Changes in antibiotic prescription following an education strategy for acute respiratory infections
Abstract The objective of this study was to assess the impact of an education intervention for primary health care physicians, based on the knowledge of clinical practice guidelines and availability of rapid antigen detection test for group A streptococci (GAS), on the improvement of antibiotic pres...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2021-06-01
|
| Series: | npj Primary Care Respiratory Medicine |
| Online Access: | https://doi.org/10.1038/s41533-021-00247-7 |
| _version_ | 1818694554940866560 |
|---|---|
| author | Eloisa Delsors Francisco Monsó Francisco Javier López-Román Juan Francisco Menárguez-Puche María Gonzalez-Barberá Hana Hukelova Maria Teresa Martínez-Ros Asensio López-Santiago |
| author_facet | Eloisa Delsors Francisco Monsó Francisco Javier López-Román Juan Francisco Menárguez-Puche María Gonzalez-Barberá Hana Hukelova Maria Teresa Martínez-Ros Asensio López-Santiago |
| author_sort | Eloisa Delsors |
| collection | DOAJ |
| description | Abstract The objective of this study was to assess the impact of an education intervention for primary health care physicians, based on the knowledge of clinical practice guidelines and availability of rapid antigen detection test for group A streptococci (GAS), on the improvement of antibiotic prescription for patients with acute respiratory tract infections. Before and after the intervention, physicians collected data from ten consecutive patients who attended during a 3-week period. This process was performed twice a year for 6 consecutive years (2012–2017). A total of 18,001 patients were visited by 391 primary care physicians during the study period, 55.6% before intervention and 44.4% after intervention. After intervention, the antibiotic prescription decreased significantly, from 33.0 to 23.4% (p < 0.01). However, there was a statistically significant increase (p < 0.01) in the use of penicillins. This study, carried out in daily practice conditions, confirms that the educational strategy was associated with an overall reduction in the use of antibiotics and an improvement in the antibiotic prescription profile in acute respiratory tract infections. |
| first_indexed | 2024-12-17T13:31:26Z |
| format | Article |
| id | doaj.art-14f333eaae87474e823e29e44aeded00 |
| institution | Directory Open Access Journal |
| issn | 2055-1010 |
| language | English |
| last_indexed | 2024-12-17T13:31:26Z |
| publishDate | 2021-06-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Primary Care Respiratory Medicine |
| spelling | doaj.art-14f333eaae87474e823e29e44aeded002022-12-21T21:46:33ZengNature Portfolionpj Primary Care Respiratory Medicine2055-10102021-06-013111610.1038/s41533-021-00247-7Changes in antibiotic prescription following an education strategy for acute respiratory infectionsEloisa Delsors0Francisco Monsó1Francisco Javier López-Román2Juan Francisco Menárguez-Puche3María Gonzalez-Barberá4Hana Hukelova5Maria Teresa Martínez-Ros6Asensio López-Santiago7Family Medicine, Primary Care Health Center Jesús Marín Molina de SeguraPediatric Primary Care, Primary Care Health Center Jesús MarínBiomedical Research Institute of Murcia (IMIB-Arrixaca)Family Medicine, Primary Care Health Center Jesús Marín Molina de SeguraFamily Medicine, Primary Care Health Center Alcantarilla SangoneraDirección General de Planificación, Investigación, Farmacia y Atención al CiudadanoFamily Medicine, Dirección General de Planificación, Investigación, Farmacia y Atención al CiudadanoFamily Medicine, Servicio Murciano de SaludAbstract The objective of this study was to assess the impact of an education intervention for primary health care physicians, based on the knowledge of clinical practice guidelines and availability of rapid antigen detection test for group A streptococci (GAS), on the improvement of antibiotic prescription for patients with acute respiratory tract infections. Before and after the intervention, physicians collected data from ten consecutive patients who attended during a 3-week period. This process was performed twice a year for 6 consecutive years (2012–2017). A total of 18,001 patients were visited by 391 primary care physicians during the study period, 55.6% before intervention and 44.4% after intervention. After intervention, the antibiotic prescription decreased significantly, from 33.0 to 23.4% (p < 0.01). However, there was a statistically significant increase (p < 0.01) in the use of penicillins. This study, carried out in daily practice conditions, confirms that the educational strategy was associated with an overall reduction in the use of antibiotics and an improvement in the antibiotic prescription profile in acute respiratory tract infections.https://doi.org/10.1038/s41533-021-00247-7 |
| spellingShingle | Eloisa Delsors Francisco Monsó Francisco Javier López-Román Juan Francisco Menárguez-Puche María Gonzalez-Barberá Hana Hukelova Maria Teresa Martínez-Ros Asensio López-Santiago Changes in antibiotic prescription following an education strategy for acute respiratory infections npj Primary Care Respiratory Medicine |
| title | Changes in antibiotic prescription following an education strategy for acute respiratory infections |
| title_full | Changes in antibiotic prescription following an education strategy for acute respiratory infections |
| title_fullStr | Changes in antibiotic prescription following an education strategy for acute respiratory infections |
| title_full_unstemmed | Changes in antibiotic prescription following an education strategy for acute respiratory infections |
| title_short | Changes in antibiotic prescription following an education strategy for acute respiratory infections |
| title_sort | changes in antibiotic prescription following an education strategy for acute respiratory infections |
| url | https://doi.org/10.1038/s41533-021-00247-7 |
| work_keys_str_mv | AT eloisadelsors changesinantibioticprescriptionfollowinganeducationstrategyforacuterespiratoryinfections AT franciscomonso changesinantibioticprescriptionfollowinganeducationstrategyforacuterespiratoryinfections AT franciscojavierlopezroman changesinantibioticprescriptionfollowinganeducationstrategyforacuterespiratoryinfections AT juanfranciscomenarguezpuche changesinantibioticprescriptionfollowinganeducationstrategyforacuterespiratoryinfections AT mariagonzalezbarbera changesinantibioticprescriptionfollowinganeducationstrategyforacuterespiratoryinfections AT hanahukelova changesinantibioticprescriptionfollowinganeducationstrategyforacuterespiratoryinfections AT mariateresamartinezros changesinantibioticprescriptionfollowinganeducationstrategyforacuterespiratoryinfections AT asensiolopezsantiago changesinantibioticprescriptionfollowinganeducationstrategyforacuterespiratoryinfections |