Relationship between antimicrobial-resistance programs and antibiotic dispensing for upper respiratory tract infection: An analysis of Australian data between 2004 and 2015
Objective NPS MedicineWise aims to ensure that medicines are prescribed and used in a manner consistent with current evidence-based best practice. A series of nationwide educational and advertising interventions for general practitioners and consumers were implemented in Australia between 2009 and 2...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-04-01
|
| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060517740813 |
| _version_ | 1819040570574635008 |
|---|---|
| author | Jianyun Wu Daniel Taylor Ludmila Ovchinikova Aine Heaney Tessa Morgan Jonathan Dartnell Rachel Holbrook Lauren Humphreys Lynn Weekes Suzanne Blogg |
| author_facet | Jianyun Wu Daniel Taylor Ludmila Ovchinikova Aine Heaney Tessa Morgan Jonathan Dartnell Rachel Holbrook Lauren Humphreys Lynn Weekes Suzanne Blogg |
| author_sort | Jianyun Wu |
| collection | DOAJ |
| description | Objective NPS MedicineWise aims to ensure that medicines are prescribed and used in a manner consistent with current evidence-based best practice. A series of nationwide educational and advertising interventions for general practitioners and consumers were implemented in Australia between 2009 and 2015 with the aim of reducing antibiotic prescriptions for upper respiratory tract infections (URTIs). The work described in this paper quantifies the change in antibiotic dispensing following these interventions. Methods Antibiotic dispensing data between 2004 and 2015 were obtained from a national claims database. A Bayesian structural time series model was used to forecast a series of antibiotic dispensing volumes expected to have occurred if the interventions had not taken place. These were compared with the volumes that were actually observed to estimate the intervention effect. Results On average, 126,536 fewer antibiotics were dispensed each month since the intervention programs began in 2009 (95% Bayesian credible interval = 71,580–181,490). This change represents a 14% total reduction in dispensed scripts after the series of intervention programs began in 2009. Conclusions Continual educational intervention programs that emphasise the judicious use of antibiotics may effectively reduce inappropriate prescribing of antibiotics for the treatment of URTIs at a national level. |
| first_indexed | 2024-12-21T09:11:12Z |
| format | Article |
| id | doaj.art-44eec65d88994aafa6d990c11515b5f7 |
| institution | Directory Open Access Journal |
| issn | 0300-0605 1473-2300 |
| language | English |
| last_indexed | 2024-12-21T09:11:12Z |
| publishDate | 2018-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-44eec65d88994aafa6d990c11515b5f72022-12-21T19:09:13ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002018-04-014610.1177/0300060517740813Relationship between antimicrobial-resistance programs and antibiotic dispensing for upper respiratory tract infection: An analysis of Australian data between 2004 and 2015Jianyun WuDaniel TaylorLudmila OvchinikovaAine HeaneyTessa MorganJonathan DartnellRachel HolbrookLauren HumphreysLynn WeekesSuzanne BloggObjective NPS MedicineWise aims to ensure that medicines are prescribed and used in a manner consistent with current evidence-based best practice. A series of nationwide educational and advertising interventions for general practitioners and consumers were implemented in Australia between 2009 and 2015 with the aim of reducing antibiotic prescriptions for upper respiratory tract infections (URTIs). The work described in this paper quantifies the change in antibiotic dispensing following these interventions. Methods Antibiotic dispensing data between 2004 and 2015 were obtained from a national claims database. A Bayesian structural time series model was used to forecast a series of antibiotic dispensing volumes expected to have occurred if the interventions had not taken place. These were compared with the volumes that were actually observed to estimate the intervention effect. Results On average, 126,536 fewer antibiotics were dispensed each month since the intervention programs began in 2009 (95% Bayesian credible interval = 71,580–181,490). This change represents a 14% total reduction in dispensed scripts after the series of intervention programs began in 2009. Conclusions Continual educational intervention programs that emphasise the judicious use of antibiotics may effectively reduce inappropriate prescribing of antibiotics for the treatment of URTIs at a national level.https://doi.org/10.1177/0300060517740813 |
| spellingShingle | Jianyun Wu Daniel Taylor Ludmila Ovchinikova Aine Heaney Tessa Morgan Jonathan Dartnell Rachel Holbrook Lauren Humphreys Lynn Weekes Suzanne Blogg Relationship between antimicrobial-resistance programs and antibiotic dispensing for upper respiratory tract infection: An analysis of Australian data between 2004 and 2015 Journal of International Medical Research |
| title | Relationship between antimicrobial-resistance programs and antibiotic dispensing for upper respiratory tract infection: An analysis of Australian data between 2004 and 2015 |
| title_full | Relationship between antimicrobial-resistance programs and antibiotic dispensing for upper respiratory tract infection: An analysis of Australian data between 2004 and 2015 |
| title_fullStr | Relationship between antimicrobial-resistance programs and antibiotic dispensing for upper respiratory tract infection: An analysis of Australian data between 2004 and 2015 |
| title_full_unstemmed | Relationship between antimicrobial-resistance programs and antibiotic dispensing for upper respiratory tract infection: An analysis of Australian data between 2004 and 2015 |
| title_short | Relationship between antimicrobial-resistance programs and antibiotic dispensing for upper respiratory tract infection: An analysis of Australian data between 2004 and 2015 |
| title_sort | relationship between antimicrobial resistance programs and antibiotic dispensing for upper respiratory tract infection an analysis of australian data between 2004 and 2015 |
| url | https://doi.org/10.1177/0300060517740813 |
| work_keys_str_mv | AT jianyunwu relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT danieltaylor relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT ludmilaovchinikova relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT aineheaney relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT tessamorgan relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT jonathandartnell relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT rachelholbrook relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT laurenhumphreys relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT lynnweekes relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 AT suzanneblogg relationshipbetweenantimicrobialresistanceprogramsandantibioticdispensingforupperrespiratorytractinfectionananalysisofaustraliandatabetween2004and2015 |