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Prevalence of Antibiotic Prescribing for Acute Respiratory Tract Infection in Telehealth Versus Face-to-Face Consultations: Cross-Sectional Analysis of General Practice Registrars’ Clinical Practice

Prevalence of Antibiotic Prescribing for Acute Respiratory Tract Infection in Telehealth Versus Face-to-Face Consultations: Cross-Sectional Analysis of General Practice Registrars’ Clinical Practice

The majority of antibiotics in Australia are prescribed in general practice (family practice). Inappropriate prescribing of antibiotics in outpatient settings, especially in primary care or general practice, is a major driver of antimicrobial resistance [3]. Therefore, antibiotic stewardship in general practice is vital. In 2022, overall 36.6% of Australians were prescribed at least one antibiotic in the community [2].

Yu Gao, Parker Magin, Amanda Tapley, Elizabeth Holliday, Jason Dizon, Katie Fisher, Mieke van Driel, Joshua S Davis, Andrew Davey, Anna Ralston, Alison Fielding, Dominica Moad, Katie Mulquiney, Lisa Clarke, Alexandria Turner

J Med Internet Res 2025;27:e60831

Antibiotic Use In Utero and Early Life and Risk of Chronic Childhood Conditions in New Zealand: Protocol for a Data Linkage Retrospective Cohort Study

Antibiotic Use In Utero and Early Life and Risk of Chronic Childhood Conditions in New Zealand: Protocol for a Data Linkage Retrospective Cohort Study

Moreover, studies often rely on short-term prescription history prior to disease onset, which may result in issues of reverse causality (if antibiotics were prescribed to treat early symptoms of the disease itself) [24,25]. Further, studies have often focused on only one specific class of antibiotics without considering the full spectrum of antibiotics used [25].

Sharan Ram, Marine Corbin, Andrea 't Mannetje, Amanda Eng, Amanda Kvalsvig, Michael G Baker, Jeroen Douwes

JMIR Res Protoc 2025;14:e66184

Using Games to Simulate Medication Adherence and Nonadherence: Laboratory Experiment in Gamified Behavioral Simulation

Using Games to Simulate Medication Adherence and Nonadherence: Laboratory Experiment in Gamified Behavioral Simulation

Our experimental model for the nonadherent behavior in patients taking antibiotics was inspired by the conceptual approach developed by Kessler and Roth [20]. They used an abstract experimental interaction to model the effectiveness of the priority rule in increasing the registration of organ donors. An organ allocation policy that prioritizes registered donors on waiting lists was found to significantly boost donor registration.

Umar Taj, Aikaterini Grimani, Daniel Read, Ivo Vlaev

JMIR Serious Games 2024;12:e47141

Antibiotic Prescribing by Digital Health Care Providers as Compared to Traditional Primary Health Care Providers: Cohort Study Using Register Data

Antibiotic Prescribing by Digital Health Care Providers as Compared to Traditional Primary Health Care Providers: Cohort Study Using Register Data

Antibiotics with the Anatomical Therapeutic Chemical codes J01 A-J01 X were prescribed for all purposes during 11,609 of 124,398 (9.3%) physical-PHC appointments (Table 3) as compared with 2201 of 35,840 (6.14%) internet-PHC appointments. The most common class of antibiotics prescribed was J01 C for both men and women.

Andy Wallman, Kurt Svärdsudd, Kent Bobits, Thorne Wallman

J Med Internet Res 2024;26:e55228

Association Between Early-Life Exposure to Antibiotics and Development of Child Obesity: Population-Based Study in Italy

Association Between Early-Life Exposure to Antibiotics and Development of Child Obesity: Population-Based Study in Italy

Moreover, specific classes of antibiotics were categorized based on the spectrum of action (ie, narrow and broad-spectrum antibiotics) and independent assessment (ie, penicillins, cephalosporins, macrolides, and others; Table S2 in Multimedia Appendix 1) [22].

Anna Cantarutti, Paola Rescigno, Claudia Da Borso, Joaquin Gutierrez de Rubalcava Doblas, Silvia Bressan, Elisa Barbieri, Carlo Giaquinto, Cristina Canova

JMIR Public Health Surveill 2024;10:e51734

Barriers to Implementing Registered Nurse–Driven Clinical Decision Support for Antibiotic Stewardship: Retrospective Case Study

Barriers to Implementing Registered Nurse–Driven Clinical Decision Support for Antibiotic Stewardship: Retrospective Case Study

Overprescribing and misuse of antibiotics for upper respiratory infections (URIs) remain the most significant combined factors causing antibiotic resistance [3,4]. In the United States, up to 50% of all outpatient antibiotic prescriptions for URIs are inappropriate [5,6]. An estimated 80%-90% of antibiotic prescribing occurs in outpatient settings, such as doctors’ offices, urgent care facilities, and emergency departments [7-9].

