Facilitating Shared Decision-Making Can Cut Antibiotic Use

This article originally appeared here.
Share this content:
Facilitating Shared Decision-Making Can Cut Antibiotic Use
Facilitating Shared Decision-Making Can Cut Antibiotic Use

FRIDAY, Nov. 13, 2015 (HealthDay News) -- For patients with acute respiratory infections (ARIs), interventions that aim to facilitate shared decision-making reduce antibiotic use in primary care, according to a review published online Nov. 12 in The Cochrane Library.

Peter Coxeter, M.P.H., from Bond University in Gold Coast, Australia, and colleagues conducted a systematic review to examine how interventions that aim to facilitate share decision-making affect antibiotic prescribing for ARIs in primary care. Data were included from 10 published reports of nine original randomized controlled trials involving more than 1,100 primary care doctors and 492,000 patients.

The researchers found moderate quality evidence for a reduction in antibiotic use in primary care for interventions that aim to facilitate shared decision-making (immediately after or within six week), compared with usual care (47 to 29 percent decrease; risk ratio, 0.61). The reduction in prescribing was not associated with an increase in patient-initiated re-consultation or a decrease in patient satisfaction with the consultation. Insufficient data were available to examine the impact of the intervention on the sustained reduction in antibiotic prescribing, adverse clinical outcomes, or measures of patient and caregiver involvement in shared decision-making.

"Interventions that aim to facilitate shared decision-making reduce antibiotic prescribing in primary care in the short term," the authors write. "More evidence is needed to determine how any sustained reduction in antibiotic prescribing affects hospital admission, pneumonia and death."

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Ancient Gene Protects Elephants From Cancer

Ancient Gene Protects Elephants From Cancer

The LIF6 gene destroys cells with damaged DNA

Reasons for Undergoing Cosmetic Procedures Explored

Reasons for Undergoing Cosmetic Procedures Explored

Psychological and emotional motivations more likely in patients wanting acne scar tx, tattoo removal

DNR Orders Linked to Increased Mortality in Older Adults

DNR Orders Linked to Increased Mortality in Older ...

Early versus late DNR tied to shorter median length of stay in hospitalized adults aged 65 years and older

is free, fast, and customized just for you!




Already a member?

Sign In Now »