ArticleEuropean journal of clinical pharmacology2006
Effect of intervention promoting a reduction in antibiotic prescribing by improvement of diagnostic procedures: a prospective, before and after study in general practice.
Article in European journal of clinical pharmacology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Reduction of antibiotic prescriptions for acute respiratory tract infections in primary care: a systematic review.Implementation science : IS · 2018Pooled it
- Educational interventions to improve prescription and dispensing of antibiotics: a systematic review.BMC public health · 2014Pooled it
- Estimating cost savings from reducing antibiotic overprescription in european general practices.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Effect of Combination of Point-of-Care C-Reactive Protein Testing and General Practitioner Education and Long-Term Effect of Education on Reducing Antibiotic Prescribing for Children Presenting with Acute Infections in General Practice in Latvia: A Randomized Controlled Intervention Study.Antibiotics (Basel, Switzerland) · 2024Article
- Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact.Antibiotics (Basel, Switzerland) · 2022Review
- The comparative interrupted time series design for assessment of diagnostic impact: methodological considerations and an example using point-of-care C-reactive protein testing.Diagnostic and prognostic research · 2022Article
- Changes in antibiotic prescription following an education strategy for acute respiratory infections.NPJ primary care respiratory medicine · 2021Article
- A retrospective audit of antibiotic prescriptions in primary health-care facilities in Eastern Region, Ghana.Health policy and planning · 2016Article
- Effectiveness of physician-targeted interventions to improve antibiotic use for respiratory tract infections.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Review
- Antibiotic resistance amongst healthcare-associated pathogens in China.International journal of antimicrobial agents · 2012Review
- Revisiting current "barefoot doctors" in border areas of China: system of services, financial issue and clinical practice prior to introducing integrated management of childhood illness (IMCI).BMC public health · 2012Article
- Diagnosis and management of acute pharyngitis in a paediatric population: a cost-effectiveness analysis.European journal of pediatrics · 2011Article
- [Happy Audit study. Management of a project on respiratory infection financed by the European community].Atencion primaria · 2008Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate if an intervention aimed at improving the quality of the diagnostic procedures in Spanish general practice could lower antibiotic prescribing in patients with respiratory tract infections (RTIs).
methodsGPs in the intervention group (n=17) registered all patients with RTIs during a 3-week period before and after the intervention. The intervention was aimed at reducing prescribing of inappropriate antibiotics for RTIs by improving the diagnostic procedures and thereby helping the GPs to distinguish between bacterial and viral infections. It consisted of courses in management of RTI according to local clinical guidelines, and included implementation of two rapid diagnostic tests (StrepA and CRP measurement). Diagnoses and prescribing of antibiotics were assessed before and after the intervention, and compared to a control group not exposed to intervention (35 GPs).
resultsThe intervention led to a significant reduction in antibiotic prescribing. Before the intervention 36% (29%-44%) of consultations were followed by antibiotic prescribing, after the intervention 24% (20%-29%). Antibiotic prescribing in the control group not exposed to intervention was 32% (27%-38%). The reduction was most pronounced in patients with sinusitis and lower RTIs.
conclusionQuality improvement of diagnostic procedures may lead to a reduction of antibiotic prescribing in primary health care in Spain.
Indexed as
Identifiers
16967300What OpenQuestion holds
Registered trials
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.