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Understanding the role of antibiotic-associated adverse events in influencing antibiotic decision-making.
- Source :
-
Antimicrobial stewardship & healthcare epidemiology : ASHE [Antimicrob Steward Healthc Epidemiol] 2024 Jan 30; Vol. 4 (1), pp. e13. Date of Electronic Publication: 2024 Jan 30 (Print Publication: 2024). - Publication Year :
- 2024
-
Abstract
- Objective: To (1) understand the role of antibiotic-associated adverse events (ABX-AEs) on antibiotic decision-making, (2) understand clinician preferences for ABX-AE feedback, and (3) identify ABX-AEs of greatest clinical concern.<br />Design: Focus groups.<br />Setting: Academic medical center.<br />Participants: Medical and surgical house staff, attending physicians, and advanced practice practitioners.<br />Methods: Focus groups were conducted from May 2022 to December 2022. Participants discussed the role of ABX-AEs in antibiotic decision-making and feedback preferences and evaluated the prespecified categorization of ABX-AEs based on degree of clinical concern. Thematic analysis was conducted using inductive coding.<br />Results: Four focus groups were conducted ( n = 15). Six themes were identified. (1) ABX-AE risks during initial prescribing influence the antibiotic prescribed rather than the decision of whether to prescribe. (2) The occurrence of an ABX-AE leads to reassessment of the clinical indication for antibiotic therapy. (3) The impact of an ABX-AE on other management decisions is as important as the direct harm of the ABX-AE. (4) ABX-AEs may be overlooked because of limited feedback regarding the occurrence of ABX-AEs. (5) Clinicians are receptive to feedback regarding ABX-AEs but are concerned about it being punitive. (6) Feedback must be curated to prevent clinicians from being overwhelmed with data. Clinicians generally agreed with the prespecified categorizations of ABX-AEs by degree of clinical concern.<br />Conclusions: The themes identified and assessment of ABX-AEs of greatest clinical concern may inform antibiotic stewardship initiatives that incorporate reporting of ABX-AEs as a strategy to reduce unnecessary antibiotic use.<br />Competing Interests: All authors report no conflicts of interest relevant to this article.<br /> (© The Author(s) 2024.)
Details
- Language :
- English
- ISSN :
- 2732-494X
- Volume :
- 4
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Antimicrobial stewardship & healthcare epidemiology : ASHE
- Publication Type :
- Academic Journal
- Accession number :
- 38415083
- Full Text :
- https://doi.org/10.1017/ash.2024.2