ArticleBMJ open2016
Understanding the delayed prescribing of antibiotics for respiratory tract infection in primary care: a qualitative analysis.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physicians', pharmacists', and nurses' education of patients about antibiotic use and antimicrobial resistance in primary care settings: a qualitative systematic literature review.Frontiers in antibiotics · 2024Pooled it
- Effects of primary care antimicrobial stewardship outreach on antibiotic use by general practice staff: pragmatic randomized controlled trial of the TARGET antibiotics workshop.The Journal of antimicrobial chemotherapy · 2018Trial
- Antibiotic use in Türkiye: Everyday encounters of translating policy and negotiating rationality.Medical anthropology quarterly · 2026Article
- When Antibiotics Are Refused: A Qualitative Study of Patient-Provider Communication, Trust, and Reported or Anticipated Responses in Jordan.Healthcare (Basel, Switzerland) · 2026Article
- Tackling Pharmaceutical Pollution Along the Product Lifecycle: Roles and Responsibilities for Producers, Regulators and Prescribers.Pharmacy (Basel, Switzerland) · 2024Article
- How, why and when are delayed (back-up) antibiotic prescriptions used in primary care? A realist review integrating concepts of uncertainty in healthcare.BMC public health · 2024Review
- Why Do Physicians Prescribe Antibiotics? A Systematic Review of the Psycho-Socio-Organisational Factors Related to Potentially Inappropriate Prescribing of Antimicrobials in Europe.Infectious disease reports · 2024Review
- Article
- Diagnosis and management of acute infections during telehealth consultations in Australian general practice: a qualitative study.BJGP open · 2024Article
- Exploring factors for antibiotic over-prescription in children with acute upper respiratory tract infections in Assiut, Egypt: a qualitative study.Antimicrobial resistance and infection control · 2024Article
- Perceptions and attitudes regarding delayed antibiotic prescription for respiratory tract infections: a qualitative study.BMC primary care · 2023Article
- Further data on use of NSAIDs for the home-care therapy of COVID-19.Internal and emergency medicine · 2023Article
- Positive Point-of-Care Influenza Test Significantly Decreases the Probability of Antibiotic Treatment during Respiratory Tract Infections in Primary Care.Diagnostics (Basel, Switzerland) · 2023Article
- The Role of CRP POC Testing in the Fight against Antibiotic Overuse in European Primary Care: Recommendations from a European Expert Panel.Diagnostics (Basel, Switzerland) · 2023Article
- Factors Influencing the Implementation of Antimicrobial Stewardship in Primary Care: A Narrative Review.Antibiotics (Basel, Switzerland) · 2022Review
- Prevalence of Antibiotic Prescription in Patients with Acute Rhinosinusitis Treated by General Practitioners and Otolaryngologists in Germany-A Retrospective Cohort Study.Antibiotics (Basel, Switzerland) · 2022Article
- Behavioral determinants of antibiotic resistance: The role of social information.Applied psychology. Health and well-being · 2022Article
- General Practitioners', Pharmacists' and Parents' Views on Antibiotic Use and Resistance in Malta: An Exploratory Qualitative Study.Antibiotics (Basel, Switzerland) · 2022Article
- Development of an intervention to support the implementation of evidence-based strategies for optimising antibiotic prescribing in general practice.Implementation science communications · 2021Article
- Public preferences for delayed or immediate antibiotic prescriptions in UK primary care: A choice experiment.PLoS medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify general practitioner (GP) views and understanding on the use of delayed prescribing in primary care.
designQualitative semistructured telephone interview study.
settingPrimary care general practices in England.
participants32 GPs from identified high-prescribing and low-prescribing general practices in England.
methodSemistructured telephone interviews were conducted with GPs identified from practices within clinical commissioning groups with the highest and lowest prescribing rates in England. A thematic analysis of the data was conducted to generate themes.
resultsAll GPs had a good understanding of respiratory tract infection (RTI) management and how the delayed prescribing approach could be used in primary care. However, GPs highlighted factors that were influential as to whether delayed prescribing was successfully carried out during the consultation. These included the increase in evidence of antimicrobial resistance, and GPs' prior experiences of using delayed prescribing during the consultation. The patient-practitioner relationship could also influence treatment outcomes for RTI, and a lack of an agreed prescribing strategy within and between practices was considered to be of significance to GPs. Participants expressed that a lack of feedback on prescribing data at an individual and practice level made it difficult to know if delayed prescribing strategies were successful in reducing unnecessary consumption. GPs agreed that coherent and uniform training and guidelines would be of some benefit to ensure consistent prescribing throughout the UK.
conclusionsDelayed prescribing is encouraged in primary care, but is not always implemented successfully. Greater uniformity within and between practices in the UK is needed to operationalise delayed prescribing, as well as providing feedback on the uptake of antibiotics. Finally, GPs may need further guidance on how to answer the concerns of patients without interpreting these questions as a demand for antibiotics, as well as educating the patient about antimicrobial resistance and supporting a good patient-practitioner relationship.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.