| Autor: |
Llor, Carl, Bjerrum, Lars, Molero, José M, Moragas, Ana, González López-Valcárcel, Beatriz, Monedero, M José, Gómez, Manuel, Cid, Marina, Alcántara, Juan de Dios, Cots, Josep M, Ribas, Joana M, García, Guillermo, Ortega, Jesús, Pineda, Vicenta, Guerra, Gloria, Munuera, Susana, HAPPY AUDIT 3 Study Team |
| Předmět: |
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| Zdroj: |
Journal of Antimicrobial Chemotherapy (JAC); Aug2018, Vol. 73 Issue 8, p2215-2222, 8p |
| Abstrakt: |
Objectives: Few studies have evaluated the long-term effects of educational interventions on antibiotic prescription and the results are controversial. This study was aimed at assessing the effect of a multifaceted practice-based intervention carried out 6 years earlier on current antibiotic prescription for respiratory tract infections (RTIs).Methods: The 210 general practitioners (GPs) who completed the first two registrations in 2008 and 2009 were invited to participate in a third registration. The intervention held before the second registration consisted of discussion about the first registration of results, appropriate use of antibiotics for RTIs, patient brochures, a workshop and the provision of rapid tests. As in the previous registrations, GPs were instructed to complete a template for all the patients with RTIs during 15 working days in 2015. A new group of GPs from the same areas was also invited to participate and acted as controls. A multilevel logistic regression analysis was performed considering the prescription of antibiotics as the dependent variable.Results: A total of 121 GPs included in the 2009 intervention (57.6%) and 117 control GPs registered 22 247 RTIs. On adjustment for covariables, compared with the antibiotic prescription observed just after the intervention, GPs assigned to intervention prescribed slightly more antibiotics 6 years later albeit without statistically significant differences (OR 1.08, 95% CI 0.89-1.31, P = 0.46), while GPs in the control group prescribed significantly more antibiotics (OR 2.74, 95% CI 2.09-3.59, P < 0.001).Conclusions: This study shows that a single multifaceted intervention continues to reduce antibiotic prescribing 6 years later. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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