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Antibiotic Selection00:57

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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Published on: August 30, 2018

Factors contributing to excessive antimicrobial prescribing.

Steven C Ebert1

  • 1Department of Pharmacy, Meriter Hospital, School of Pharmacy, University of Wisconsin, Madison, Wisconsin, USA.

Pharmacotherapy
|October 24, 2007
PubMed
Summary

Clinician prescribing behaviors, influenced by knowledge gaps and patient demands, contribute to antibiotic resistance. Education and attitude shifts are crucial to combat this growing public health threat.

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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes

Published on: March 3, 2023

Area of Science:

  • Medical Science
  • Infectious Diseases
  • Public Health

Background:

  • Antibiotic resistance is a significant global health crisis.
  • Clinician prescribing behaviors are influenced by multiple factors beyond clinical data.
  • Inappropriate antibiotic prescribing, including overuse of broad-spectrum agents, exacerbates resistance.

Purpose of the Study:

  • To explore factors influencing clinician antibiotic prescribing.
  • To identify reasons for underutilization of diagnostic methods.
  • To highlight the need for interventions to combat antibiotic resistance.

Main Methods:

  • Review of factors affecting clinician prescribing habits.
  • Analysis of the impact of knowledge, attitudes, and patient expectations.
  • Examination of the underuse of culture and susceptibility testing.

Main Results:

  • Prescriber knowledge, time constraints, beliefs, and patient demands significantly influence antibiotic prescribing.
  • Culture and susceptibility testing are underused, leading to inappropriate broad-spectrum antibiotic prescriptions.
  • Lack of awareness of local resistance patterns and outdated antibiograms contribute to the problem.

Conclusions:

  • Addressing prescriber knowledge, attitudes, and patient expectations is essential.
  • Promoting the appropriate use of diagnostic testing and updated antibiograms is critical.
  • Education and behavioral interventions are necessary to mitigate antibiotic resistance.