Effect of two interventions on reducing antibiotic prescription in pharyngitis in primary care

Journal of Antimicrobial Chemotherapy

Volumn 66, Issue 1, 2011, Pages 210-215

  Llor, Carl ^a   Cots, Josep María ^b   López Valcárcel, Beatriz González ^c   de Dios Alcántara, Juan ^d   García, Guillermo ^e   Arranz, Javier ^f   Josémonedero, María ^g   Ortega, Jesús ^h   Pineda, Vicenta ⁱ   Guerra, Gloria ^j   Gómez, Manuel ^k   Hernández, Silvia ^a   Paredes, José ^l   Cid, Marina ^m   Pérez, Carolina ⁿ  

^a UNIVERSITAT ROVIRA I VIRGILI   (Spain)

^b UNIVERSITY OF BARCELONA   (Spain)

^c UNIVERSITY OF LAS PALMAS DE GRAN CANARIA   (Spain)

^d Centro de Salud Bollullos Par del Condado   (Spain)

^e Primary Healthcare Centre La Calzada II   (Spain)

^f Primary Healthcare Centre Arquitecte Bennàssar   (Spain)

^g Primary Healthcare Centre Rafalena   (Spain)

^h Primary Healthcare Centre Rincón de Soto   (Spain)

ⁱ Primary Healthcare Centre   (Spain)

^j Primary Healthcare Centre Escaleritas   (Spain)

^k Primary Healthcare Centre San Andrés   (Spain)

^l Primary Healthcare Centre Hostalrich   (Spain)

^m Primary Healthcare Centre Teis   (Spain)

ⁿ Primary Healthcare Centre Puntales   (Spain)

more..

Author keywords

Acute pharyngitis; Acute tonsillitis; Audit; Predicting factors

Indexed keywords

ANTIBIOTIC AGENT;

ARTICLE; CONTROLLED STUDY; GENERAL PRACTITIONER; HUMAN; INTERVENTION STUDY; PHARYNGITIS; PRESCRIPTION; PRIMARY MEDICAL CARE;

ANTI-BACTERIAL AGENTS; COMMUNICABLE DISEASES; DRUG UTILIZATION; HUMANS; INTERVENTION STUDIES; MOLECULAR DIAGNOSTIC TECHNIQUES; PHARYNGITIS; PRESCRIPTIONS; PRIMARY HEALTH CARE; PROSPECTIVE STUDIES; SPAIN;

EID: 78650320558     PISSN: 03057453     EISSN: 14602091     Source Type: Journal    
DOI: 10.1093/jac/dkq416     Document Type: Article

References (24)

1. Neuner JM, Hamel MB, Phillips RS et al. Diagnosis and management of adults with pharyngitis. A cost-effectiveness analysis. Ann Intern Med 2003; 139: 113-22.
2. Cooper RJ, Hoffman JR, Bartlett JG et al. Principles of appropriate antibiotic use for acute pharyngitis in adults: background. Ann Intern Med 2001; 134: 509-17.
3. Centor RM. Expand the pharyngitis paradigm for adolescents and young adults. Ann Intern Med 2009; 151: 812-5.
4. Spinks A, Glasziou PP, Del Mar CB. Antibiotics for sore throat. Cochrane Database Syst Rev 2010; issue 3: CD000023.
5. Boucher HW, Talbot GH, Bradley JS et al. Bad bugs, no drugs: no ESKAPE! An update from the Infectious Diseases Society of America. Clin Infect Dis 2009; 48: 1-12.
6. Linder JA, Stafford RS. Antibiotic treatment of adults with sore throat by community primary care physicians: a national survey 1989-99. JAMA 2001; 286: 1181-6.
7. Akkerman AE, Kuyvenhoven MM, van der Wouden JC et al. Determinants of antibiotic overprescribing in respiratory tract infections in general practice. J Antimicrob Chemother 2005; 56: 930-6.
8. Neumark T, Brudin L, Mölstad S. Use of rapid diagnostic tests and choice of antibiotics in respiratory tract infections in primary healthcare-a 6-y follow-up study. Scand J Infect Dis 2010; 42: 90-6.
9. Bjerrum L, Boada A, Cots JM et al. Respiratory tract infections in general practice: considerable differences in prescribing habits between general practitioners in Denmark and Spain. Eur J Clin Pharmacol 2004; 60: 23-8.
10. Goossens H. Antibiotic consumption and link to resistance. Clin Microbiol Infect 2009; 15 Suppl 3: 12-5.
11. Worrall G, Hutchinson J, Sherman G et al. Diagnosing streptococcal sore throat in adults. Randomized controlled trial of in-office aids. Can Fam Physician 2007; 53: 667-71.
12. McIsaac WJ, Kellner JD, Aufricht P et al. Empirical validation of guidelines for the management of pharyngitis in children and adults. JAMA 2004; 291: 1587-95.
13. Maltezou HC, Tasgris V, Antoniadou A et al. Evaluation of a rapid antigen detection test in the diagnosis of streptococcal pharyngitis in children and its impact on antibiotic prescription. J Antimicrob Chemother 2008; 62: 1407-12.
14. Bjerrum L, Munck A, Gahrn-Hansen B et al. Health alliance for prudent prescribing, yield and use of antimicrobial drugs in the treatment of respiratory tract infections (HAPPY AUDIT). BMC Fam Pract 2010; 11: 29.
15. Pérez-Trallero E, Martín-Herrero JE, Mazón A et al. Antimicrobial resistance among respiratory pathogens in Spain: latest data and changes over 11 years (1996-1997 to 2006-2007). Antimicrob Agents Chemother 2010; 54: 2953-9.
16. Munck A, Damsgaard J, Hansen DG et al. The Nordic method for quality improvement in general practice. Quality Prim Care 2003; 11: 73-8.
17. Rabe-Hesketh S, Skrondal A. Multilevel and Longitudinal Modeling Using Stata, Second Edition. College Station, TX: Stata Press, 2008.
18. Moerbeek M, Van Breukelen GJP, Berger MPF. Optimal designs for multilevel studies. In: de Leeuw J, Meijer E, eds. Handbook of Multilevel Analysis. New York: Springer Science+Business Media, 2008; 177-205.
19. Munck A. Audit Project Odense (APO)-a Scandinavian audit centre for general practice. Audit Trends 1995; 3: 18-21.
20. Arnold SR, Straus SE. Interventions to improve antibiotic prescribing practices in ambulatory care. Cochrane Database Syst Rev 2005; issue 4: CD003539.
21. Humair JP, Revaz SA, Bovier P et al. Management of acute pharyngitis in adults: reliability of rapid streptococcal tests and clinical findings. Arch Intern Med 2006; 166: 640-4.
22. Ayanruoh S, Waseem M, Quee F et al. Impact of rapid streptococcal test on antibiotic use in a pediatric emergency department. Pediatr Emerg Care 2009; 25: 748-50.
23. Altiner A, Brockmann S, Sielk M et al. Reducing antibiotic prescriptions for acute cough by motivating GPs to change their attitudes to communication and empowering patients: a cluster-randomized intervention study. J Antimicrob Chemother 2007; 60: 638-44.
24. Cals JW, Butler CC, Hopstaken RM et al. Effect of point of care testing for C reactive protein and training in communication skills on antibiotic use in lower respiratory tract infections: cluster randomised trial. BMJ 2009; 338: b1374.