Antibiotic Use in Pregnancy: A Global Survey on Antibiotic Prescription Practices in Antenatal Care

被引:6
作者
Gamberini, Carlotta [1 ]
Donders, Sabine [1 ]
Al-Nasiry, Salwan [2 ]
Kamenshchikova, Alena [3 ]
Ambrosino, Elena [1 ]
机构
[1] Maastricht Univ, Inst Publ Hlth Genom IPHG, Fac Hlth Med & Life Sci, Res Sch GROW Oncol & Reprod,Dept Genet & Cell Biol, NL-6229 ER Maastricht, Netherlands
[2] Maastricht Univ, Res Sch GROW Oncol & Reprod, Dept Obstet & Gynecol, Med Ctr, NL-6229 HX Maastricht, Netherlands
[3] Maastricht Univ, Sch Publ Hlth & Primary Care, Dept Hlth Eth & Soc, NL-6229 ER Maastricht, Netherlands
来源
ANTIBIOTICS-BASEL | 2023年 / 12卷 / 05期
关键词
antibiotic resistance; antenatal care; antibiotic prescription practices; ANTIMICROBIAL TREATMENT; TREATMENT GUIDELINES; MEDICATION USE; INFECTIONS; RESISTANCE; SAFETY;
D O I
10.3390/antibiotics12050831
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Antibiotic prescription and use practices in the antenatal care setting varies across countries and populations and has the potential to significantly contribute to the global spread of antibiotic resistance. This study aims to explore how healthcare practitioners make decisions about antibiotic prescriptions for pregnant women and what factors play a role in this process. A cross-sectional exploratory survey consisting of 23 questions, including 4 free-text and 19 multiple-choice questions, was distributed online. Quantitative data were collected through multiple-choice questions and was used to identify the most common infections diagnosed and the type of antibiotics prescribed. Qualitative data were gathered through free-text answers to identify gaps, challenges, and suggestions, and the data were analyzed using thematic analysis. A total of 137 complete surveys mostly from gynecologists/obstetricians from 22 different countries were included in the analysis. Overall, national and international clinical guidelines and hospital guidelines/protocols were the most frequently used sources of information. This study highlights the crucial role of laboratory results and guidelines at different levels and emphasizes region-specific challenges and recommendations. These findings underscore the pressing need for tailored interventions to support antibiotic prescribers in their decision-making practice and to address emerging resistance.
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页数:19
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