Inter-prescriber variability in the decision to prescribe antibiotics to febrile patients attending primary care in Myanmar.

ABSTRACT:

Background

Most antibiotic prescribing occurs in primary care. Even within the same health facility, there may be differences between prescribers in their tendency to prescribe antibiotics, which may be masked by summary data. We aimed to quantify prescriber variability in antibiotic prescription to patients with acute fever in primary care clinics in Myanmar.

Methods

We conducted a secondary analysis of prescribing data from 1090 patient consultations with 40 prescribing doctors from a trial investigating the effect of point-of-care C-reactive protein (CRP) tests on antibiotic prescription for acute fever. We used multilevel logistic regression models to assess inter-prescriber variability in the decision to prescribe antibiotics.

Results

The median odds ratio (MOR)

SUBMITTER: Swe MMM 

PROVIDER: S-EPMC7814214 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature