ArticleInfection control and hospital epidemiology2023
Pharmacist gender and physician acceptance of antibiotic stewardship recommendations: An analysis of the reducing overuse of antibiotics at discharge home intervention.
Article in Infection control and hospital epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Evaluating a virtual facilitation workshop with antimicrobial stewardship teams within a cluster randomized stepped-wedge trial.BMC health services research · 2024Trial
- Factors related to community pharmacists' intention to provide collaborative deprescribing service for fall-risk medications in older adults: a factorial and theory-based cross-sectional study.International journal of clinical pharmacy · 2026Article
- Where antibiotic time-outs work: department- and ward-stratified effects of a pharmacist-led anti-MRSA time-out.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Investigation on pharmaceutical care barriers perceived by clinical pharmacists in secondary and tertiary hospitals in China.Heliyon · 2024Article
- Advancing health equity through action in antimicrobial stewardship and healthcare epidemiology.Infection control and hospital epidemiology · 2024Article
- Protocol for a parallel cluster randomized trial of a participatory tailored approach to reduce overuse of antibiotics at hospital discharge: the ROAD home trial.Implementation science : IS · 2024Article
- What Promotes Medical Overuse: Perspective on Evolutionary Game between Administration and Medical Institutions.Computational and mathematical methods in medicine · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo assess association of pharmacist gender with acceptance of antibiotic stewardship recommendations.
designA retrospective evaluation of the Reducing Overuse of Antibiotics at Discharge (ROAD) Home intervention.
settingThe study was conducted from May to October 2019 in a single academic medical center.
participantsThe study included patients receiving antibiotics on a hospitalist service who were nearing discharge.
methodsDuring the intervention, clinical pharmacists (none who had specialist postgraduate infectious disease residency training) reviewed patients on antibiotics and led an antibiotic timeout (ie, structured conversation) prior to discharge to improve discharge antibiotic prescribing. We assessed the association of pharmacist gender with acceptance of timeout recommendations by hospitalists using logistic regression controlling for patient characteristics.
resultsOver 6 months, pharmacists conducted 295 timeouts: 158 timeouts (53.6%) were conducted by 12 women, 137 (46.4%) were conducted by 8 men. Pharmacists recommended an antibiotic change in 82 timeouts (27.8%), of which 51 (62.2%) were accepted. Compared to male pharmacists, female pharmacists were less likely to recommend a discharge antibiotic change: 30 (19.0%) of 158 versus 52 (38.0%) of 137 (P < .001). Female pharmacists were also less likely to have a recommendation accepted: 10 (33.3%) of 30 versus 41 (8.8%) of 52 (P < .001). Thus, timeouts conducted by female versus male pharmacists were less likely to result in an antibiotic change: 10 (6.3%) of 158 versus 41 (29.9%) of 137 (P < .001). After adjustments, pharmacist gender remained significantly associated with whether recommended changes were accepted (adjusted odds ratio [aOR], 0.10; 95%confidence interval [CI], 0.03-0.36 for female versus male pharmacists).
conclusionsAntibiotic stewardship recommendations made by female clinical pharmacists were less likely to be accepted by hospitalists. Gender bias may play a role in the acceptance of clinical pharmacist recommendations, which could affect patient care and outcomes.
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