Format

Send to

Choose Destination
Health Place. 2018 Sep;53:10-16. doi: 10.1016/j.healthplace.2018.07.004. Epub 2018 Jul 19.

Antibiotic prescribing patterns in general medical practices in England: Does area matter?

Author information

1
Greater Manchester Connected Health Cities, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester M13 9PL, UK. Electronic address: anna.molter@manchester.ac.uk.
2
Greater Manchester Connected Health Cities, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester M13 9PL, UK.
3
NHS Greater Manchester Shared Service, Ellen House, Waddington Street, Oldham OL9 6 EE, UK.
4
Public Health England North West, 3 Piccadilly Place, London Road, Manchester M1 3BN, UK.

Abstract

Antimicrobial resistance is an important public health concern. As most antibiotics are prescribed in primary care, understanding prescribing patterns in General Medical (GP) practices is vital. The aim of this study was a spatial pattern analysis of antibiotic prescribing rates in GP practices in England and to examine the association of potential clusters with area level socio-economic deprivation. The pattern analysis identified a number of hot and cold spots of antibiotic prescribing, with hot spots predominantly in the North of England. Spatial regression showed that patient catchments of hot spot practices were significantly more deprived than patient catchments of cold spot practices, especially in the domains of income, employment, education and health. This study suggests the presence of area level drivers resulting in clusters of high and low prescribing. Consequently, area level strategies may be needed for antimicrobial stewardship rather than national level strategies.

KEYWORDS:

Antibiotics; Cluster analysis; Deprivation; General practice; Prescribing rate

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center