Academic Journal
Adherence to antibiotic prescribing guidelines in Dutch primary care: an analysis of national prescription data on ear and respiratory tract symptoms and conditions among 384 general practices: An analysis of national prescription data on ear and respiratory tract symptoms and conditions among 384 general practices
| Τίτλος: | Adherence to antibiotic prescribing guidelines in Dutch primary care: an analysis of national prescription data on ear and respiratory tract symptoms and conditions among 384 general practices: An analysis of national prescription data on ear and respiratory tract symptoms and conditions among 384 general practices |
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| Συγγραφείς: | Maarten Lambert, Renee Veldkamp, Yvette Weesie, Anke Lambooij, Jochen W L Cals, Katja Taxis, Liset van Dijk, Karin Hek |
| Πηγή: | Fam Pract |
| Στοιχεία εκδότη: | Oxford University Press (OUP), 2025. |
| Έτος έκδοσης: | 2025 |
| Θεματικοί όροι: | Male, Adult, Drug Prescriptions/statistics & numerical data, Practice Patterns, respiratory tract infections, Middle Aged, Guideline Adherence/statistics & numerical data, electronic health record data, Anti-Bacterial Agents/therapeutic use, antibiotic prescribing, ear infections, Cross-Sectional Studies, General Practice/statistics & numerical data, Respiratory Tract Infections/drug therapy, Health Service Research, Practice Guidelines as Topic, Humans, Physicians'/statistics & numerical data standards, Primary Health Care/statistics & numerical data, Female, Child, Otitis Media/drug therapy, Netherlands, Aged |
| Περιγραφή: | Background Mapping general practitioners’ antibiotic prescribing practices is essential to optimize antibiotic use in primary care and mitigate antibiotic resistance. Objectives The objective of this study was to examine the adherence of Dutch general practitioners to prescribing guidelines for ear and respiratory tract symptoms and conditions. Methods A cross-sectional study was conducted on Dutch electronic health records from 2018 to 2021. Antibiotic prescribing frequency and type were examined for ear and respiratory tract symptoms and conditions based on professional prescribing guidelines. Descriptive statistics and multilevel logistic regression analyses were applied. Results Patient records from up to 384 general practices were analysed for 15 ear and 27 respiratory tract conditions. For 11 of the 15 (73%) ear and 17 of the 27 (63%) respiratory tract conditions, more than 95% of patients were treated according to the prescribing guidelines. Most potential non-adherence to antibiotic prescribing guidelines occurred for acute otitis media (31%–34%), acute bronchitis/bronchiolitis (26%–39%), and acute sinusitis (25%–34%). Several other respiratory tract conditions showed non-indicated prescribing rates above 10%. For otitis externa, many broad-spectrum antibiotics were prescribed, which rarely happened for respiratory conditions. High variation in prescribing frequency and type between general practices occurred. Conclusions For most conditions, Dutch general practitioners adhere well to antibiotic prescribing guidelines. There are conditions for which there is a high potential for inappropriate prescribing. High variation between practices suggests room for improvement. Stricter implementation of prescribing guidelines may help improve prescribing practice. Alternatively, a practice-specific approach could be effective. The Dutch setting may be exemplary for international antibiotic prescribing practice. |
| Τύπος εγγράφου: | Article Other literature type |
| Γλώσσα: | English |
| ISSN: | 1460-2229 |
| DOI: | 10.1093/fampra/cmaf031 |
| Σύνδεσμος πρόσβασης: | https://cris.maastrichtuniversity.nl/en/publications/61364a0a-893e-4cd7-a167-1644365e78b7 https://doi.org/10.1093/fampra/cmaf031 |
| Rights: | CC BY NC URL: http://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com. |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....02d22838bd3120ddef214faafcda1a29 |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 14602229 |
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| DOI: | 10.1093/fampra/cmaf031 |