Elizabeth R Stevens, Lynn Xu, JaeEun Kwon, Sumaiya Tasneem, Natalie Henning, Dawn Feldthouse, Eun Ji Kim, Rachel Hess, Katherine L Dauber-Decker, Paul D Smith, Wendy Halm, Pranisha Gautam-Goyal, David A Feldstein, Devin M Mann

JMIR Form Res 2024;8:e54996

N-of-1 Trials of Antimicrobial Stewardship Interventions to Optimize Antibiotic Prescribing for Upper Respiratory Tract Infection in Emergency Departments: Protocol for a Quasi-Experimental Study

N-of-1 Trials of Antimicrobial Stewardship Interventions to Optimize Antibiotic Prescribing for Upper Respiratory Tract Infection in Emergency Departments: Protocol for a Quasi-Experimental Study

The discovery of antibiotics is among the most important public health achievements in the 20th century [1]. However, inappropriate antibiotic use has driven a rapid increase in antibiotic resistance, and with the drying up of the pipeline of new antibiotics, a postantibiotic era is imminent [2-4]. Hence, there is a need to reduce antibiotic use by changing physicians’ antibiotic prescribing practices and reducing patient demand through antimicrobial stewardship programs (ASPs).

Hersh Attal, Zhilian Huang, Win Sen Kuan, Yanyi Weng, Hann Yee Tan, Eillyne Seow, Li Lee Peng, Hoon Chin Lim, Angela Chow

JMIR Res Protoc 2024;13:e50417

Internet Tool to Support Self-Assessment and Self-Swabbing of Sore Throat: Development and Feasibility Study

Internet Tool to Support Self-Assessment and Self-Swabbing of Sore Throat: Development and Feasibility Study

Antimicrobial resistance is a global public health challenge, which has been accelerated by the overuse of antibiotics and is the cause of severe infections, complications, longer hospital stays, and increased mortality [4]. Unnecessary prescribing of antibiotics is also associated with an increased risk of adverse effects, more frequent reattendance in primary care and increased medicalization of self-limiting conditions [4].

Mark Lown, Kirsten A Smith, Ingrid Muller, Catherine Woods, Emma Maund, Kirsty Rogers, Taeko Becque, Gail Hayward, Michael Moore, Paul Little, Margaret Glogowska, Alastair Hay, Beth Stuart, Efi Mantzourani, Christopher R Wilcox, Natalie Thompson, Nick A Francis

J Med Internet Res 2023;25:e39791

Comparing Oral Versus Intravenous Antibiotics Administration for Cellulitis Infection: Protocol for a Systematic Review and Meta-Analysis

Comparing Oral Versus Intravenous Antibiotics Administration for Cellulitis Infection: Protocol for a Systematic Review and Meta-Analysis

Based on the prominent bacterial species possibly found in common cellulitis infections such as beta-hemolytic streptococci and staphylococci, gram-positive antibiotics covering these organisms have been the empiric drug of choice [3,4]. However, a wide range and different classes of antibiotics are available to fill this demand, and there have been no cohesive guidelines for standardization.

Raymond Yin, Jingyi Jiang, Yiyang Wang, Yuhao Jin, Eric Qian, Chenyang Yue, Coco Jiang, Michelle Wang, Kylie Xu, Xiaoyuan Zhou, Winston Hou

JMIR Res Protoc 2023;12:e48342

Prescribing Patterns of Oral Antibiotics and Isotretinoin for Acne in a Colorado Hospital System: Retrospective Cohort Study

Prescribing Patterns of Oral Antibiotics and Isotretinoin for Acne in a Colorado Hospital System: Retrospective Cohort Study

Guidelines established by the American Academy of Dermatology (AAD) recommend systemic antibiotics as first-line treatment for mild, moderate, and severe inflammatory acne, in combination with topical retinoids and benzoyl peroxide [1]. Monotherapy with systemic antibiotics is not recommended, and it is suggested that patients be re-evaluated every 3 to 4 months to limit antibiotic use to the shortest duration possible to avoid bacterial resistance [1].

Madeline J Adelman, Torunn E Sivesind, Isaac Weber, Grace Bosma, Camille Hochheimer, Chante Karimkhani, Lisa M Schilling, John S Barbieri, Robert P Dellavalle

JMIR Dermatol 2023;6:e42883