Publications by authors named "M W Hulscher"
Objectives: In the intensive care unit (ICU), antibiotics are often given longer than recommended in guidelines. A better understanding of the factors influencing antibiotic therapy duration is needed to develop improvement strategies to effectively address these drivers of excessive duration. This study aimed to explore the determinants of adherence to recommended antibiotic therapy durations among healthcare professionals involved in antibiotic decision-making within the ICU, focusing on multidisciplinary meetings (MDMs).
View Article and Find Full Text PDFBackground: Vaccinations are a cornerstone of public health. However, reluctance to accepting vaccines is common. Using longitudinal data, we investigated which individual and contextual factors were associated with switching preferences from initial hesitancy or unwillingness toward acceptance of a first COVID-19 vaccination.
View Article and Find Full Text PDFIntroduction: In high tuberculosis (TB) burden countries, the private sector manages a large proportion of initial visits by presumptive patients with TB. In Indonesia, the second largest contributor of TB cases globally, private practitioners (PPs) often do not adhere to national TB guidelines. A district public-private mix programme to mitigate this issue was started in 2019, yet engagement remains low.
View Article and Find Full Text PDFArticle Synopsis
- COVID-19 emerged as a global pandemic in December 2019, leading to significant hospitalizations and deaths, and the development of non-mandatory vaccinations in the Netherlands aimed at empowering informed decision-making through reliable information.
- An online COVID-19 vaccination decision aid (DA) was created following a user-centered design approach, involving three phases of development and feedback from end-users and experts to ensure accessibility and effectiveness for individuals with low literacy.
- The DA was successfully developed in 14 weeks, featuring modules for information provision, decision support, and action facilitation, and was widely disseminated in May 2021, reaching a diverse audience across the Netherlands.
Objectives: Evidence on the optimal frequency of laboratory testing during outpatient parenteral antimicrobial therapy (OPAT) is lacking. Therefore, we investigated how often and when laboratory abnormalities occur during OPAT and which factors are associated with these abnormalities.
Methods: We performed a multicenter cohort study in four Dutch hospitals among adult patients receiving OPAT and collected routinely obtained laboratory test results.