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Fedotova M.M.

Siberian State Medical University

Kokorina A.A.

Siberian State Medical University

Olenius D.D.

Siberian State Medical University

Tarabrina A.A.

Siberian State Medical University

Malchuk V.N.

Siberian State Medical University

Kutas U.V.

Siberian State Medical University

Churilin V.A.

Siberian State Medical University

Yakovleva D.O.

Siberian State Medical University

Tayukina V.A.

OOO Nauka, Tekhnika, Meditsina

Fedorova O.S.

Siberian State Medical University

Fedosenko S.V.

Siberian State Medical University

Antibiotic prescription practice in outpatient settings

Authors:

Fedotova M.M., Kokorina A.A., Olenius D.D., Tarabrina A.A., Malchuk V.N., Kutas U.V., Churilin V.A., Yakovleva D.O., Tayukina V.A., Fedorova O.S., Fedosenko S.V.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2023;26(7): 30‑37

DOI: 10.17116/profmed20232607130

Read: 3079 times

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Table of contents

ANTIBIOTIC PRESCRIPTION PRACTICE IN OUTPATIENT SETTINGS
ANTIBIOTIC PRESCRIPTION PRACTICE IN OUTPATIENT SETTINGS

To cite this article:

Fedotova MM, Kokorina AA, Olenius DD, et al. . Antibiotic prescription practice in outpatient settings. Russian Journal of Preventive Medicine. 2023;26(7):30‑37. (In Russ.)
https://doi.org/10.17116/profmed20232607130

 
Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Antibiotic resistance (ABR) is a global healthcare problem, mainly caused by irrational use of antibiotics (AB).

OBJECTIVE

The aim of this study is to explore the factors influencing the prescription and choice of antimicrobials in outpatient practice.

MATERIALS AND METHODS

Qualitative sociological study was performed in doctors using ABT in their practice very often (otolaryngologists, urologists, gynecologists (pediatricians, internists) with more than 5 years of experience. Semi-structured interviewing method was used.

RESULTS

The study involved 22 respondents: pediatricians and internists (n=10, average work experience of 20.9±9.03 years), otolaryngologists, gynecologists, urologists (n=12, average work experience of 17.9±11.5 years). The main sources of information about prescription of antimicrobials were national clinical guidelines. It was found that institutional factors influence the therapeutic work in addition to clinical data (complaints, anamnesis of the disease, the patient's age, previous treatment): the unavailability of express laboratory tests, lack of time for communication with patients. Medical specialists in outpatient departments use to make decisions on antimicrobial treatment autonomously without external help and control, so that increases the risk of inappropriate prescription. Doctors do not consider the ABR as a significant problem for their personal practice.

CONCLUSION

Prescription of antimicrobials connected not only with clinical factors, but with non-clinical conditions as well (lack of express laboratory tests, lack of time for communication and preventive work with patients), which requires appropriate infrastructure changes.

Keywords:

antibiotics
antibiotic resistance
doctor-patient relationship
qualitative research
sociological research

Authors:

Fedotova M.M.

Siberian State Medical University

Kokorina A.A.

Siberian State Medical University

Olenius D.D.

Siberian State Medical University

Tarabrina A.A.

Siberian State Medical University

Malchuk V.N.

Siberian State Medical University

Kutas U.V.

Siberian State Medical University

Churilin V.A.

Siberian State Medical University

Yakovleva D.O.

Siberian State Medical University

Tayukina V.A.

OOO Nauka, Tekhnika, Meditsina

Fedorova O.S.

Siberian State Medical University

Fedosenko S.V.

Siberian State Medical University

Received:

03.02.2023

Accepted:

16.03.2023

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