TY - JOUR AU - Sanchez, Guillermo AU - Roberts, Rebecca AU - Albert, Alison AU - Johnson, Darcia AU - Hicks, Lauri T1 - Effects of Knowledge, Attitudes, and Practices of Primary Care Providers on Antibiotic Selection, United States T2 - Emerging Infectious Disease journal PY - 2014 VL - 20 IS - 12 SP - 2041 SN - 1080-6059 AB - Appropriate selection of antibiotic drugs is critical to optimize treatment of infections and limit the spread of antibiotic resistance. To better inform public health efforts to improve prescribing of antibiotic drugs, we conducted in-depth interviews with 36 primary care providers in the United States (physicians, nurse practitioners, and physician assistants) to explore knowledge, attitudes, and self-reported practices regarding antibiotic drug resistance and antibiotic drug selection for common infections. Participants were generally familiar with guideline recommendations for antibiotic drug selection for common infections, but did not always comply with them. Reasons for nonadherence included the belief that nonrecommended agents are more likely to cure an infection, concern for patient or parent satisfaction, and fear of infectious complications. Providers inconsistently defined broad- and narrow-spectrum antibiotic agents. There was widespread concern for antibiotic resistance; however, it was not commonly considered when selecting therapy. Strategies to encourage use of first-line agents are needed in addition to limiting unnecessary prescribing of antibiotic drugs. KW - Antibacterial drugs KW - resistance KW - antimicrobial KW - antibiotics KW - prescribing KW - qualitative research KW - interviews KW - community KW - physician assistant KW - nurse practitioner KW - respiratory tract infections KW - primary care provider KW - PCP KW - United States DO - 10.3201/eid2012.140331 UR - https://wwwnc.cdc.gov/eid/article/20/12/14-0331_article ER - End of Reference