Almater, MA and Peterson, GM and Thompson, A and Zaidi, STR, Factors influencing ceftriaxone use in community-acquired pneumonia: Emergency doctors' perspectives, Emergency Medicine Australasia, 26, (6) pp. 591-595. ISSN 1742-6731 (2014) [Refereed Article]
Copyright 2014 Wiley-Blackwell Publishing Asia
Objective: To explore the perceptions of ED doctors regarding the use of ceftriaxone in patients with community-acquired pneumonia (CAP).
Methods: Face-to-face interviews were conducted with ED doctors in an Australian tertiary public hospital. A semi-structured interview method was used for collecting data and a framework analysis approach utilised to identify emerging themes regarding the influences on ED prescribers when using ceftriaxone for CAP.
Results: Eight interviews were performed (two consultants, four registrars and two residents). Five main themes emerged as influencing decisions regarding the selection of ceftriaxone for patients with CAP: (i) clinical intuition versus structured evaluation of severity; (ii) clinical uncertainty; (iii) prior experience; (iv) source of guidance; and (v) prescribing etiquette.
Conclusion: As most cases of CAP are initially diagnosed and treated empirically in the ED, any interventions that aim to decrease inappropriate use of ceftriaxone for CAP should address the factors identified here that influence ED doctorsí prescribing decisions.
|Item Type:||Refereed Article|
|Keywords:||ceftriaxone, barriers, interviews, clinicians, hospital, antimicrobial stewardship|
|Research Division:||Medical and Health Sciences|
|Research Group:||Clinical Sciences|
|Research Field:||Infectious Diseases|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Infectious Diseases|
|Author:||Almater, MA (Mr Maher Almatar)|
|Author:||Peterson, GM (Professor Gregory Peterson)|
|Author:||Thompson, A (Mr Adrian Thompson)|
|Author:||Zaidi, STR (Dr Tabish Razi Zaidi)|
|Web of Science® Times Cited:||4|
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