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Development of the Eerstelijns Antibioticascan, an instrument that monitors antibiotic prescribing by Dutch general practitioners across 188 diagnoses, in general practice and in out-of-hours primary care. Prescribing was assessed against the NHG guidelines on three dimensions: how often an antibiotic is prescribed, which antibiotic is chosen, and the duration and dosage prescribed. The analysis used routine electronic health record data from 287 to 384 general practices and 26 to 28 out-of-hours organisations participating in Nivel Zorgregistraties Eerste Lijn over the years 2018 to 2021.
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Tackling antibiotic resistance by scanning antibiotic prescription patterns in primary care and identifying targets for improvement