Prescriber preference may influence prolonged antibiotic usage more than patient characteristics in long-term care facilities
- 1Department of Epidemiology & Public health and School of Pharmacy, University College Cork, Cork, Ireland;
- 2School of Pharmacy, University College Cork, Cork, Ireland
- Correspondence to: Aoife Fleming, Department of Epidemiology & Public health and School of Pharmacy, University College Cork, Cork, Ireland;
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 …