We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
An antimicrobial stewardship program initiative: a qualitative study on prescribing practices among hospital doctors.
- Authors
Skodvin, Brita; Aase, Karina; Charani, Esmita; Holmes, Alison; Smith, Ingrid
- Abstract
Background: Norway has a low, but increasing prevalence of resistance and few antimicrobial stewardship initiatives. When developing stewardship interventions, an understanding of the determinants of antimicrobial prescribing is needed. We report on the first qualitative study investigating factors influencing doctors' antimicrobial prescribing practices in Norwegian hospitals. Methods: Qualitative semi-structured interviews were conducted with 15 Norwegian hospital doctors prescribing antimicrobials to adult patients. Interviews were transcribed verbatim and thematic analysis was applied to analyse the data. Results: Colleagues, in particular infectious disease specialists, microbiology test results and the newly published national guideline on antimicrobials were identified as key factors influencing antimicrobial prescribing practices. Delayed availability was a barrier for the utilization of microbiology test results and increasing clinical experience overrides the influence of the national guideline. Patient assessment, informal training by experienced colleagues, and infectious disease specialists replacing managers in promoting prudent prescribing policies, also influenced prescribing practices. Conclusion: This study identified the following contextual factors that need to be addressed when developing antimicrobial stewardship programs in Norway: a common work practice for seeking collegial advice, logistics of microbiology test results, and formal leadership and systematic training on prudence. Other countries initiating stewardship programmes may benefit from performing a similar mapping of facilitators and barriers, to identify important stakeholders and organisational obstacles, before developing sustainable and tailored antimicrobial stewardship interventions.
- Subjects
NORWAY; SIDE effects of anti-infective agents; INTERVIEWING; THEMATIC analysis; MEDICAL microbiology; PREVENTION of communicable diseases; PUBLIC health
- Publication
Antimicrobial Resistance & Infection Control, 2015, Vol 4, Issue 1, p1
- ISSN
2047-2994
- Publication type
Article
- DOI
10.1186/s13756-015-0065-4