How can we improve antibiotic prescribing in primary care?

Oliver J. Dyar, Bojana Beović, Vera Vlahović-Palčevski, Theo Verheij, Céline Pulcini*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)


Antibiotic stewardship is a necessity given the worldwide antimicrobial resistance crisis. Outpatient antibiotic use represents around 90% of total antibiotic use, with more than half of these prescriptions being either unnecessary or inappropriate. Efforts to improve antibiotic prescribing need to incorporate two complementary strategies: changing healthcare professionals behaviour, and modifying the healthcare system. In this review, we present a broad perspective on antibiotic stewardship in primary care in high and high-middle income country settings, focussing on studies published in the last five years. We present the limitations of available literature, discuss perspectives, and provide suggestions for where future work should be concentrated.

Original languageEnglish
Pages (from-to)403-413
Number of pages11
JournalExpert review of Anti-infective Therapy
Issue number4
Publication statusPublished - 2 Apr 2016


  • Antibiotic stewardship
  • general practice
  • intervention
  • nurse
  • pharmacist


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