Differences in antibiotic prescribing quality in Belgian out-of-hours primary care services.

IF 1.6 4区 医学 Q2 Medicine Acta Clinica Belgica Pub Date : 2023-04-01 DOI:10.1080/17843286.2022.2081772
Jeroen De Man, Roy Remmen, Hilde Philips
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引用次数: 0

Abstract

Objectives: This study aims to compare trends in antibiotic prescribing behaviour for lower urinary tract infections among different out-of-hours primary care services.

Methods: Cross-sectional study using routine prescription data extracted from electronic health records from six out-of-hours services. The study population included 5888 cases diagnosed with an uncomplicated lower urinary tract infection from 2016 to 2020. Prescriptions were assessed based on the national guidelines.

Results: Considering the total study period, an antibiotic was prescribed in 98.9% of cases. Among these cases, 55.0% was prescribed a guideline recommended antibiotic, 21.0% was prescribed fosfomycin, 17.4% was prescribed a quinolone and 1.8% was prescribed more than one antibiotic. Guideline recommended prescribing improved substantially over time. However, there were significant differences among out-of-hours services in terms of proportion over the total study period (between 49.0% and 66.7%) as well as in terms of time-trend pattern.

Conclusion: Substantial differences among out-of-hours services suggest a potential for further improvement in the quality of antibiotic prescribing. Monitoring prescribing behaviour per out-of-hours primary care service can guide focused interventions.

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比利时非工作时间初级保健服务抗生素处方质量的差异。
目的:本研究旨在比较不同非工作时间初级保健服务中下尿路感染抗生素处方行为的趋势。方法:采用从6个非工作时间服务的电子健康记录中提取的常规处方数据进行横断面研究。研究人群包括2016年至2020年诊断为无并发症下尿路感染的5888例患者。根据国家指南对处方进行评估。结果:考虑到整个研究期间,98.9%的病例开了抗生素。其中55.0%使用指南推荐抗生素,21.0%使用磷霉素,17.4%使用喹诺酮类药物,1.8%使用一种以上抗生素。指南推荐的处方随着时间的推移有了很大的改进。然而,非工作时间服务在整个研究期间所占的比例(介于49.0%至66.7%之间),以及时间趋势模式,均有显著差异。结论:非工作时间服务之间的实质性差异表明抗生素处方质量有进一步改善的潜力。监测每个非工作时间初级保健服务的处方行为可以指导有针对性的干预措施。
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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica 医学-医学:内科
CiteScore
2.90
自引率
0.00%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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