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Title: Antibiotic overuse for acute respiratory tract infections in Sri Lanka: a qualitative study of outpatients and their physicians
Authors: Tillekeratne, L.G
Bodinayake, C.K
Dabrera, T
Nagahawatte, A
Arachchi, W.K
Sooriyaarachchi, A
Stewart, K
Watt, M
Østbye, T 
Woods, C.W
Keywords: antiinfective agent
acute disease
attitude to health
health personnel attitude
inappropriate prescribing
middle aged
outpatient department
patient satisfaction
preschool child
public hospital
qualitative research
Respiratory Tract Infections
Sri Lanka
tertiary care center
very elderly
young adult
Acute Disease
Aged, 80 and over
Anti-Bacterial Agents
Attitude of Health Personnel
Child, Preschool
Health Knowledge, Attitudes, Practice
Hospitals, Public
Inappropriate Prescribing
Middle Aged
Outpatient Clinics, Hospital
Patient Satisfaction
Qualitative Research
Respiratory Tract Infections
Sri Lanka
Tertiary Care Centers
Young Adult
Issue Date: 2017
Citation: Tillekeratne, L.G, Bodinayake, C.K, Dabrera, T, Nagahawatte, A, Arachchi, W.K, Sooriyaarachchi, A, Stewart, K, Watt, M, Østbye, T, Woods, C.W (2017). Antibiotic overuse for acute respiratory tract infections in Sri Lanka: a qualitative study of outpatients and their physicians. BMC Family Practice 18 (1) : 37. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Background: Acute respiratory tract infections (ARTIs) are a common reason for antibiotic overuse worldwide. We previously showed that over 80% of outpatients presenting to a tertiary care hospital in Sri Lanka with influenza-like illness received antibiotic prescriptions, although almost half were later confirmed to have influenza. The purpose of this qualitative study was to assess Sri Lankan patients’ and physicians’ attitudes towards ARTI diagnosis and treatment. Methods: Semi-structured interviews were conducted with 50 outpatients with ARTIs and five physicians in the Outpatient Department (OPD) at a large, public tertiary care hospital in southern Sri Lanka. Interviews were audio-recorded, transcribed, and analyzed for themes related to ARTI diagnosis and treatment. Results: Patients frequently sought ARTI care in the public sector due to the receipt of free care and the perception that government hospitals carried a sense of responsibility for patients’ health. Patients reported multiple medical visits for their illnesses of short duration and many indicated that they were seeking care in the OPD while at the hospital for another reason. While patients generally expected to receive medication prescriptions at their visit, most patients were not specifically seeking an antibiotic prescription. However, more than 70% of patients received antibiotic prescriptions at their OPD visit. Physicians incorrectly perceived that patients desired antibiotics or “capsules,” a common formulation of antibiotics dispensed in this outpatient setting, and cited patient demand as an important cause of antibiotic overuse. Physicians also indicated that high patient volume and fear of bacterial superinfection drove antibiotic overuse. Conclusions: Patients in this study were seeking medication prescriptions for their ARTIs, but physicians incorrectly perceived that antibiotic prescriptions were desired. High patient volume and fear of bacterial superinfection were also important factors in antibiotic overuse. Training of physicians regarding guideline-concordant management and dealing with diagnostic uncertainty, education of patients regarding ARTI etiology and management, and systematic changes in the public outpatient care structure may help decrease unnecessary antibiotic prescriptions for ARTIs in this setting. © 2017 The Author(s).
Source Title: BMC Family Practice
ISSN: 14712296
DOI: 10.1186/s12875-017-0619-z
Rights: Attribution 4.0 International
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