Enablers and barriers to the use of antibiotic guidelines in the assessment and treatment of community acquired pneumonia – a qualitative study of clinicians’ perspectives

Sedrak, Antoine, Anpalahan, Mahesan and Luetsch, Karen (2017) Enablers and barriers to the use of antibiotic guidelines in the assessment and treatment of community acquired pneumonia – a qualitative study of clinicians’ perspectives. International Journal of Clinical Practice, 71 6: e12959. doi:10.1111/ijcp.12959


Author Sedrak, Antoine
Anpalahan, Mahesan
Luetsch, Karen
Title Enablers and barriers to the use of antibiotic guidelines in the assessment and treatment of community acquired pneumonia – a qualitative study of clinicians’ perspectives
Journal name International Journal of Clinical Practice   Check publisher's open access policy
ISSN 1368-5031
1742-1241
Publication date 2017-05-19
Year available 2017
Sub-type Article (original research)
DOI 10.1111/ijcp.12959
Open Access Status Not yet assessed
Volume 71
Issue 6
Start page e12959
Total pages 8
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Language eng
Subject 2700 Medicine
Abstract Community-acquired pneumonia (CAP) is a common condition and a number of guidelines have been developed for its assessment and treatment. Adherence to guidelines by clinicians varies and particularly the prescribing of antibiotics often remains suboptimal.
Formatted abstract
Background: Community-acquired pneumonia (CAP) is a common condition and a number of guidelines have been developed for its assessment and treatment. Adherence to guidelines by clinicians varies and particularly the prescribing of antibiotics often remains suboptimal.

Objective: The aim of this study was to elucidate potential barriers and enablers to the adherence to antibiotic guidelines by clinicians treating CAP in an Australian hospital.

Methods: 
Semi-structured interviews were conducted with purposively recruited senior prescribers who regularly treat CAP in an Australian hospital. Thematic analysis identified a number of themes and subthemes related to their knowledge, attitudes and behaviours associated with the use of CAP guidelines.

Results: Thematic saturation was reached after 10 in-depth interviews. Although similar barriers to the use of guidelines as previously described in the literature were confirmed, a number of novel, potential enablers were drawn from the interviews. Clinicians’ acceptance and accessibility of guidelines emerged as enabling factors. Generally positive attitudes towards antimicrobial stewardship services invite leveraging what was described as the relationship-based and hierarchical nature of medical practice to provide personalised feedback and updates to clinicians.

Conclusions: Adding a social and personalised approach of antimicrobial stewardship to policy- and systems-based strategies may lead to incremental improvements in guideline adherent practice when assessing and treating CAP.
Keyword Community-acquired pneumonia (CAP)
Policy
Q-Index Code C1
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Pharmacy Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Wed, 24 May 2017, 14:15:36 EST by Karen Luetsch on behalf of School of Pharmacy