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  4. Identifying prescribers of antibiotics in a primary care spinal cord injury cohort

Identifying prescribers of antibiotics in a primary care spinal cord injury cohort

Spinal Cord Series and Cases, 2024 · DOI: https://doi.org/10.1038/s41394-024-00615-8 · Published: January 22, 2024

Spinal Cord InjuryImmunologyHealthcare

Simple Explanation

This study looked at where people with spinal cord injuries (SCI) get their antibiotics. Individuals with SCI may be frequent antibiotic users due to recurrent infections. The study found that most antibiotics were prescribed by doctors in primary care practices. Continuity of care may also be extended from a single physician to a clinic or medical group. People in urban and rural areas were more likely to get antibiotics from emergency departments or other primary care services, rather than their regular primary care doctor. Healthcare practice patterns and access to health care services differs across urban, suburban, and rural areas.

Study Duration
3 Years
Participants
320 individuals with spinal cord injury
Evidence Level
Retrospective cross-sectional study

Key Findings

  • 1
    Rostered-primary care practice physicians prescribed the majority (58.9%) of dispensed antibiotics to the SCI cohort.
  • 2
    Individuals in urban and rural areas were more likely to receive antibiotics from emergency and non-rostered primary care physicians compared to those in suburban areas.
  • 3
    Nitrofurantoin was the most commonly prescribed antibiotic class for the SCI cohort.

Research Summary

This retrospective cross-sectional study identified that individuals with SCI received outpatient antibiotic prescriptions from multiple sources, with rostered primary care practice physicians being the main prescribers. The study found that individuals residing in urban and rural areas were more likely to obtain antibiotics from emergency and non-rostered primary care physicians compared to those in suburban areas. The findings suggest that interventions to optimize antibiotic use in the SCI population should target primary care practices, while also acknowledging the role of specialists in antibiotic prescribing.

Practical Implications

Targeted Interventions

Focus interventions on primary care practices to optimize antibiotic use in the SCI population.

Continuity of Care

Emphasize the importance of continuity of care, especially for individuals receiving antibiotics from emergency or non-rostered primary care physicians.

Rurality Considerations

Address the specific challenges faced by individuals in rural areas regarding access to primary care and antibiotic prescriptions.

Study Limitations

  • 1
    Missing demographic information for some specialists.
  • 2
    Lack of information on indications for antibiotic prescriptions in the ODB database.
  • 3
    Unclear if individuals consumed the dispensed antibiotics they received.

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