Evidence map›Paper›PMID 32975240›Full record

ArticleRevista espanola de salud publica2020

[Evolution of the outpatient antibiotic prescription between 2012 and 2018. Characteristics of the ABPresclín platform created for the analysis of antibiotic prescription in the health service of the Balearic Islands.]

Javier Arranz Izquierdo, Mª Asunción Boronat Moreiro, María Zaforteza Dezcallar, Joana Ripoll Amengual, Antònia Roca Casas, Eugènia Carandell Jäger, Antoni Ballester Camps, Joan Llobera Cánaves

Open access · greenAbstract read
In one paragraph

Article in Revista espanola de salud publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

Javier Arranz IzquierdoCentro de Salud Escola Graduada. Gerencia de Atención Primaria de Mallorca. Servicio de Salud de las Islas Baleares (IBsalut). Palma de Mallorca. España.
Mª Asunción Boronat MoreiroServicio de Farmacia, IBsalut. Palma de Mallorca. España.
María Zaforteza DezcallarServicio de Farmacia, IBsalut. Palma de Mallorca. España.
Joana Ripoll AmengualInstituto de Investigación Sanitaria Islas Baleares (IdISBa). Palma de Mallorca. España.
Antònia Roca CasasInstituto de Investigación Sanitaria Islas Baleares (IdISBa). Palma de Mallorca. España.
Eugènia Carandell JägerInstituto de Investigación Sanitaria Islas Baleares (IdISBa). Palma de Mallorca. España.
Antoni Ballester CampsCentro de Salud Escola Graduada. Gerencia de Atención Primaria de Mallorca. Servicio de Salud de las Islas Baleares (IBsalut). Palma de Mallorca. España.
Joan Llobera CánavesInstituto de Investigación Sanitaria Islas Baleares (IdISBa). Palma de Mallorca. España.
Red de Investigación en Actividades Preventivas y Promoción de la Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOne of the fist lines of action of the National Plan against Antibiotic Resistance (PRAN) is to monitor the use of antibiotics as a fundamental basis for the fight against resistance. In order to know the antibiotic prescription habits, we pretended to describe the outpatient prescription of systemic antibiotics in the Balearic Islands through exploitation of ABPresclín database.

methodsIt was an ecological descriptive study of the electronic outpatient prescriptions of systemic antibiotics of the Health Service of the Balearic Islands from 2012 to 2018. Combining the prescription with population information data by year and geographical area, prescription rates were obtained per 1,000 person, distributed by professional, health centres, geographical areas: distribution per patient characteristics, type of antibiotics and associated diagnoses.

results3,517,101 prescriptions are analyzed with an average prescription period (TPp) per 1,000 person-years of 472.1. A quarter of the population received at least one prescription of antibiotics. TPp was higher in over 80 years (899.0) and in women (553.4). 68.9% of the prescription was made in primary care (AP) and 17.9% in out-of-hours settings. TPp in AP was 333.1, varying from 192.3 to 527.0, according to basic health areas. The TPp of the most commonly used antibiotics was: amoxicillin/clavulanic (143), amoxicillin (95.9), azithromycin (54.5), fosfomycin (41.5) and ciprofloxacin (29.7). The main associated diagnoses were: lower respiratory infections (16.5%), urinary infections (15%), non-infectious (15%), tonsillitis (14.3%) and upper respiratory infections (13%).

conclusionsBalearic Islands have a relatively low antibiotic prescription rate with a marked variability between prescribers. Amoxicillin/clavulanic was the most prescribed antibiotic, with an increase in azithromycin. Respiratory infections were the main reason for prescription. ABPresclín is useful to promote better use of antibiotics.

Indexed as

Health ServicesOutpatientsPractice Patterns, Physicians'AdultAged, 80 and overAnti-Bacterial AgentsDatabases, FactualDrug PrescriptionsFemaleGeographyHealth Services ResearchHumansMaleMiddle AgedPrescriptionsPrimary Health CareAnti-Bacterial AgentsAmbulatory careAnti-bacterialsAntibioticsObservational dataPrescriptionsPrimary careReal-world dataSpain

Identifiers

PMID32975240
PMCPMC11582780
OpenAlexW3088631886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.