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Do general practitioners prescribe more antimicrobials when the weekend comes?
Inappropriate antimicrobial prescribing contributes to the global spread of antimicrobial resistance. The pending weekend with changed availability of general practitioners (GP) and increased patient concern may increase the intention to prescribe antimicrobials. The aim of this study is to analyse...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4656253/ https://www.ncbi.nlm.nih.gov/pubmed/26636013 http://dx.doi.org/10.1186/s40064-015-1505-6 |
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author | Tandan, Meera Duane, Sinead Vellinga, Akke |
author_facet | Tandan, Meera Duane, Sinead Vellinga, Akke |
author_sort | Tandan, Meera |
collection | PubMed |
description | Inappropriate antimicrobial prescribing contributes to the global spread of antimicrobial resistance. The pending weekend with changed availability of general practitioners (GP) and increased patient concern may increase the intention to prescribe antimicrobials. The aim of this study is to analyse variation in antimicrobial prescribing between weekdays and weekend in Irish general practice. All prescribing data over a 15 month period was obtained from the 30 practices participating in the Supporting the Improvement and Management of Prescribing for urinary tract infection (SIMPle) study. Antimicrobials were classified using anatomical therapeutic chemical classification code guidelines. Prescribing of antimicrobials per total number of prescriptions was compared between weekdays (Monday to Thursday) and the weekend (Friday to Sunday). Antimicrobials were generally more often prescribed during weekends; the antimicrobial prescribing rate was greater by 9.2 % on Friday compared to average prescribing on other weekdays (21.4 vs. 19.6 %). The chance of an antimicrobial prescription was 1.07 (95 % CI 1.04–1.10) higher on weekend days compared to weekdays. This was reflected in increased prescriptions for ampicillin, co-amoxiclav, nitrofurantoin, quinolones and macrolides. However, if antimicrobials were prescribed, no significant differences were observed between weekdays and weekend among the different classes of antimicrobials. GPs prescribe relatively more antimicrobials during the weekend compared to weekdays. However, the patterns of antimicrobial prescribing did not differ according to the day of prescription. Trial Registration The intervention was registered with ClinicalTrials.gov on 26 July 2013, ID number NCT01913860 |
format | Online Article Text |
id | pubmed-4656253 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-46562532015-12-03 Do general practitioners prescribe more antimicrobials when the weekend comes? Tandan, Meera Duane, Sinead Vellinga, Akke Springerplus Research Inappropriate antimicrobial prescribing contributes to the global spread of antimicrobial resistance. The pending weekend with changed availability of general practitioners (GP) and increased patient concern may increase the intention to prescribe antimicrobials. The aim of this study is to analyse variation in antimicrobial prescribing between weekdays and weekend in Irish general practice. All prescribing data over a 15 month period was obtained from the 30 practices participating in the Supporting the Improvement and Management of Prescribing for urinary tract infection (SIMPle) study. Antimicrobials were classified using anatomical therapeutic chemical classification code guidelines. Prescribing of antimicrobials per total number of prescriptions was compared between weekdays (Monday to Thursday) and the weekend (Friday to Sunday). Antimicrobials were generally more often prescribed during weekends; the antimicrobial prescribing rate was greater by 9.2 % on Friday compared to average prescribing on other weekdays (21.4 vs. 19.6 %). The chance of an antimicrobial prescription was 1.07 (95 % CI 1.04–1.10) higher on weekend days compared to weekdays. This was reflected in increased prescriptions for ampicillin, co-amoxiclav, nitrofurantoin, quinolones and macrolides. However, if antimicrobials were prescribed, no significant differences were observed between weekdays and weekend among the different classes of antimicrobials. GPs prescribe relatively more antimicrobials during the weekend compared to weekdays. However, the patterns of antimicrobial prescribing did not differ according to the day of prescription. Trial Registration The intervention was registered with ClinicalTrials.gov on 26 July 2013, ID number NCT01913860 Springer International Publishing 2015-11-24 /pmc/articles/PMC4656253/ /pubmed/26636013 http://dx.doi.org/10.1186/s40064-015-1505-6 Text en © Tandan et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Tandan, Meera Duane, Sinead Vellinga, Akke Do general practitioners prescribe more antimicrobials when the weekend comes? |
title | Do general practitioners prescribe more antimicrobials when the weekend comes? |
title_full | Do general practitioners prescribe more antimicrobials when the weekend comes? |
title_fullStr | Do general practitioners prescribe more antimicrobials when the weekend comes? |
title_full_unstemmed | Do general practitioners prescribe more antimicrobials when the weekend comes? |
title_short | Do general practitioners prescribe more antimicrobials when the weekend comes? |
title_sort | do general practitioners prescribe more antimicrobials when the weekend comes? |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4656253/ https://www.ncbi.nlm.nih.gov/pubmed/26636013 http://dx.doi.org/10.1186/s40064-015-1505-6 |
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