GP pilot reduces antibiotic prescribing rates

A pilot program aimed at stemming antibiotic resistance has successfully reduced prescribing rates among participating doctors.

The University of Queensland-led study involved more than 100 general practitioners from almost 30 practices across South East Queensland.

UQ School of Public Health researcher Professor Charles Gilks says there was a 7% reduction in the rates of antibiotic prescribing for respiratory conditions by doctors who were given access to a package of intervention measures.

“The level of antibiotic prescribing for those GPs who did not receive the tool kit was the same or slightly higher than their previous rates,” Prof Gilks says.

The study found doctors responded positively to having a variety of tools to communicate to patients the problems of over-prescribing of antibiotics, and to manage expectations.

“These included a finger-prick test used commonly in Europe to assess a patient’s level of illness to more simple tools such as educational posters and pamphlets.”

The program included web-based education modules for GPs about antibiotic resistance and a delayed prescribing strategy where borderline patients were given a script with a sticker indicating that it should be filled in 48 hours if symptoms worsened.

Australia is one of the highest users of antibiotics per person in the developed world, with about 22 million prescriptions written every year.

Prof Gilks says patients need to be aware that there are side effects of taking antibiotics and that increased consumption is linked to antibiotic resistance.

“In order to preserve one of medicine’s most important resources, GPs must be equipped to only prescribe antibiotics where appropriate,” he says.

 “An advantage of the package is that it is not a ‘one size fits all’ approach, meaning GPs could choose from a range of interventions depending on their consultation preferences and individual patients.

“We would like to see the intervention program rolled out across Australia.”

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