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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 BMC+Infect+Dis 2018 ; 18 (ä): ä Nephropedia Template TP
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Antibiotic prescribing behavior among general practitioners ? a questionnaire-based study in Germany #MMPMID29728063
BMC Infect Dis 2018[]; 18 (ä): ä PMID29728063show ga
Background: This study investigates the barriers and facilitators of the use of antibiotics in acute respiratory tract infections by general practitioners (GPs) in Germany. Methods: A multidisciplinary team designed and pre-tested a written questionnaire addressing the topics awareness of antimicrobial resistance (7 items), use of antibiotics (9 items), guidelines/sources of information (9 items) and sociodemographic factors (7 items), using a five-point-Likert-scale (?never? to ?very often?). The questionnaire was mailed by postally to 987 GPs with registered practices in eastern Germany in May 2015. Results: 34% (340/987) of the GPs responded to this survey. Most of the participants assumed a multifactorial origin for the rise of multidrug resistant organisms. In addition, 70.2% (239/340) believed that their own prescribing behavior influenced the drug-resistance situation in their area. GPs with longer work experience (>?25 years) assumed less individual influence on drug resistance than their colleagues with less than 7 years experience as practicing physicians (Odds Ratio [OR] 0.32, 95% Confidence Interval [CI] 0.17?0.62; P 0.001). 99.1% (337/340) of participants were familiar with the ?delayed prescription? strategy to reduce antibiotic prescriptions. However, only 29.4% (74/340) answered that they apply it ?often? or ?very often?. GPs working in rural areas were less likely than those working in urban areas to apply delayed prescription. Conclusion: The knowledge on factors causing antimicrobial resistance in bacteria is good among GPs in eastern Germany. However measures to improve rational prescription are not widely implemented yet. Further efforts have to be made in order to improve rational prescription of antibiotic among GPs. Nevertheless, there is a strong awareness of antimicrobial resistance among the participating GPs. Electronic supplementary material: The online version of this article (10.1186/s12879-018-3120-y) contains supplementary material, which is available to authorized users.