Parents’ Expectations and Experiences of Antibiotics for Acute Respiratory Infections in Primary Care

Coxeter, Peter; Mar, Chris Del; Hoffmann, Tammy

doi:10.1370/afm.2040

Cited by 60 publications

(65 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two potential studies did not mention the specific type of the infection being assessed among the patient population and were ultimately excluded from further consideration . Additionally, one reviewer flagged an article that used the phrase “how antibiotics can help” instead of asking patients their actual expectation to receive a prescription . Ultimately this study was excluded from our review.…”

Section: Inclusion Criteria and Exclusion Criteriamentioning

confidence: 99%

See 1 more Smart Citation

Patient expectation trends on receiving antibiotic prescriptions for respiratory tract infections: A systematic review and meta‐regression analysis

Kianmehr

Sabounchi

et al. 2019

Int J Clin Pract

View full text Add to dashboard Cite

Background Despite a variety of programs developed to control inappropriate antibiotic prescribing for viral infections, antibiotics are still prescribed excessively for Respiratory Tract Infections (RTI). The patient’s expectation to receive an antibiotic often influences the clinician’s decision and can lead to inappropriate antibiotic prescriptions. Our objective was to investigate the changes in patient expectations over time when presenting with symptoms of a respiratory infection. Methods We performed a systematic review of patient’s expectation to receive antibiotics for RTIs. Two reviewers independently evaluated the collected studies based on inclusion and exclusion criteria. Our search initially identified 12 070 studies, of which 321 studies were eligible for full text review and 37 articles were selected for final evaluation. Meta‐regression analysis was used to evaluate the association between patient expectations and different years. Heterogeneity was evaluated using the Q statistic. Results Patient expectations (effect size) were pooled using a random effects model. The effect‐equality test showed heterogeneity among studies (Q = 3304.23, df = 40, P < 0.0001, k = 40, τ2 = 0.63). Meta‐regression results revealed that there is a significant linear negative relationship (B = −1.8374, P < 0.05) between patient expectation and year of data collection, at the global level. A similar finding is observed for the subset of studies conducted outside United States (U.S.) (B = −1.2411, P < 0.1). However, there is no discernible trend for patient expectation in the U.S. or among children and adult subgroups. Also, no significant differences are observed between the patient expectations when considering different age groups. Conclusion The trend of patient expectation for receiving antibiotics for RTIs is declining over time on a global level and also outside the U.S.

show abstract

Section: Inclusion Criteria and Exclusion Criteriamentioning

confidence: 99%

“…40,41 Additionally, one reviewer flagged an article that used the phrase "how antibiotics can help" instead of asking patients their actual expectation to receive a prescription. 42 Ultimately this study was excluded from our review.…”

Section: And (Antibiotic* Ormentioning

confidence: 99%

Patient expectation trends on receiving antibiotic prescriptions for respiratory tract infections: A systematic review and meta‐regression analysis

Kianmehr

Sabounchi

et al. 2019

Int J Clin Pract

View full text Add to dashboard Cite

show abstract

“…Community education is essential in supporting the shift of GPs' attention to reduced antibiotic prescribing. One concern is that GPs feel pressure to prescribe because of their perception that many patients expect antibiotics more often than is indicated, believing that antibiotics reduce symptom duration more than they actually do 39 . GPs place a high value on rapport with their patients — for clinical, as well as financial reasons, in open‐access and fee‐for‐service primary care.…”

Section: Public Awareness Campaignsmentioning

confidence: 99%

Reducing antibiotic prescribing in Australian general practice: time for a national strategy

Mar

Scott

Glasziou

et al. 2017

Medical Journal of Australia

View full text Add to dashboard Cite

Summary In Australia, the antibiotic resistance crisis may be partly alleviated by reducing antibiotic use in general practice, which has relatively high prescribing rates — antibiotics are mostly prescribed for acute respiratory infections, for which they provide only minor benefits. Current surveillance is inadequate for monitoring community antibiotic resistance rates, prescribing rates by indication, and serious complications of acute respiratory infections (which antibiotic use earlier in the infection may have averted), making target setting difficult. Categories of interventions that may support general practitioners to reduce prescribing antibiotics are: regulatory (eg, changing the default to “no repeats” in electronic prescribing, changing the packaging of antibiotics to facilitate tailored amounts of antibiotics for the right indication and restricting access to prescribing selected antibiotics to conserve them), externally administered (eg, academic detailing and audit and feedback on total antibiotic use for individual GPs), interventions that GPs can individually implement (eg, delayed prescribing, shared decision making, public declarations in the practice about conserving antibiotics, and self‐administered audit), supporting GPs' access to near‐patient diagnostic testing, and public awareness campaigns. Many unanswered clinical research questions remain, including research into optimal implementation methods. Reducing antibiotic use in Australian general practice will require a range of approaches (with various intervention categories), a sustained effort over many years and a commitment of appropriate resources and support.

show abstract

“…6 Parents' expectations regarding antibiotics for children with acute respiratory infections is evaluated by Hoffmann et al They find that while most parents recognize potential harms from antibiotics, they overestimate their effect on symptom duration by 5 to 10 times. 7 The usefulness of antibiotics for children whose eczema appears infected is examined in a clinical trial by Francis et al They find no added effect of topical or oral antibiotics over topical steroids and emollients. 8 In a reflective personal essay, Ventres offers an internal blueprint for providing person-centered care.…”

Section: On-the-ground Advancesmentioning

confidence: 99%

In This Issue: On-the-Ground Advances & High-Level Influences

Stange¹

2017

Ann Fam Med

View full text Add to dashboard Cite

Parents’ Expectations and Experiences of Antibiotics for Acute Respiratory Infections in Primary Care

Cited by 60 publications

References 39 publications

Patient expectation trends on receiving antibiotic prescriptions for respiratory tract infections: A systematic review and meta‐regression analysis

Patient expectation trends on receiving antibiotic prescriptions for respiratory tract infections: A systematic review and meta‐regression analysis

Reducing antibiotic prescribing in Australian general practice: time for a national strategy

In This Issue: On-the-Ground Advances & High-Level Influences

Contact Info

Product

Resources

About