Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium

Hans De Loof,1 Ellen De Win,1 Nathalie Moens,1 Veronique Verhoeven,2 Paul Van Royen,2 Elke O Kreps,3 Hilde Philips2 1Laboratory of Physiopharmacology, Department of Pharmaceutical Sciences, University of Antwerp, Antwerp, Belgium; 2Research Group, Primary and Interdisciplinary Care (ELIZA), Departme...

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Autores principales:	De Loof H, De Win E, Moens N, Verhoeven V, Van Royen P, Kreps EO, Philips H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	antibiotics conjunctivitis drug utilization research referral process Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a18fbae1d2a14db3a90ea91f6613c2b1
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spelling	oai:doaj.org-article:a18fbae1d2a14db3a90ea91f6613c2b12021-11-23T18:43:01ZOverprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium1179-1365https://doaj.org/article/a18fbae1d2a14db3a90ea91f6613c2b12021-11-01T00:00:00Zhttps://www.dovepress.com/overprescribing-of-topical-ocular-corticosteroids-and-antibiotics-in-o-peer-reviewed-fulltext-article-DHPShttps://doaj.org/toc/1179-1365Hans De Loof,1 Ellen De Win,1 Nathalie Moens,1 Veronique Verhoeven,2 Paul Van Royen,2 Elke O Kreps,3 Hilde Philips2 1Laboratory of Physiopharmacology, Department of Pharmaceutical Sciences, University of Antwerp, Antwerp, Belgium; 2Research Group, Primary and Interdisciplinary Care (ELIZA), Department Family Medicine and Population Health (FAMPOP) University of Antwerp, Antwerp, Belgium; 3Department of Ophthalmology, Ghent University Hospital, Ghent, BelgiumCorrespondence: Hans De LoofLaboratory of Physiopharmacology, Department of Pharmaceutical Sciences, University of Antwerp, Universiteitsplein 1, Antwerp, B-2610, BelgiumTel +32 3 265 91 39Email hans.deloof@uantwerpen.beAbstract: Prescribing patterns by primary care physicians concerning ophthalmic problems were studied using the iCAREdata, a database containing information from the out-of-hours care setting in the Flanders region of Belgium. A very high percentage of prescribed ophthalmic medication was topical antibiotics (89.4%) with tobramycin as the most prevalent substance and in clear conflict with the prevailing guidelines. In addition, a very substantial fraction of prescribed medication contained corticosteroids (30.4%). This is a potentially unsafe option within the technical infrastructure of this setting, which limits the diagnostic possibilities concerning viral infections or preexisting glaucoma risk. We conclude that more efforts are required to limit unnecessary and inappropriate prescribing behavior to further promote patient safety.Keywords: antibiotics, conjunctivitis, drug utilization research, referral processDe Loof HDe Win EMoens NVerhoeven VVan Royen PKreps EOPhilips HDove Medical Pressarticleantibioticsconjunctivitisdrug utilization researchreferral processMedicine (General)R5-920ENDrug, Healthcare and Patient Safety, Vol Volume 13, Pp 229-232 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antibiotics conjunctivitis drug utilization research referral process Medicine (General) R5-920
spellingShingle	antibiotics conjunctivitis drug utilization research referral process Medicine (General) R5-920 De Loof H De Win E Moens N Verhoeven V Van Royen P Kreps EO Philips H Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium
description	Hans De Loof,1 Ellen De Win,1 Nathalie Moens,1 Veronique Verhoeven,2 Paul Van Royen,2 Elke O Kreps,3 Hilde Philips2 1Laboratory of Physiopharmacology, Department of Pharmaceutical Sciences, University of Antwerp, Antwerp, Belgium; 2Research Group, Primary and Interdisciplinary Care (ELIZA), Department Family Medicine and Population Health (FAMPOP) University of Antwerp, Antwerp, Belgium; 3Department of Ophthalmology, Ghent University Hospital, Ghent, BelgiumCorrespondence: Hans De LoofLaboratory of Physiopharmacology, Department of Pharmaceutical Sciences, University of Antwerp, Universiteitsplein 1, Antwerp, B-2610, BelgiumTel +32 3 265 91 39Email hans.deloof@uantwerpen.beAbstract: Prescribing patterns by primary care physicians concerning ophthalmic problems were studied using the iCAREdata, a database containing information from the out-of-hours care setting in the Flanders region of Belgium. A very high percentage of prescribed ophthalmic medication was topical antibiotics (89.4%) with tobramycin as the most prevalent substance and in clear conflict with the prevailing guidelines. In addition, a very substantial fraction of prescribed medication contained corticosteroids (30.4%). This is a potentially unsafe option within the technical infrastructure of this setting, which limits the diagnostic possibilities concerning viral infections or preexisting glaucoma risk. We conclude that more efforts are required to limit unnecessary and inappropriate prescribing behavior to further promote patient safety.Keywords: antibiotics, conjunctivitis, drug utilization research, referral process
format	article
author	De Loof H De Win E Moens N Verhoeven V Van Royen P Kreps EO Philips H
author_facet	De Loof H De Win E Moens N Verhoeven V Van Royen P Kreps EO Philips H
author_sort	De Loof H
title	Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium
title_short	Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium
title_full	Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium
title_fullStr	Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium
title_full_unstemmed	Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium
title_sort	overprescribing of topical ocular corticosteroids and antibiotics in out-of-hours primary care in belgium
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/a18fbae1d2a14db3a90ea91f6613c2b1
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Overprescribing of Topical Ocular Corticosteroids and Antibiotics in Out-of-Hours Primary Care in Belgium

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