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2018-05-04Zeitschriftenartikel DOI: 10.25646/6097
Antibiotic prescribing behavior among general practitioners – a questionnaire-based study in Germany
dc.contributor.authorSalm, Florian
dc.contributor.authorSchneider, Sandra
dc.contributor.authorSchmücker, Katja
dc.contributor.authorPetruschke, Inga
dc.contributor.authorKramer, Tobias S.
dc.contributor.authorHanke, Regina
dc.contributor.authorSchröder, Christin
dc.contributor.authorHeintze, Christoph
dc.contributor.authorSchwantes, Ulrich
dc.contributor.authorGastmeier, Petra
dc.contributor.authorGensichen, Jochen
dc.contributor.authorRAI-Study Group
dc.date.accessioned2019-04-24T10:24:15Z
dc.date.available2019-04-24T10:24:15Z
dc.date.issued2018-05-04none
dc.identifier.other10.1186/s12879-018-3120-y
dc.identifier.urihttp://edoc.rki.de/176904/6128
dc.description.abstractBackground This study investigates the barriers and facilitators of the use of antibiotics in acute respiratory tract infections by general practitioners (GPs) in Germany. Methods A multidisciplinary team designed and pre-tested a written questionnaire addressing the topics awareness of antimicrobial resistance (7 items), use of antibiotics (9 items), guidelines/sources of information (9 items) and sociodemographic factors (7 items), using a five-point-Likert-scale (“never” to “very often”). The questionnaire was mailed by postally to 987 GPs with registered practices in eastern Germany in May 2015. Results 34% (340/987) of the GPs responded to this survey. Most of the participants assumed a multifactorial origin for the rise of multidrug resistant organisms. In addition, 70.2% (239/340) believed that their own prescribing behavior influenced the drug-resistance situation in their area. GPs with longer work experience (> 25 years) assumed less individual influence on drug resistance than their colleagues with less than 7 years experience as practicing physicians (Odds Ratio [OR] 0.32, 95% Confidence Interval [CI] 0.17–0.62; P < 0.001). 99.1% (337/340) of participants were familiar with the “delayed prescription” strategy to reduce antibiotic prescriptions. However, only 29.4% (74/340) answered that they apply it “often” or “very often”. GPs working in rural areas were less likely than those working in urban areas to apply delayed prescription. Conclusion The knowledge on factors causing antimicrobial resistance in bacteria is good among GPs in eastern Germany. However measures to improve rational prescription are not widely implemented yet. Further efforts have to be made in order to improve rational prescription of antibiotic among GPs. Nevertheless, there is a strong awareness of antimicrobial resistance among the participating GPs.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectAntibiotic therapyeng
dc.subjectPrimary careeng
dc.subjectAntimicrobial resistanceeng
dc.subjectAntibiotic policyeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleAntibiotic prescribing behavior among general practitioners – a questionnaire-based study in Germanynone
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6128-2
dc.identifier.doihttp://dx.doi.org/10.25646/6097
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMC Infectious Diseasesnone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-018-3120-ynone
local.edoc.container-publisher-nameBioMed Centralnone
local.edoc.container-volume18none
local.edoc.container-issue208none
local.edoc.container-reportyear2018none
local.edoc.container-year2018none
local.edoc.container-firstpage1none
local.edoc.container-lastpage7none
local.edoc.rki-departmentInfektionskrankheitennone
dc.description.versionPeer Reviewednone

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