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dc.contributor.authorSkodvin, Brita
dc.contributor.authorAase, Karina
dc.contributor.authorCharani, Esmita
dc.contributor.authorHolmes, Alison
dc.contributor.authorSmith, Ingrid
dc.identifier.citationSkodvin, B., et al. (2015) An antimicrobial stewardship program initiative: a qualitative study on prescribing practices among hospital doctors. Antimicrobial Resistance and Infection Control, 4:24nb_NO
dc.descriptionThis article was originally published in Antimicrobial Resistance and Infection Control. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.nb_NO
dc.description.abstractBackground Norway has a low, but increasing prevalence of resistance and few antimicrobial stewardship initiatives. When developing stewardship interventions, an understanding of the determinants of antimicrobial prescribing is needed. We report on the first qualitative study investigating factors influencing doctors’ antimicrobial prescribing practices in Norwegian hospitals. Methods Qualitative semi-structured interviews were conducted with 15 Norwegian hospital doctors prescribing antimicrobials to adult patients. Interviews were transcribed verbatim and thematic analysis was applied to analyse the data. Results Colleagues, in particular infectious disease specialists, microbiology test results and the newly published national guideline on antimicrobials were identified as key factors influencing antimicrobial prescribing practices. Delayed availability was a barrier for the utilization of microbiology test results and increasing clinical experience overrides the influence of the national guideline. Patient assessment, informal training by experienced colleagues, and infectious disease specialists replacing managers in promoting prudent prescribing policies, also influenced prescribing practices. Conclusion This study identified the following contextual factors that need to be addressed when developing antimicrobial stewardship programs in Norway: a common work practice for seeking collegial advice, logistics of microbiology test results, and formal leadership and systematic training on prudence. Other countries initiating stewardship programmes may benefit from performing a similar mapping of facilitators and barriers, to identify important stakeholders and organisational obstacles, before developing sustainable and tailored antimicrobial stewardship interventions.nb_NO
dc.publisherBioMed Centralnb_NO
dc.rightsNavngivelse 3.0 Norge*
dc.subjectantimicrobial usenb_NO
dc.subjectprescription practicesnb_NO
dc.subjecthospital doctorsnb_NO
dc.subjectantimicrobial resistancenb_NO
dc.subjectantimicrobial guidelinenb_NO
dc.subjectqualitative researchnb_NO
dc.subjectkvalitativ metodenb_NO
dc.titleAn antimicrobial stewardship program initiative: a qualitative study on prescribing practices among hospital doctorsnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.rights.holder© 2015 Skodvin et al.nb_NO
dc.subject.nsiVDP::Medical disciplines: 700nb_NO
dc.source.journalAntimicrobial Resistance and Infection Controlnb_NO

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Navngivelse 3.0 Norge
Except where otherwise noted, this item's license is described as Navngivelse 3.0 Norge