| Antibiotic prescribing for acute respiratory tract infections in primary care: a systematic review and meta-ethnography. | |
| | |
MedLine Citation:
|
PMID: 21764827 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Objectives Numerous interventions have been developed to promote prudent antibiotic use for acute respiratory tract infections (ARTIs). While reviews have assessed which interventions may be most effective, none has examined why some interventions may be more effective than others. Knowing what general practitioners (GPs) feel is acceptable and feasible to implement may help to answer this question. Methods A systematic review was undertaken of 12 studies of GPs' views and experiences of antibiotic prescribing and/or interventions promoting the prudent use of antibiotics. A meta-ethnographic approach was followed to synthesize the findings. Results Thirteen themes were identified from the synthesis. The first discussed GPs' satisfaction with their prescribing decisions. Seven themes highlighted factors that influence GPs' prescribing decisions; these included perceptions of external pressure to reduce prescribing, uncertainty about ARTI management and previous experience of ARTI management. Five themes highlighted the benefits of interventions that had helped GPs to prescribe more prudently in practice. The last two sets of themes were linked to indicate that interventions may only be beneficial for GPs when they address one or more of the factors that influence their prescribing decisions. Conclusions The findings suggest that interventions should incorporate five aspects to promote prudent use whilst remaining attractive to GPs and feasible in practice. In order to maximize acceptability, interventions should: allow GPs to reflect on their own prescribing; help decrease uncertainty about appropriate ARTI management; educate GPs about appropriate prescribing; facilitate more patient-centred care; and be beneficial to implement in practice. |
| | |
Authors:
|
Sarah Tonkin-Crine; Lucy Yardley; Paul Little |
Related Documents
:
|
12283387 - Endogenous fertility, ricardian equivalence, and debt management policy. 15371387 - Listening to generic prozac: winners, losers, and sideliners. 3350167 - Survey of attitudes regarding the use of siblings for gamete donation. 22468757 - Medicinal chemistry of a3 adenosine receptor modulators: pharmacological activities and... 2023797 - How to succeed in science. 20717867 - patient-centered medicine: a physician's challenge |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-7-15 |
Journal Detail:
|
Title: The Journal of antimicrobial chemotherapy Volume: - ISSN: 1460-2091 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-7-18 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7513617 Medline TA: J Antimicrob Chemother Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Primary Medical Care, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton SO16 5ST, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Primary antibiotic resistance of Helicobacter pylori strains isolated from Portuguese children: a pr...
Next Document: Use of linezolid in infants and children: a retrospective multicentre study of the Italian Society f...