How can we improve antibiotic prescribing in primary care?

作者：Dyar Oliver J; Beovic Bojana; Vlahovic Palcevski Vera; Verheij Theo; Pulcini Celine

来源：Expert Review of Anti-Infective Therapy, 2016, 14(4): 403-413.

DOI：10.1586/14787210.2016.1151353

• pharmacist
• intervention
• Antibiotic stewardship
• nurse
• general practice

Antibiotic stewardship is a necessity given the worldwide antimicrobial resistance crisis. Outpatient antibiotic use represents around 90% of total antibiotic use, with more than half of these prescriptions being either unnecessary or inappropriate. Efforts to improve antibiotic prescribing need to incorporate two complementary strategies: changing healthcare professionals' behaviour, and modifying the healthcare system. In this review, we present a broad perspective on antibiotic stewardship in primary care in high and high-middle income country settings, focussing on studies published in the last five years. We present the limitations of available literature, discuss perspectives, and provide suggestions for where future work should be concentrated.

• 出版日期2016-4-2