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dc.contributor.authorTandan, Meera
dc.contributor.authorDuane, Sinead
dc.contributor.authorVellinga, Akke
dc.date.accessioned2017-06-27T14:02:16Z
dc.date.available2017-06-27T14:02:16Z
dc.date.issued2015-11-24
dc.identifier.citationTandan, Meera, Duane, Sinead, & Vellinga, Akke. (2015). Do general practitioners prescribe more antimicrobials when the weekend comes? SpringerPlus, 4(1), 725. doi: 10.1186/s40064-015-1505-6en_IE
dc.identifier.issn2193-1801
dc.identifier.urihttp://hdl.handle.net/10379/6604
dc.description.abstractInappropriate antimicrobial prescribing contributes to the global spread of antimicrobial resistance. The pending weekend with changed availability of general practitioners (GP) and increased patient concern may increase the intention to prescribe antimicrobials. The aim of this study is to analyse variation in antimicrobial prescribing between weekdays and weekend in Irish general practice. All prescribing data over a 15 month period was obtained from the 30 practices participating in the Supporting the Improvement and Management of Prescribing for urinary tract infection (SIMPle) study. Antimicrobials were classified using anatomical therapeutic chemical classification code guidelines. Prescribing of antimicrobials per total number of prescriptions was compared between weekdays (Monday to Thursday) and the weekend (Friday to Sunday). Antimicrobials were generally more often prescribed during weekends; the antimicrobial prescribing rate was greater by 9.2 % on Friday compared to average prescribing on other weekdays (21.4 vs. 19.6 %). The chance of an antimicrobial prescription was 1.07 (95 % CI 1.04-1.10) higher on weekend days compared to weekdays. This was reflected in increased prescriptions for ampicillin, co-amoxiclav, nitrofurantoin, quinolones and macrolides. However, if antimicrobials were prescribed, no significant differences were observed between weekdays and weekend among the different classes of antimicrobials. GPs prescribe relatively more antimicrobials during the weekend compared to weekdays. However, the patterns of antimicrobial prescribing did not differ according to the day of prescription.en_IE
dc.formatapplication/pdfen_IE
dc.language.isoenen_IE
dc.publisherSpringerOpenen_IE
dc.relation.ispartofSpringerplusen
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Ireland
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/3.0/ie/
dc.subjectTract infectionsen_IE
dc.subjectPrimary careen_IE
dc.subjectResistanceen_IE
dc.subjectTrialen_IE
dc.subjectAntimicrobial prescribingen_IE
dc.subjectGeneral practiceen_IE
dc.subjectWeekenden_IE
dc.titleDo general practitioners prescribe more antimicrobials when the weekend comes?en_IE
dc.typeArticleen_IE
dc.date.updated2017-06-16T07:26:49Z
dc.identifier.doi10.1186/s40064-015-1505-6
dc.local.publishedsourcehttp://dx.doi.org/10.1186/s40064-015-1505-6en_IE
dc.description.peer-reviewedpeer-reviewed
dc.contributor.funder|~|
dc.internal.rssid12127098
dc.local.contactAkke Vellinga, General Practice/Bacteriology, Nui Galway. 5192 Email: akke.vellinga@nuigalway.ie
dc.local.copyrightcheckedNo
dc.local.versionPUBLISHED
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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Ireland