Antibiotic prescribing in hospitals: a social and behavioural scientific approach.
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Publication year
2010Source
Lancet Infectious Diseases, 10, 3, (2010), pp. 167-75ISSN
Annotation
01 maart 2010
Publication type
Article / Letter to editor
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Organization
Primary and Community Care
IQ Healthcare
Internal Medicine
Journal title
Lancet Infectious Diseases
Volume
vol. 10
Issue
iss. 3
Page start
p. 167
Page end
p. 75
Subject
N4i 1: Pathogenesis and modulation of inflammation; NCEBP 4: Quality of hospital and integrated care; NCEBP 6: Quality of nursing and allied health careAbstract
Antibiotics have dramatically changed the prognoses of patients with severe infectious diseases over the past 50 years. However, the emergence and dissemination of resistant organisms has endangered the effectiveness of antibiotics. One possible approach to the resistance problem is the appropriate use of antibiotic drugs for preventing and treating infections. This Review describes how the volume and appropriateness of antibiotic use in hospitals vary between countries, hospitals, and physicians. At each specific level-cultural, contextual, and behavioural-we discuss the determinants that influence hospital antibiotic use and the possible improvement strategies to make it more appropriate. Changing hospital antibiotic use is a challenge of formidable complexity. On each level, many determinants play a part, so that the measures or strategies undertaken to improve antibiotic use need to be equally diverse. Although various strategies for improving antibiotic use are available, a programme with activities at all three levels is needed for hospitals. Evaluating these programme activities in a way that provides external validity of the conclusions is crucial.
This item appears in the following Collection(s)
- Academic publications [245400]
- Electronic publications [132943]
- Faculty of Medical Sciences [93207]
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