Antibiotic prescribing in acute infections of the nose or sinuses: a matter of personal habit?

Sutter, An IM De; Meyere, Marc J De; Maeseneer, Jan M. De; Peersman, Wim

doi:10.1093/fampra/18.2.209

Cited by 61 publications

(62 citation statements)

References 4 publications

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“…Individual clinician prescribing habits, rather than clinical presentation, have been shown to best predict antibiotic prescription, 25 and these habits tend to remain stable over time. 26 Given that trainees come to resemble their supervisors, the problem of antibiotic overprescription will not decrease in the future without intervention.…”

Section: 24mentioning

confidence: 99%

Antibiotic prescribing for the future: exploring the attitudes of trainees in general practice

et al. 2014

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ResultsRegistrars were aware of the importance of evidence-based antibiotic prescribing and the impact of their decisions on resistance. Many expressed a sense of dissonance between their knowledge and behaviours. Contextual influences on their decisions included patient and system factors, diagnostic uncertainty, transitioning from hospital medicine, and the habits of, and relationship with, their supervisor. ConclusionUnderstanding how trainees in general practice perceive and develop antibiotic prescribing habits will enable targeted educational interventions to be designed and implemented at a crucial stage in training, working towards ensuring appropriate antibiotic prescribing in the future.

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Section: 24mentioning

confidence: 99%

Antibiotic prescribing for the future: exploring the attitudes of trainees in general practice

et al. 2014

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“…6 Antibiotic prescribing for upper respiratory tract infections is related to a defensive attitude of the family physician. 7 Doctors feeling pressured by their patients to prescribe an antibiotic is an important factor that leads to overprescribing. [8][9][10][11] Several studies have shown, however, that patients' expectations are often not made explicit during the offi ce visit 13 and correlate poorly with the physician's perceptions of these expectations.…”

Section: Introductionmentioning

confidence: 99%

Are Sore Throat Patients Who Hope for Antibiotics Actually Asking for Pain Relief?

Driel¹,

Sutter²,

Deveugele³

et al. 2006

The Annals of Family Medicine

110

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PURPOSE Antibiotics are still overprescribed for self-limiting upper respiratory tract infections such as acute sore throat, and physicians mention patient's desire for antibiotics as a driving force. We studied patients' concerns when visiting their family physician for acute sore throat, more specifi cally the importance they attach to antibiotic treatment and pain relief.METHODS Family physicians in 6 peer groups in Belgium participated in an observational postvisit questionnaire survey. Patients aged 12 years and older making an offi ce visit for acute sore throat were invited to indicate the importance of different reasons for the visit.RESULTS Sixty-eight family physicians provided data from 298 patients. The 3 most frequently endorsed reasons for visiting the physician were examination to establish the cause of the symptoms, pain relief, and information on the course of the disease. Hopes for an antibiotic ranked 11th of 13 items. Patients who considered antibiotics very/rather important valued pain relief signifi cantly more than patients who considered them little/not important (P <.001). Patients who hoped for antibiotics felt more unwell (P <.001), had more faith in antibiotics to speed recovery (P <.001), and were less convinced that sore throat was a self-limiting disease (P <.012). A multivariate model, adjusted for age, sex, and educational status, showed that the desire for pain relief is a strong predictor of the hope to receive a prescription for antibiotics. CONCLUSIONOur study suggests that patients with acute sore throat and who hope for antibiotics may in fact want treatment for pain. Trials are needed to test whether exploring patients' expectations about pain management and offering adequate analgesia can assist physicians in managing sore throats without prescribing antibiotics.

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“…23 Others found the same association, [24][25][26] which may be explained as follows: patients generally know the prescription pattern of their GP and this may, in turn, affect GP consultation rates. However, in contrast to these studies, the current study combined both patient viewpoints with respect to a specific respiratory tract infection and GP characteristics.…”

Section: Comparison With Existing Literaturementioning

confidence: 92%

Characteristics of children consulting for cough, sore throat, or earache

et al. 2008

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Antibiotic prescribing in acute infections of the nose or sinuses: a matter of personal habit?

Cited by 61 publications

References 4 publications

Antibiotic prescribing for the future: exploring the attitudes of trainees in general practice

Antibiotic prescribing for the future: exploring the attitudes of trainees in general practice

Are Sore Throat Patients Who Hope for Antibiotics Actually Asking for Pain Relief?

Characteristics of children consulting for cough, sore throat, or earache

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