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Factors influencing ceftriaxone use in community-acquired pneumonia: Emergency doctorsí perspectives

Citation

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 Statement

Copyright 2014 Wiley-Blackwell Publishing Asia

DOI: doi:10.1111/1742-6723.12326

Abstract

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 Details

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 Division:Health
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)
ID Code:96672
Year Published:2014
Web of Science® Times Cited:3
Deposited By:Pharmacy
Deposited On:2014-11-16
Last Modified:2015-08-12
Downloads:0

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