Factors Affecting Decision-Making on Antibiotic Use for Upper Respiratory Infections Among General Practitioners and Patients in the Northern Dutch-German Border Area: A Qualitative Analysis - Takeaways - MDSpire

Factors Affecting Decision-Making on Antibiotic Use for Upper Respiratory Infections Among General Practitioners and Patients in the Northern Dutch-German Border Area: A Qualitative Analysis

  • By

  • Vaitiare Mulderij-Jansen

  • Aida Bedri

  • Till Herdeg

  • Mieke Andre

  • Luuk Holterman

  • Marit Boer

  • Michael H. Freitag

  • Adriana Tami

  • Nienke Beerlage-de Jong

  • March 2, 2026

  • 0 min

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  • 1

    Antimicrobial resistance poses a significant global health threat, causing an estimated 700,000 deaths annually and potentially rising to 10 million by 2050.

  • 2

    The northern Dutch-German border region experiences increasing antibiotic prescription rates, particularly for upper respiratory tract infections, despite many being viral.

  • 3

    Inappropriate antibiotic prescribing for URTIs remains prevalent, with 46% of prescriptions in the Netherlands deviating from established guidelines.

  • 4

    Factors influencing antibiotic prescribing include patient demographics, GP experience, perceived patient pressure, and miscommunication about patient expectations.

  • 5

    This study aims to explore the decision-making processes of GPs and patients regarding antibiotic use for URTIs in the Ems-Dollart cross-border region.

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