{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:33:15Z","timestamp":1787776395342,"version":"build-2784847793"},"reference-count":37,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":1536,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,31]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Over-prescription of antibiotics for common infective conditions is an important health issue. Infective conjunctivitis represents one of the most common eye-related complaints in general practice. Despite its self-limiting nature, there is evidence of frequent general practitioner (GP) antibiotic prescribing for this condition, which is inconsistent with evidence-based guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIM<\/jats:title>\n                    <jats:p>To investigate the prevalence and associations of GP registrars\u2019 (trainees\u2019) prescription of antibiotics for infective conjunctivitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We performed a cross-sectional analysis of the Registrar Encounters in Clinical Training (ReCEnT) ongoing prospective cohort study, which documents GP registrars\u2019 clinical consultations (involving collection of information from 60 consecutive consultations, at three points during registrar training). The outcome of the analyses was antibiotic prescription for a new diagnosis of conjunctivitis. Patient, registrar, practice and consultation variables were included in uni- and multivariable logistic regression analyses to test associations of these prescriptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>In total, 2333 registrars participated in 18 data collection rounds from 2010 to 2018. There were 1580 new cases of infective conjunctivitis (0.31% of all problems). Antibiotics (mainly topical) were prescribed in 1170 (74%) of these cases. Variables associated with antibiotic prescription included patients\u2019 Aboriginal or Torres Strait Islander status, registrar organisation of a follow up (both registrar and other GP follow up), and earlier registrar training term (more junior status).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>GP registrars, like established GPs, prescribe antibiotics for conjunctivitis in excess of guideline recommendations, but prescribing rates are lower in later training. These prescribing patterns have educational, social and economic consequences. Further educational strategies may enhance attenuation of registrars\u2019 prescribing during training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc20040","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T05:02:25Z","timestamp":1615179745000},"page":"5-14","source":"Crossref","is-referenced-by-count":13,"title":["Antibiotic prescribing patterns of general practice registrars for infective conjunctivitis: a cross-sectional analysis"],"prefix":"10.1071","volume":"13","author":[{"given":"Marcus D.","family":"Cherry","sequence":"first","affiliation":[{"name":"AUniversity of Newcastle, School of Medicine and Public Health, Faculty of Health and Medicine, Callaghan, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Tapley","sequence":"additional","affiliation":[{"name":"AUniversity of Newcastle, School of Medicine and Public Health, Faculty of Health and Medicine, Callaghan, New South Wales, Australia."},{"name":"BGP Synergy, General Practice Regional Training Organisation, NSW and ACT Research and Evaluation Unit, Newcastle, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"Quain","sequence":"additional","affiliation":[{"name":"AUniversity of Newcastle, School of Medicine and Public Health, Faculty of Health and Medicine, Callaghan, New South Wales, Australia."},{"name":"BGP Synergy, General Practice Regional Training Organisation, NSW and ACT Research and Evaluation Unit, Newcastle, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth G.","family":"Holliday","sequence":"additional","affiliation":[{"name":"AUniversity of Newcastle, School of Medicine and Public Health, Faculty of Health and Medicine, Callaghan, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Ball","sequence":"additional","affiliation":[{"name":"CHunter Medical Research Institute, Clinical Research Design IT and Statistical Support Unit, New Castle, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Davey","sequence":"additional","affiliation":[{"name":"AUniversity of Newcastle, School of Medicine and Public Health, Faculty of Health and Medicine, Callaghan, New South Wales, Australia."},{"name":"BGP Synergy, General Practice Regional Training Organisation, NSW and ACT Research and Evaluation Unit, Newcastle, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mieke L.","family":"van Driel","sequence":"additional","affiliation":[{"name":"DThe University of Queensland, Primary Care Clinical Unit, Faculty of Medicine, Brisbane, Queensland, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Fielding","sequence":"additional","affiliation":[{"name":"AUniversity of Newcastle, School of Medicine and Public Health, Faculty of Health and Medicine, Callaghan, New South Wales, Australia."},{"name":"BGP Synergy, General Practice Regional Training Organisation, NSW and ACT Research and Evaluation Unit, Newcastle, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Spike","sequence":"additional","affiliation":[{"name":"EEastern Victoria General Practice Training, Melbourne, Victoria, Australia."},{"name":"FDepartment of General Practice, University of Melbourne, Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"FitzGerald","sequence":"additional","affiliation":[{"name":"GGeneral Practice Training Tasmania, Hobart, Tasmania, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parker","family":"Magin","sequence":"additional","affiliation":[{"name":"AUniversity of Newcastle, School of Medicine and Public Health, Faculty of Health and Medicine, Callaghan, New South Wales, Australia."},{"name":"BGP Synergy, General Practice Regional Training Organisation, NSW and ACT Research and Evaluation Unit, Newcastle, New South Wales, Australia."},{"name":"HCorresponding author. Email: parker.magin@newcastle.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2021,3,8]]},"reference":[{"issue":"9","key":"2025111814134385700_R1","doi-asserted-by":"publisher","first-page":"401","DOI":"10.5694\/mja17.00574","article-title":"Reducing antibiotic prescribing in Australian general practice: time for a national strategy.","volume":"207","author":"Del Mar","year":"2017","journal-title":"Med J Aust."},{"key":"2025111814134385700_R2","unstructured":"eTG complete (digital). Melbourne: Therapeutic Guidelines Ltd; 2019. 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