Assessing the Appropriateness of Antimicrobial Prescribing in the Community Setting: A Scoping Review

Author:

Okonkwo Rose I1ORCID,Grant Gary1ORCID,Ndukwe Henry1,Mohammed Zabiuddin Ahad1,Khan Sohil12

Affiliation:

1. School of Pharmacy and Medical Sciences, Griffith University , Gold Coast , Australia

2. Manipal College of Pharmaceutical Sciences and Prasanna School of Public Health, Manipal Academy of Higher Education , Manipal , India

Abstract

Abstract Background This scoping review examined the concept and scope of appropriateness of antimicrobial prescribing in the community setting and how it has been measured. Methods Utilizing the Joanna Briggs Institute’s methodology, we appraised peer-reviewed articles and unpublished studies, focusing on the US, UK, Canada, and Australia, with no limit to date. Results Four basic components of antimicrobial prescribing to be evaluated during assessment of antimicrobial appropriateness in the community setting were identified: diagnosis for infection or indication for antimicrobial therapy, choice of antimicrobial therapy, dosing, and duration of therapy. The benchmark for definition of appropriateness is crucial in assessing antimicrobial prescribing appropriateness. The use of recommended guidelines as a benchmark is the standard for appropriate antimicrobial therapy, and when necessary, susceptibility testing should be explored. Conclusions Studies evaluating the appropriateness of antimicrobial prescribing should assess these components of antimicrobial prescribing, and this should be clearly stated in the aim and objectives of the study.

Publisher

Oxford University Press (OUP)

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