Antibiotic prescribing in primary care: The need for interprofessional collaboration
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Updated: Apr 19, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Molly Courtenay1, Sue Carter, Samantha Rowbotham
1School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University , Cardiff , UK .
Abstract:
Patients with self-limiting respiratory tract infections (RTIs) are frequently seen in general practice. Although antibiotics are ineffective for these conditions, they are often prescribed by general practitioners (GPs), and perceived patient expectations for an antibiotic plays an important role in the decision to prescribe one. Superfluous use of antibiotics contributes to antimicrobial resistance. High numbers of nurse prescribers work alongside GPs and these prescribers see education and self-management advice as central to the care of these patients. Multi-faceted interventions, designed to reduce antibiotic prescribing, only exist for GPs. Such interventions should foster interprofessional collaboration and, as such, consider the needs and experiences of the different prescribers, and the views of patients. This paper outlines a research study in which a questionnaire will be distributed to patients who consult with a nurse prescriber to see whether their expectations influence their satisfaction with the consultation outcome. Findings will guide the development of an interprofessional intervention designed to promote collaborative practice and appropriate and responsible antibiotic prescribing in primary care.
Insights
Patient expectations significantly influence satisfaction with nurse consultations for respiratory infections. Understanding these expectations is key to developing interventions that reduce unnecessary antibiotic prescribing in primary care.
Area of Science:
- General Practice
- Primary Care
- Infectious Disease Management
Background:
- Self-limiting respiratory tract infections (RTIs) are common in general practice, often leading to antibiotic prescriptions despite their ineffectiveness.
- Patient expectations for antibiotics play a crucial role in prescribing decisions by general practitioners (GPs), contributing to antimicrobial resistance.
- Nurse prescribers focus on education and self-management, but interventions to reduce antibiotic prescribing currently target only GPs.
Purpose of the Study:
- To investigate the influence of patient expectations on consultation satisfaction when treated by nurse prescribers for RTIs.
- To inform the development of interprofessional interventions promoting collaborative practice and appropriate antibiotic prescribing in primary care.
Main Methods:
- A questionnaire-based study will be conducted with patients consulting nurse prescribers for RTIs.
- The study will assess the relationship between patient expectations and their satisfaction with the consultation outcome.
Main Results:
- This section is to be filled after the study is conducted.
Conclusions:
- Findings will guide the creation of an interprofessional intervention to foster collaboration and responsible antibiotic prescribing.
- Addressing patient expectations is vital for improving care and combating antimicrobial resistance in primary care settings.
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