Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/74018
DC FieldValueLanguage
dc.contributor.authorBjerrum, Larsen_US
dc.contributor.authorMunck, Andersen_US
dc.contributor.authorGahrn-Hansen, Benteen_US
dc.contributor.authorHansen, Malene Plejdrupen_US
dc.contributor.authorJarbol, Dorte Ejgen_US
dc.contributor.authorCordoba, Gloriaen_US
dc.contributor.authorLlor, Carlen_US
dc.contributor.authorCots, Josep Mariaen_US
dc.contributor.authorHernández, Silviaen_US
dc.contributor.authorGonzález López-Valcárcel, Beatrizen_US
dc.contributor.authorPérez, Antoniaen_US
dc.contributor.authorCaballero, Lidiaen_US
dc.contributor.authorvon der Heyde, Walteren_US
dc.contributor.authorRadzeviciene, Rutaen_US
dc.contributor.authorJurgutis, Arnoldasen_US
dc.contributor.authorReutskiy, Anatoliyen_US
dc.contributor.authorEgorova, Elenaen_US
dc.contributor.authorStrandberg, Eva Lenaen_US
dc.contributor.authorOvhed, Ingvaren_US
dc.contributor.authorMölstad, Sigvarden_US
dc.contributor.authorVander Stichele, Roberten_US
dc.contributor.authorBenko, Riaen_US
dc.contributor.authorVlahovic-Palcevski, Veraen_US
dc.contributor.authorLionis, Christosen_US
dc.contributor.authorRønning, Mariten_US
dc.date.accessioned2020-08-06T15:58:01Z-
dc.date.available2020-08-06T15:58:01Z-
dc.date.issued2011en_US
dc.identifier.issn1471-2296en_US
dc.identifier.otherWoS-
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/74018-
dc.description.abstractBackground: Excessive use of antibiotics is worldwide the most important reason for development of antimicrobial resistance. As antibiotic resistance may spread across borders, high prevalence countries may serve as a source of bacterial resistance for countries with a low prevalence. Therefore, bacterial resistance is an important issue with a potential serious impact on all countries. Initiatives have been taken to improve the quality of antibiotic prescribing in primary care, but only few studies have been designed to determine the effectiveness of multifaceted strategies across countries with different practice setting. The aim of this study was to evaluate the impact of a multifaceted intervention targeting general practitioners (GPs) and patients in six countries with different health organization and different prevalence of antibiotic resistance.Methods: GPs from two Nordic countries, two Baltic Countries and two Hispano-American countries registered patients with respiratory tract infections (RTIs) in 2008 and 2009. After first registration they received individual prescriber feedback and they were offered an intervention programme that included training courses, clinical guidelines, posters for waiting rooms, patient brochures and access to point of care tests (Strep A and C-Reactive Protein). Antibiotic prescribing rates were compared before and after the intervention.Results: A total of 440 GPs registered 47011 consultations; 24436 before the intervention (2008) and 22575 after the intervention (2009). After the intervention, the GPs significantly reduced the percentage of consultations resulting in an antibiotic prescription. In patients with lower RTI the GPs in Lithuania reduced the prescribing rate by 42%, in Russia by 25%, in Spain by 25%, and in Argentina by 9%. In patients with upper RTIs, the corresponding reductions in the antibiotic prescribing rates were in Lithania 20%, in Russia 15%, in Spain 9%, and in Argentina 5%.Conclusion: A multifaceted intervention programme targeting GPs and patients and focusing on improving diagnostic procedures in patients with RTIs may lead to a marked reduction in antibiotic prescribing. The pragmatic before-after design used may suffer from some limitations and the reduction in antibiotic prescribing could be influenced by factors not related to the intervention.en_US
dc.languageengen_US
dc.relation.ispartofBMC Family Practiceen_US
dc.sourceBMC Family Practice [ISSN 1471-2296], v. 12, Article number 52, (Junio 2011)en_US
dc.subject3212 Salud públicaen_US
dc.subject.otherAntibiotic Resistanceen_US
dc.subject.otherNordic Countryen_US
dc.subject.otherClavulanic Aciden_US
dc.subject.otherBacterial Resistanceen_US
dc.subject.otherAntibiotic Prescribeen_US
dc.titleHealth Alliance for prudent antibiotic prescribing in patients with respiratory tract infections (HAPPY AUDIT) -impact of a non-randomised multifaceted intervention programmeen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/1471-2296-12-52en_US
dc.identifier.scopus79959235089-
dc.identifier.isi000293276800001-
dc.contributor.authorscopusid7006017468-
dc.contributor.authorscopusid7006562696-
dc.contributor.authorscopusid7004499886-
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dc.contributor.authorscopusid6506132135-
dc.contributor.authorscopusid45460981100-
dc.contributor.authorscopusid57202497092-
dc.contributor.authorscopusid6602074921-
dc.contributor.authorscopusid7103130311-
dc.contributor.authorscopusid45461286000-
dc.contributor.authorscopusid55432396700-
dc.contributor.authorscopusid35809751600-
dc.contributor.authorscopusid35811693900-
dc.contributor.authorscopusid45461474000-
dc.contributor.authorscopusid24399036400-
dc.contributor.authorscopusid35810956300-
dc.contributor.authorscopusid35809996700-
dc.contributor.authorscopusid9279037900-
dc.contributor.authorscopusid6601969724-
dc.contributor.authorscopusid7004848248-
dc.contributor.authorscopusid57189654796-
dc.contributor.authorscopusid10045226000-
dc.contributor.authorscopusid6601988116-
dc.contributor.authorscopusid7005768464-
dc.contributor.authorscopusid57195937363-
dc.identifier.eissn1471-2296-
dc.relation.volume12en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.contributor.daisngid322269-
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dc.description.numberofpages8en_US
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Bjerrum, L-
dc.contributor.wosstandardWOS:Munck, A-
dc.contributor.wosstandardWOS:Gahrn-Hansen, B-
dc.contributor.wosstandardWOS:Hansen, MP-
dc.contributor.wosstandardWOS:Jarbol, DE-
dc.contributor.wosstandardWOS:Cordoba, G-
dc.contributor.wosstandardWOS:Llor, C-
dc.contributor.wosstandardWOS:Cots, JM-
dc.contributor.wosstandardWOS:Hernandez, S-
dc.contributor.wosstandardWOS:Lopez-Valcarcel, BG-
dc.contributor.wosstandardWOS:Perez, A-
dc.contributor.wosstandardWOS:Caballero, L-
dc.contributor.wosstandardWOS:von der Heyde, W-
dc.contributor.wosstandardWOS:Radzeviciene, R-
dc.contributor.wosstandardWOS:Jurgutis, A-
dc.contributor.wosstandardWOS:Reutskiy, A-
dc.contributor.wosstandardWOS:Egorova, E-
dc.contributor.wosstandardWOS:Strandberg, EL-
dc.contributor.wosstandardWOS:Ovhed, I-
dc.contributor.wosstandardWOS:Molstad, S-
dc.contributor.wosstandardWOS:Vander Stichele, R-
dc.contributor.wosstandardWOS:Benko, R-
dc.contributor.wosstandardWOS:Vlahovic-Palcevski, V-
dc.contributor.wosstandardWOS:Lionis, C-
dc.contributor.wosstandardWOS:Ronning, M-
dc.date.coverdateJunio 2011en_US
dc.identifier.ulpgces
dc.description.sjr0,981
dc.description.jcr1,799
dc.description.sjrqQ1
dc.description.jcrqQ2
dc.description.scieSCIE
item.grantfulltextopen-
item.fulltextCon 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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