Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry
Antibiotic stewardship aims to tackle the global problem of drug-resistant infections by promoting the responsible use of antibiotics. Most antibiotics are prescribed in primary care and widespread overprescribing has been reported, including 80% in dentistry. This review aimed to identify outcomes...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-09-01
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| Series: | Antibiotics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2079-6382/9/9/607 |
| _version_ | 1827706190097809408 |
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| author | Leanne Teoh Alastair J Sloan Michael J McCullough Wendy Thompson |
| author_facet | Leanne Teoh Alastair J Sloan Michael J McCullough Wendy Thompson |
| author_sort | Leanne Teoh |
| collection | DOAJ |
| description | Antibiotic stewardship aims to tackle the global problem of drug-resistant infections by promoting the responsible use of antibiotics. Most antibiotics are prescribed in primary care and widespread overprescribing has been reported, including 80% in dentistry. This review aimed to identify outcomes measured in studies evaluating antibiotic stewardship across primary healthcare. An umbrella review was undertaken across medicine and a systematic review in dentistry. Systematic searches of Ovid Medline, Ovid Embase and Web of Science were undertaken. Two authors independently selected and quality assessed the included studies (using Critical Appraisal Skills Programme for the umbrella review and Quality Assessment Tool for Studies with Diverse Designs for the systematic review). Metrics used to evaluate antibiotic stewardship programmes and interventions were extracted and categorized. Comparisons between medical and dental settings were made. Searches identified 2355 medical and 2704 dental studies. After screening and quality assessment, ten and five studies, respectively, were included. Three outcomes were identified across both medical and dental studies: All focused on antibiotic usage. Four more outcomes were found only in medical studies: these measured patient outcomes, such as adverse effects. To evaluate antibiotic stewardship programmes and interventions across primary healthcare settings, measures of antibiotic use and patient outcomes are recommended. |
| first_indexed | 2024-03-10T16:19:07Z |
| format | Article |
| id | doaj.art-f436e142ef8a43b387e1ebc68809dc0e |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-10T16:19:07Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-f436e142ef8a43b387e1ebc68809dc0e2023-11-20T13:53:38ZengMDPI AGAntibiotics2079-63822020-09-019960710.3390/antibiotics9090607Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of DentistryLeanne Teoh0Alastair J Sloan1Michael J McCullough2Wendy Thompson3Melbourne Dental School, University of Melbourne, Carlton, Victoria 3053, AustraliaMelbourne Dental School, University of Melbourne, Carlton, Victoria 3053, AustraliaMelbourne Dental School, University of Melbourne, Carlton, Victoria 3053, AustraliaDivision of Dentistry, University of Manchester, Manchester M13 9PL, UKAntibiotic stewardship aims to tackle the global problem of drug-resistant infections by promoting the responsible use of antibiotics. Most antibiotics are prescribed in primary care and widespread overprescribing has been reported, including 80% in dentistry. This review aimed to identify outcomes measured in studies evaluating antibiotic stewardship across primary healthcare. An umbrella review was undertaken across medicine and a systematic review in dentistry. Systematic searches of Ovid Medline, Ovid Embase and Web of Science were undertaken. Two authors independently selected and quality assessed the included studies (using Critical Appraisal Skills Programme for the umbrella review and Quality Assessment Tool for Studies with Diverse Designs for the systematic review). Metrics used to evaluate antibiotic stewardship programmes and interventions were extracted and categorized. Comparisons between medical and dental settings were made. Searches identified 2355 medical and 2704 dental studies. After screening and quality assessment, ten and five studies, respectively, were included. Three outcomes were identified across both medical and dental studies: All focused on antibiotic usage. Four more outcomes were found only in medical studies: these measured patient outcomes, such as adverse effects. To evaluate antibiotic stewardship programmes and interventions across primary healthcare settings, measures of antibiotic use and patient outcomes are recommended.https://www.mdpi.com/2079-6382/9/9/607antimicrobial stewardshipantimicrobial resistanceprimary caremedicaldentaloutcome assessment |
| spellingShingle | Leanne Teoh Alastair J Sloan Michael J McCullough Wendy Thompson Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry Antibiotics antimicrobial stewardship antimicrobial resistance primary care medical dental outcome assessment |
| title | Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry |
| title_full | Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry |
| title_fullStr | Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry |
| title_full_unstemmed | Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry |
| title_short | Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry |
| title_sort | measuring antibiotic stewardship programmes and initiatives an umbrella review in primary care medicine and a systematic review of dentistry |
| topic | antimicrobial stewardship antimicrobial resistance primary care medical dental outcome assessment |
| url | https://www.mdpi.com/2079-6382/9/9/607 |
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