Evidence map›Paper›PMID 11412556›Full record

ArticleAtencion primaria2001

[Suitability of antibiotic prescription in primary care in the Basque Autonomous Community].

R Rotaeche del Campo, D Vicente Anza, C Mozo Avellaned, A Etxeberria Agirre, L López Navares, C Olasagasti Caballero, M Barandiaran Forcada, P Iturrioz Rosell, M Larrañaga Padilla, E Valverde Bilbao

Open access · greenAbstract readEnglish Abstract
In one paragraph

Article in Atencion primaria, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

R Rotaeche del CampoCentros de Salud de Alza y Hernani. Comarca Guipúzcoa Este. Complejo Hospitalario Donostia. San Sebastián. Médico de Familia. rrotaechec@nexo.es
D Vicente Anza
C Mozo Avellaned
A Etxeberria Agirre
L López Navares
C Olasagasti Caballero
M Barandiaran Forcada
P Iturrioz Rosell
M Larrañaga Padilla
E Valverde Bilbao
Biogipuzkoa Health Research Institute · ESPoliclínica Gipuzkoa · ESDonostiako Unibertsitate Ospitalea · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the variability and suitability of antibiotic prescription in primary care in the Basque Country.

designProspective, descriptive study.

settingBasque Country health care centres both within and not in the reformed network. MEASUREMENTS AND MAIN

results3182 infections from consultations for infectious disease were studied through sampling stratified by health area during February, March and April 1998. The appropriateness of antibiotics (ATB) prescription was compared with some standards after an extensive bibliographic review. 68.6% of consultations were infections not needing ATB (infections of respiratory airways, acute bronchitis, flu and gastro-enteritis). ATB were used in 28.5% of these cases (CI: 26.6-30.5), especially in acute bronchitis (90.7%) (CI: 87.3-93.4). Unnecessary prescription supposes 39.7% of total antibiotic prescription (CI: 37.2-42.1%), which means unnecessary annual expenditure of 1155 million pesetas. In 31.4% of the infections that require ATB treatment, in 23.7% inappropriate treatment was chosen (CI: 21-26.7%). Overall appropriateness of treatment was 72.2% (CI: 70.6-73.8). Working in the reformed system was linked to better prescription in all cases. Paediatricians prescribed better in the case of infections not susceptible to ATB treatment.

conclusionsATB prescription is not consistent with the available scientific evidence. Incorrect treatments occur especially in benign and self-limiting processes. A local policy of ATB use that includes multi-disciplinary collaboration and effective ongoing training is necessary.

Indexed as

AdultAnti-Bacterial AgentsChildDrug UtilizationHumansPrimary Health CareProspective StudiesSpainSurveys and QuestionnairesAnti-Bacterial Agents

Identifiers

PMID11412556
PMCPMC7688699
OpenAlexW2045078007

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.