Antibiotic adherence in dermatologic surgery: a Multicenter prospective cohort study

Understanding patient non-adherence to prescribed antibiotics can inform clinical practices, patient counseling, and antibiotic efficacy study design in dermatology. The primary objective was to determine the rate of and reasons for antibiotic non-adherence in the dermatologic surgery setting. The s...

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Published inArchives of dermatological research Vol. 316; no. 5; p. 174
Main Authors Veerabagu, Surya A., Aizman, Leora, Cheng, Brian, Lee, Michael P, Barbieri, John S., Golda, Nicholas, Carrington, Alexis E., Mitevski, Allison Weinkle, Bittar, Peter, Carr, David R., Eisen, Daniel B., Somani, Ally-Khan, Miller, Christopher J., Sobanko, Joseph F., Shin, Thuzar M., Higgins II, H. William, Giordano, Cerrene N., Etzkorn, Jeremy R.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 17.05.2024
Subjects
Adult
Aged
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Dermatologic Surgical Procedures - adverse effects
Dermatology
Female
Humans
Male
Medication Adherence - statistics & numerical data
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Prospective Studies
Surgical Wound Infection - epidemiology
Surgical Wound Infection - prevention & control
Surveys and Questionnaires - statistics & numerical data
United States
United States
Dermatologic surgery
Antibiotics
Antibiotic adherence
Antibiotic compliance
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Abstract Understanding patient non-adherence to prescribed antibiotics can inform clinical practices, patient counseling, and antibiotic efficacy study design in dermatology. The primary objective was to determine the rate of and reasons for antibiotic non-adherence in the dermatologic surgery setting. The secondary objective was to test the applicability of previously studied survey questions for antibiotic non-adherence screening in the dermatologic surgery setting. Five academic outpatient dermatologic surgery centers across the United States conducted one multicenter prospective cohort study. Dermatologic surgery patients ≥ 18 years of age who were prescribed an antibiotic were included as part of this study. 15.2% (42/276) of patients did not adhere to their antibiotic regimen after dermatologic surgery. Most common reasons for incomplete antibiotic courses included forgotten antibiotics (42.9%,18/42) and side effects (28.6%, 12/42). Previously evaluated questions to identify and predict non-adherence had modest performance in the dermatologic surgery setting (Area under the curve of 0.669 [95% CI (0.583–0.754)]). Antibiotic non-adherence after skin surgery is prevalent and commonly due to reasons that physicians can address with patients.
AbstractList Understanding patient non-adherence to prescribed antibiotics can inform clinical practices, patient counseling, and antibiotic efficacy study design in dermatology. The primary objective was to determine the rate of and reasons for antibiotic non-adherence in the dermatologic surgery setting. The secondary objective was to test the applicability of previously studied survey questions for antibiotic non-adherence screening in the dermatologic surgery setting. Five academic outpatient dermatologic surgery centers across the United States conducted one multicenter prospective cohort study. Dermatologic surgery patients ≥ 18 years of age who were prescribed an antibiotic were included as part of this study. 15.2% (42/276) of patients did not adhere to their antibiotic regimen after dermatologic surgery. Most common reasons for incomplete antibiotic courses included forgotten antibiotics (42.9%,18/42) and side effects (28.6%, 12/42). Previously evaluated questions to identify and predict non-adherence had modest performance in the dermatologic surgery setting (Area under the curve of 0.669 [95% CI (0.583-0.754)]). Antibiotic non-adherence after skin surgery is prevalent and commonly due to reasons that physicians can address with patients.
Understanding patient non-adherence to prescribed antibiotics can inform clinical practices, patient counseling, and antibiotic efficacy study design in dermatology. The primary objective was to determine the rate of and reasons for antibiotic non-adherence in the dermatologic surgery setting. The secondary objective was to test the applicability of previously studied survey questions for antibiotic non-adherence screening in the dermatologic surgery setting. Five academic outpatient dermatologic surgery centers across the United States conducted one multicenter prospective cohort study. Dermatologic surgery patients ≥ 18 years of age who were prescribed an antibiotic were included as part of this study. 15.2% (42/276) of patients did not adhere to their antibiotic regimen after dermatologic surgery. Most common reasons for incomplete antibiotic courses included forgotten antibiotics (42.9%,18/42) and side effects (28.6%, 12/42). Previously evaluated questions to identify and predict non-adherence had modest performance in the dermatologic surgery setting (Area under the curve of 0.669 [95% CI (0.583-0.754)]). Antibiotic non-adherence after skin surgery is prevalent and commonly due to reasons that physicians can address with patients.Understanding patient non-adherence to prescribed antibiotics can inform clinical practices, patient counseling, and antibiotic efficacy study design in dermatology. The primary objective was to determine the rate of and reasons for antibiotic non-adherence in the dermatologic surgery setting. The secondary objective was to test the applicability of previously studied survey questions for antibiotic non-adherence screening in the dermatologic surgery setting. Five academic outpatient dermatologic surgery centers across the United States conducted one multicenter prospective cohort study. Dermatologic surgery patients ≥ 18 years of age who were prescribed an antibiotic were included as part of this study. 15.2% (42/276) of patients did not adhere to their antibiotic regimen after dermatologic surgery. Most common reasons for incomplete antibiotic courses included forgotten antibiotics (42.9%,18/42) and side effects (28.6%, 12/42). Previously evaluated questions to identify and predict non-adherence had modest performance in the dermatologic surgery setting (Area under the curve of 0.669 [95% CI (0.583-0.754)]). Antibiotic non-adherence after skin surgery is prevalent and commonly due to reasons that physicians can address with patients.
ArticleNumber 174
Author Veerabagu, Surya A.
Sobanko, Joseph F.
Lee, Michael P
Giordano, Cerrene N.
Bittar, Peter
Somani, Ally-Khan
Shin, Thuzar M.
Golda, Nicholas
Mitevski, Allison Weinkle
Etzkorn, Jeremy R.
Eisen, Daniel B.
Carr, David R.
Aizman, Leora
Carrington, Alexis E.
Barbieri, John S.
Miller, Christopher J.
Higgins II, H. William
Cheng, Brian
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  organization: Department of Dermatology, University of New Mexico
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  givenname: Leora
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  surname: Cheng
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  organization: Department of Medicine, Indiana University
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  organization: Department of Dermatology, Indiana University School of Medicine
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  organization: Division of Dermatology, The Ohio State University
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  surname: Miller
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  surname: Etzkorn
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  organization: Department of Dermatology, Hospital of the University of Pennsylvania
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Issue 5
Keywords Dermatologic surgery
Antibiotics
Antibiotic adherence
Antibiotic compliance
Language English
License 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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Snippet Understanding patient non-adherence to prescribed antibiotics can inform clinical practices, patient counseling, and antibiotic efficacy study design in...
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StartPage 174
SubjectTerms Adult
Aged
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Dermatologic Surgical Procedures - adverse effects
Dermatology
Female
Humans
Male
Medication Adherence - statistics & numerical data
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Prospective Studies
Surgical Wound Infection - epidemiology
Surgical Wound Infection - prevention & control
Surveys and Questionnaires - statistics & numerical data
United States
Title Antibiotic adherence in dermatologic surgery: a Multicenter prospective cohort study
URI https://link.springer.com/article/10.1007/s00403-024-02912-6
https://www.ncbi.nlm.nih.gov/pubmed/38758250
https://www.proquest.com/docview/3056665894
Volume 316
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