Hostname: page-component-6dbcb7884d-4kfsg Total loading time: 0 Render date: 2025-02-13T20:05:46.149Z Has data issue: false hasContentIssue false
  • English
  • Français

Facilitators of antibiotic decision-making in home-based primary care: a qualitative investigation

Published online by Cambridge University Press:  27 January 2025

Rupak Datta Open the ORCID record for Rupak Datta [Opens in a new window] ,
Eliza Kiwak ,
Terri Fried Open the ORCID record for Terri Fried [Opens in a new window] ,
Andrea Benjamin ,
Lynne Iannone ,
Sarah Krein Open the ORCID record for Sarah Krein [Opens in a new window] ,
Warren Carter  and
Andrew Cohen Open the ORCID record for Andrew Cohen [Opens in a new window]
Rupak Datta*
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
Eliza Kiwak
Affiliation:
Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
Terri Fried
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
Andrea Benjamin
Affiliation:
Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
Lynne Iannone
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
Sarah Krein
Affiliation:
Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
Warren Carter
Affiliation:
Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
Andrew Cohen
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
*
Corresponding author: Rupak Datta; Email: rupak.datta@yale.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Interviews with 22 home-based primary care (HBPC) clinicians revealed that infectious disease physicians and clinical pharmacists facilitate infection management and antibiotic selection, respectively, and that local initiatives within programs support antibiotic prescribing decisions. Interventions that facilitate specialist engagement and tailored approaches that address the unique challenges of HBPC are needed.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , First View , pp. 1 - 4
Check for updates
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Reckrey, JM, Yang, M, Kinosian, B, et al. Receipt of home-based medical care among older beneficiaries enrolled in fee-for-service medicare. Health Aff (Millwood) 2020;39:1289–1296.CrossRefGoogle ScholarPubMed
Datta, R, Fried, T, O’Leary, JR, et al. National cohort study of homebound persons living with dementia: antibiotic prescribing trends and opportunities for antibiotic stewardship. Open Forum Infect Dis 2022;9:ofac453.CrossRefGoogle ScholarPubMed
Karuza, J, Gillespie, SM, Olsan, T, et al. National structural Survey of veterans affairs home-based primary care programs. J Am Geriatr Soc 2017; 65:2697–2701.CrossRefGoogle ScholarPubMed
Datta, R, Pirruccio, G, Fried, TR, et al. Antimicrobial resistance in Escherichia coli and Klebsiella pneumoniae urine isolates from a national sample of home-based primary care patients with dementia. Infect Control Hosp Epidemiol 2023;22:1–4.Google Scholar
Datta, R, Kiwak, E, Fried, TR, et al. Diagnostic uncertainty and decision-making in home-based primary care: A qualitative study of antibiotic prescribing. J Am Geriatr Soc 2024;72:1468–1475.CrossRefGoogle ScholarPubMed
Centers for Medicare and Medicaid Services. Available at: https://www.hhs.gov/sites/default/files/1.3-cooper-cop-changes-for-abx-steward-508.pdf. Last accessed August 19, 2024.Google Scholar
Barlam, TF, Cosgrove, SE, Abbo, LM, et al. Implementing an antibiotic stewardship program: guidelines by the infectious diseases society of America and the society for healthcare epidemiology of America. Clin Infect Dis 2016;62:e51–e77.CrossRefGoogle Scholar
Tong, A, Sainsbury, P, Craig, J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349–357.CrossRefGoogle ScholarPubMed
Guest, G, Bunce, A, Johnson, L. How many interviews are enough?: an experiment with data saturation and variability. Field Methods 2006;18:59–82.CrossRefGoogle Scholar
Sanchez, GV, Fleming-Dutra, KE, Roberts, RM, Hicks, LA. Core elements of outpatient antibiotic stewardship. MMWR Recomm Rep 2016;65:1–12.CrossRefGoogle ScholarPubMed
Supplementary material: File

Datta et al. supplementary material

Datta et al. supplementary material
Download Datta et al. supplementary material(File)
File 138.6 KB