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[Prescribing antibiotics for sore throat: a persistent habit]
Roger A M J Damoiseaux1, Roderick P Venekamp
1UMC Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde, Utrecht.
Dutch general practitioners overprescribe antibiotics for tonsillitis, despite updated guidelines recommending reduced use. Improved communication and public awareness campaigns are crucial for appropriate antibiotic stewardship.
Area of Science:
- General Practice
- Infectious Disease Management
Background:
- The Dutch College of General Practitioners revised its sore throat guideline, emphasizing antibiotic restriction.
- Antibiotic prescriptions for tonsillitis in the Netherlands remain high (50%), exceeding guideline recommendations.
Purpose of the Study:
- To analyze the current trends in antibiotic prescribing for tonsillitis in the Netherlands.
- To highlight the discrepancy between guideline recommendations and actual clinical practice.
- To identify factors influencing antibiotic prescribing for sore throat.
Main Methods:
- Analysis of recent guideline revisions for sore throat management.
- Review of antibiotic prescription data for tonsillitis in Dutch general practice.
- Discussion of patient and doctor beliefs influencing prescribing behavior.
Main Results:
- Despite a 30-year decrease, antibiotic prescriptions for tonsillitis are still double the recommended rate.
- Patient and doctor beliefs significantly impact antibiotic prescribing decisions.
- Effective communication strategies and public health campaigns are needed.
Conclusions:
- Overuse of antibiotics for tonsillitis persists in Dutch general practice.
- Addressing patient and physician perspectives is key to improving antibiotic stewardship.
- Public education on antibiotic effectiveness is essential for guideline adherence.
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