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Related Experiment Video

Updated: Jun 19, 2025

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Testing Different Message Styles about Unnecessary Antibiotics Using an Online Platform.

Säde Stenlund1,2,3, Kirstin C Appelt4, Matthew B Ruby5

  • 1BC Centre for Disease Control, Vancouver, BC V5Z 4R4, Canada.

Antibiotics (Basel, Switzerland)
|July 27, 2024
PubMed
Summary
This summary is machine-generated.

Physicians can reduce unnecessary antibiotic prescriptions by discussing antibiotic resistance. Patient concern about resistance improved satisfaction and reduced antibiotic requests, without harming the doctor-patient relationship.

Keywords:
antibiotic messagingantibiotic prescribingantibiotic resistanceantimicrobial stewardshiphealth communication

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Area of Science:

  • Health behavior
  • Medical education
  • Public health

Background:

  • Patient expectations significantly drive unnecessary antibiotic prescribing.
  • Limited research exists on physician strategies to manage patient antibiotic expectations.
  • Antibiotic resistance is a growing global health threat.

Purpose of the Study:

  • To investigate how different communication strategies affect patient expectations for antibiotics.
  • To assess the impact of messages on patient satisfaction and physician recommendations.
  • To explore physician-patient rapport when discussing antibiotic use consequences.

Main Methods:

  • Two studies involving over 2000 participants simulating a medical appointment for sinusitis.
  • Random assignment to read messages framed positively, neutrally, negatively, or emphasizing societal/personal harms of antibiotics.
  • Exploratory analysis of message impact on antibiotic requests, satisfaction, and physician recommendations.

Main Results:

  • No pre-registered hypotheses were supported.
  • A message emphasizing societal harms of antibiotic overuse increased patient concern about antibiotic resistance.
  • Increased concern about resistance correlated with fewer antibiotic requests and higher patient satisfaction when antibiotics were not prescribed.

Conclusions:

  • Communicating the societal harms of antibiotic overuse can be an effective strategy to reduce patient demand for unnecessary antibiotics.
  • Discussing antibiotic resistance concerns did not negatively affect physician-patient rapport.
  • This approach offers an inexpensive method to pre-test messages for influencing antibiotic consumption behavior.