions to promote appropriate use of antibiotics in the community.

Cited by 167 publications

References 18 publications

A Study on Antibiotics Prescribing Pattern at Outpatient Department in Four Hospitals in Aden-Yemen

A Study on Antibiotics Prescribing Pattern at Outpatient Department in Four Hospitals in Aden-Yemen

General practitioners’ knowledge, attitude and prescribing of antibiotics for upper respiratory tract infections in Selangor, Malaysia: findings and implications

Medical and psychosocial factors associated with antibiotic prescribing in primary care: survey questionnaire and factor analysis

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