Dataset Information

Infectious disease physician characteristics and prescription of meropenem in the hospital.

ABSTRACT:

Objective

Physician characteristics may be correlated with medical treatment decisions and patient outcomes. This study examined the correlations between characteristics of infectious disease (ID) physicians and the use of the restricted antimicrobial meropenem.

Design

This was a retrospective cohort study following 27 attending ID physicians for 5 years at a large academic medical center.

Methods

All inpatient ID clinical encounters between 2013 and 2018 were assessed for physician and patient characteristics, including patient Charlson Comorbidity Index, patient sex, ID service seeing the patient, physician career stage, physician training location, and physician sex. Adjusted and unadjusted odds ratios were calculated for the receipt of meropenem on the same day as an ID clinical note.

Results

Between 2013 and 2018, meropenem was administered on the same day as 9046 (11.1%) of 81,787 inpatient ID encounters. After adjustment for patient and practice-specific factors, physician career stage was associated with administration of meropenem. Patients seen by mid-career and late-career ID physicians were more likely to receive meropenem than those seen by early-career physicians (aOR 1.22 95% confidence interval [CI 1.13-1.31 and aOR 1.17 95% CI 1.10-1.25, respectively).

Conclusions

ID provider characteristics may help target future antimicrobial stewardship program interventions.

SUBMITTER: Challener D

PROVIDER: S-EPMC10390666 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Publications

Infectious disease physician characteristics and prescription of meropenem in the hospital.

Challener Douglas D O'Horo John J Tande Aaron J AJ

Antimicrobial stewardship & healthcare epidemiology : ASHE 20230717 1

<h4>Objective</h4>Physician characteristics may be correlated with medical treatment decisions and patient outcomes. This study examined the correlations between characteristics of infectious disease (ID) physicians and the use of the restricted antimicrobial meropenem.<h4>Design</h4>This was a retrospective cohort study following 27 attending ID physicians for 5 years at a large academic medical center.<h4>Methods</h4>All inpatient ID clinical encounters between 2013 and 2018 were assessed for ...[more]

PMID: 37534281

Similar Datasets

Project description:BackgroundAntimicrobial resistance (AMR) is a global public health disaster driven largely by antibiotic use in human health care. Doctors considering whether to prescribe antibiotics face an ethical conflict between upholding individual patient health and advancing public health aims. Existing literature mainly examines whether patients awaiting consultations desire or expect to receive antibiotic prescriptions, but does not report views of the wider public regarding conditions under which doctors should prescribe antibiotics. It also does not explore the ethical significance of public views or their sensitivity to awareness of AMR risks or the standpoint (self-interested or impartial) taken by participants.MethodsAn online survey was conducted with a sample of the U.S. public (n = 158). Participants were asked to indicate what relative priority should be given to individual patients and society-at-large from various standpoints and in various contexts, including antibiotic prescription.ResultsOf the participants, 50.3% thought that doctors should generally prioritize individual patients over society, whereas 32.0% prioritized society over individual patients. When asked in the context of AMR, 39.2% prioritized individuals whereas 45.5% prioritized society. Participants were significantly less willing to prioritize society over individuals when they themselves were the patient, both in general (p = .001) and in relation to AMR specifically (p = .006).ConclusionsParticipants' attitudes were more oriented to society and sensitive to collective responsibility when informed about the social costs of antibiotic use and when considered from a third-person rather than first-person perspective. That is, as participants came closer to taking the perspective of an informed and impartial "ideal observer," their support for prioritizing society increased. Our findings suggest that, insofar as antibiotic policies and practices should be informed by attitudes that are impartial and well-informed, there is significant support for prioritizing society.

Dataset Information

Infectious disease physician characteristics and prescription of meropenem in the hospital.

Objective

Design

Methods

Results

Conclusions

Publications

Infectious disease physician characteristics and prescription of meropenem in the hospital.

Similar Datasets

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