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Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings.

Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings. PLoS ONE. 2022;17(7):e0271454. doi: 10.1371/journal.pone.0271454.

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August 10, 2022
Parker H, Frost J, Day J, et al. PLoS ONE. 2022;17(7):e0271454.

Prophylactic antimicrobials are frequently prescribed for surgical patients despite the risks of antimicrobial overuse (e.g., resistance). This review summarizes how and why antimicrobials continue to be prescribed in surgical settings despite evidence of overuse. Eight overarching concepts were identified: hierarchy; fear drives action; deprioritized; convention trumps evidence; complex judgments; discontinuity of care; team dynamics; and practice environment.

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Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings. PLoS ONE. 2022;17(7):e0271454. doi: 10.1371/journal.pone.0271454.