Advances in optimizing the prescription of antibiotics in outpatient settings

摘要: The inappropriate use of antibiotics can increase the likelihood antibiotic resistance and adverse events. In United States, nearly a third prescriptions in outpatient settings are unnecessary, selection duration treatment also often inappropriate. Evidence shows that prescribing is influenced by psychosocial factors, including lack accountability, perceived patient expectations, clinician workload, habit. A varied growing body evidence, meta-analyses randomized controlled trials, has evaluated interventions to optimize antibiotics. Interventions informed behavioral science-such as communication skills training, audit feedback with peer comparison, public commitment posters, accountable justification-have been associated improved prescribing. addition, delayed prescribing, active monitoring, diagnostics guideline recommended practices improve for some conditions. 2016, Centers Disease Control Prevention released Core Elements Outpatient Antibiotic Stewardship, which provides framework implementing these settings. This review summarizes evidence on drivers prescription potential their such