Evid Based Nurs doi:10.1136/eb-2013-101458
  • Care of the elder person
  • Cohort study

Prescriber preference may influence prolonged antibiotic usage more than patient characteristics in long-term care facilities

  1. Stephen Byrne2
  1. 1Department of Epidemiology & Public health and School of Pharmacy, University College Cork, Cork, Ireland; 
  2. 2School of Pharmacy, University College Cork, Cork, Ireland
  1. Correspondence to: Aoife Fleming, Department of Epidemiology & Public health and School of Pharmacy, University College Cork, Cork, Ireland; a.fleming{at}

Commentary on: .

Implications for practice and research

  • Longer antimicrobial prescription durations are often driven by prescriber preference.

  • Antimicrobial stewardship strategies should focus on prescription durations and target the determinants of prescriber behaviours in order to improve long-term care facilities (LTCF) antimicrobial prescribing.


Recent point prevalence studies have revealed that antimicrobial use in LTCF is highly variable, with 1.4% of residents in Germany and Latvia to 19.4% of residents in Northern Ireland being prescribed an antimicrobial.1 Daneman et al2 conducted a point prevalence study in Ontario, Canada in 2009 and found that, on average 5.9% (range=2.24–10.8%) of residents were receiving an antibiotic. A wide …

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article