Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/55130
Campo DC Valoridioma
dc.contributor.authorMolero, José M.en_US
dc.contributor.authorMoragas, Anaen_US
dc.contributor.authorGonzález Lopez-Valcarcel, Beatrizen_US
dc.contributor.authorBjerrum, Larsen_US
dc.contributor.authorCots, Josep M.en_US
dc.contributor.authorLlor, Carlen_US
dc.date.accessioned2019-02-22T19:18:30Z-
dc.date.available2019-02-22T19:18:30Z-
dc.date.issued2019en_US
dc.identifier.issn1368-5031en_US
dc.identifier.otherWoS-
dc.identifier.urihttp://hdl.handle.net/10553/55130-
dc.description.abstractAims: Few studies have evaluated the long-term impact of interventions on antibiotic prescription for lower respiratory tract infections (LRTI). This study was aimed at evaluating the use of antibiotics prescribed for LRTIs by general practitioners (GP) who underwent a multifaceted intervention carried out 6 years earlier. Methods: General practitioners who had completed two registrations in 2008 and 2009 were again invited to participate in a third audit-based study in 2015. A multifaceted intervention was held 1-3 months before the second registration. A new group of GPs with no previous training on the rational use of antibiotics were also invited to participate and acted as controls. Multilevel logistic regression was performed considering the prescription of antibiotics as the dependent variable. Results: A total of 121 GPs of the 210 who underwent the intervention (57.6%) and 117 control GPs registered 4333 episodes of LRTIs. On adjustment for covariables, compared with the antibiotic prescription for LRTIs observed just after the intervention, antibiotic prescription slightly increased 6 years later among GPs who had undergone the intervention (OR 1.17, 95% CI 0.95-1.43), while control GPs prescribed significantly more antibiotics (OR 2.31, 95% CI 1.62-3.29). However, withholding antibiotic prescribing with C-reactive protein (CRP) values <10 mg/L was more frequently observed just after the intervention compared 6 years later (12.7% vs 32.2%; P < 0.01). Conclusions Antibiotic prescribing for LRTIs remains low 6 years after an intervention, although GPs are less confident to withhold antibiotic therapy in patients with low CRP levels.en_US
dc.languageengen_US
dc.relation.ispartofInternational Journal of Clinical Practiceen_US
dc.sourceInternational Journal Of Clinical Practice [ISSN 1368-5031], v. 73 (5), e13312en_US
dc.subject32 Ciencias médicasen_US
dc.subject.other5-Year Follow-Upen_US
dc.subject.otherPrimary-Careen_US
dc.subject.otherCost-Effectivenessen_US
dc.subject.otherPrescriptionen_US
dc.titleReducing antibiotic prescribing for lower respiratory tract infections 6 years after a multifaceted interventionen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1111/ijcp.13312
dc.identifier.scopus85061203635
dc.identifier.isi000470933500012-
dc.contributor.authorscopusid35148159800
dc.contributor.authorscopusid12763560800
dc.contributor.authorscopusid6507677112
dc.contributor.authorscopusid7006017468
dc.contributor.authorscopusid6602074921
dc.contributor.authorscopusid57202497092
dc.identifier.eissn1742-1241-
dc.identifier.issuee13312-
dc.identifier.issue5-
dc.relation.volume73-
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.contributor.daisngid832048
dc.contributor.daisngid815510
dc.contributor.daisngid7008994
dc.contributor.daisngid322269
dc.contributor.daisngid511079
dc.contributor.daisngid268733
dc.contributor.wosstandardWOS:Molero, JM
dc.contributor.wosstandardWOS:Moragas, A
dc.contributor.wosstandardWOS:Lopez-Valcarcel, BG
dc.contributor.wosstandardWOS:Bjerrum, L
dc.contributor.wosstandardWOS:Cots, JM
dc.contributor.wosstandardWOS:Llor, C
dc.date.coverdateMayo 2019
dc.identifier.ulpgces
dc.description.sjr0,781
dc.description.jcr2,444
dc.description.sjrqQ2
dc.description.jcrqQ2
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptGIR Economía de la salud y políticas públicas-
crisitem.author.deptDepartamento de Métodos Cuantitativos en Economía y Gestión-
crisitem.author.orcid0000-0002-5571-3257-
crisitem.author.parentorgDepartamento de Métodos Cuantitativos en Economía y Gestión-
crisitem.author.fullNameGonzález Lopez-Valcarcel, Beatriz-
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