Breytt viðhorf til sýklalyfjaávísana hjá íslenskum heimilis-og heilsugæslulæknum

Translated title of the contribution: Change in attitude towards antibiotic prescriptions among Icelandic general practitioners

Anna Mjöll Matthíasdóttir, Þórólfur Guðnason, Matthías Halldórsson, Ásgeir Haraldsson, Karl Gústaf Kristinsson*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
1 Downloads (Pure)

Abstract

Introduction: Antibiotic use is a leading cause of antibiotic resistance and it is terefore important to reduce unnecessary prescribing in Iceland where antibiotic use is relatively high. The purpose of tis study was to explore antibiotic prescribing practices among Icelandic physicians and compare te results wit results of comparable studies from 1991 and 1995 conducted by te Directorate of Healt, Iceland. Metods: A descriptive cross-sectional study was carried out among all general practitioners registered in Iceland in 1991 and 1995 and all physicians registered in March 2014. Data was collected wit questionnaires regarding diagnosis and treatment of simple urinary tract infection, acute otitis media and pharyngitis. A multiple logistic regression analysis was performed and level of significance p ≤0.05. Results: Response rates were 85% and 93% in 1991 and 1995 but 31% in 2014. Proportion of physicians who consider temselves prescribing antibiotics more tan 10 times per week was 36% in 1991, 32% in 1995 and 21% in 2014. Proportion of trimetoprim-sulfametoxazole as first choice for simple urinary tract infection reduced from 43% and 45% to 8% in 2014. In 2014, general practitioners considered temselves 87% less likely to prescribe an antibiotic for acute otitis media tan in 1991 (p<0.001). They also claimed to use rapid diagnostic tests in pharyngitis five times more often in 2014 tan in 1991 (p<0.001). Conclusion: Antibiotic prescribing practices have changed significantly in te past two decades in Iceland becoming more in line wit clinical guidelines. Improvements are still needed to furter reduce inappropriate antibiotic use.

Translated title of the contributionChange in attitude towards antibiotic prescriptions among Icelandic general practitioners
Original languageIcelandic
Pages (from-to)27-32
Number of pages6
JournalLæknablaðið
Volume102
Issue number1
DOIs
Publication statusPublished - 4 Jan 2016

Other keywords

  • Sýklalyf
  • Anti-Bacterial Agents/utilization
  • Drug Prescriptions
  • Outpatients
  • Iceland

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