Association of patient, physician and visit characteristics with inappropriate antibiotic prescribing in Japanese primary care: a cross-sectional study.

ABSTRACT: To assess the prevalence and associated factors of inappropriate antibiotic prescribing in Japanese primary care. This cross-sectional study analysed all antibiotic prescriptions written between 1 October 2022 and 30 September 2023, using an electronic health record database of primary care clinics across Japan. Using a previously developed classification algorithm, we determined whether diagnosis codes occurring on or during the 3 days before the antibiotic prescribing date 'always', 'sometimes' or 'never' justified antibiotic use. We classified antibiotic prescriptions into one of four mutually exclusive categories: 'appropriate' (associated with ≥1 'always' code), 'potentially appropriate' (associated with ≥1 'sometimes' code but no 'always' codes), 'inappropriate' (associated only with

SUBMITTER: Miyawaki A 

PROVIDER: S-EPMC12366620 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature