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Brief report| Volume 41, ISSUE 12, P1296-1297, December 2013

Antibiotic prescription and knowledge about antibiotic costs of physicians in primary health care centers in Greece

      The aim of this questionnaire-based study is to investigate antibiotic prescription practices among primary health care physicians in Greece using the 2007 Hellenic Center for Diseases Control and Prevention guidelines as the gold standard. Seven case scenarios were used. A total of 527 physicians participated. The mean compliance rate with the first recommended antibiotic by the guidelines was 51%, ranging from 22.9% to 71.5% by scenario. Younger physicians and female physicians had higher scores of compliance.

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      References

        • Costelloe C.
        • Metcalfe C.
        • Lovering A.
        • Mant D.
        • Hay A.D.
        Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis.
        BMJ. 2010; 340: c2096
      1. European Surveillance of Antimicrobial Consumption. What is the burden of antibiotic use in Europe? Available from: http://app.esac.ua.ac.be/public/index.php/en_gb/antibiotic/antibiotic-consumption. Accessed November 23, 2012.

      2. Hellenic Center for Diseases Control and Prevention. Guidelines for the diagnosis and empiric treatment of infections, Athens, 2007 (in Greek). Available from: http://www.keelpno.gr/el-gr/διαθέσιμουλικό/έντυπουλικό.aspx. Accessed November 23, 2012.

        • Murphy M.
        • Bradley C.P.
        • Byrne S.
        Antibiotic prescribing in primary care, adherence to guidelines and unnecessary prescribing: an Irish perspective.
        BMC Fam Pract. 2012; 13: 43
        • Cadieux G.
        • Tamblyn R.
        • Dauphinee D.
        • Libman M.
        Predictors of inappropriate antibiotic prescribing among primary care physicians.
        CMAJ. 2007; 177: 877-883
        • Fakih M.G.
        • Hilu R.C.
        • Savoy-Moore R.T.
        • Saravolatz L.D.
        Do resident physicians use antibiotics appropriately in treating upper respiratory infections? A survey of 11 programs.
        Clin Infect Dis. 2003; 37: 853-856
        • Tonkin-Crine S.
        • Yardley L.
        • Little P.
        Antibiotic prescribing for acute respiratory tract infections in primary care: a systematic review and meta-ethnography.
        J Antimicrob Chemother. 2011; 66: 2215-2223
        • Butler C.C.
        • Simpson S.A.
        • Dunstan F.
        • Rollnick S.
        • Cohen D.
        • Gillespie D.
        • et al.
        Effectiveness of multifaceted educational programme to reduce antibiotic dispensing in primary care: practice based randomised controlled trial.
        BMJ. 2012; 344: d8173
        • Fraisse T.
        • Fayad G.
        • Jardy C.
        • Sotto A.
        Evaluation of empirical antibiotherapy for acute community-acquired pneumonia prescribed in emergency departments.
        Med Mal Infect. 2012; 42: 5-9
        • Vazquez-Lago J.M.
        • Lopez-Vazquez P.
        • López-Durán A.
        • Taracido-Trunk M.
        • Figueiras A.
        Attitudes of primary care physicians to the prescribing of antibiotics and antimicrobial resistance: a qualitative study from Spain.
        Fam Pract. 2012; 29: 352-360
        • Hart J.
        • Salman H.
        • Bergman M.
        • Neuman V.
        • Rudniki C.
        • Gilenberg D.
        • et al.
        Do drug costs affect physicians’ prescription decisions?.
        J Intern Med. 1997; 241: 415-420