Los médicos que disponen de pruebas rápidas disminuyen significativamente la prescripción de antibióticos en el resfriado común

C Llor; S Hernández; J M Cots; Lars Bjerrum; B González; G García; J D Alcántara; G Guerra; M Cid; M Gómez; J Ortega; C Pérez; J Arranz; M J Monedero; J Paredes; V Pineda; Happy Audit España Study Group

Los médicos que disponen de pruebas rápidas disminuyen significativamente la prescripción de antibióticos en el resfriado común

Translated title of the contribution: Physicians with access to point-of-care tests significantly reduce the antibiotic prescription for common cold

C Llor, S Hernández, J M Cots, Lars Bjerrum, B González, G García, J D Alcántara, G Guerra, M Cid, M Gómez, J Ortega, C Pérez, J Arranz, M J Monedero, J Paredes, V Pineda, Happy Audit España Study Group

6 Citations (Scopus)

Abstract

Objective. This study was aimed at evaluating the effect of two levels of intervention on the antibiotic prescribing in patients with common cold. Methods. Before and after audit-based study carried out in primary healthcare centres in Spain. General practitioners registered all the episodes of common cold during 15 working days in January and February in 2008 (preintervention). Two types of intervention were considered: full intervention, consisting in individual feedback based on results from the first registry, courses in rational antibiotic prescribing, guidelines, patient information leaflets, workshops on rapid tests -rapid antigen detection and C-reactive protein tests- and provision of these tests in the surgeries; and partial intervention, consisting of all the above intervention except for the workshop and they did not have access to rapid tests. The same registry was repeated in 2009 (postintervention). In addition, new physicians filled out only the registry in 2009 (control group). Results. 210 physicians underwent the full intervention, 71 the partial intervention and 59 were assigned to the control group. The 340 doctors prescribed antibiotics in 274 episodes of a total of 12,373 cases registered (2.2%).The greatest percentage of antibiotic prescription was found in the control group (4.6%). The partial intervention increased the antibiotic prescription percentage from 1.1% to 2.7% while only doctors who underwent the complete intervention lead to a significant reduction of antibiotics prescribed, from 2.9% before to 0.7% after the intervention (p<0.001). Conclusion. Only physicians with access to rapid tests significantly reduced antibiotic prescription in patients with common cold.

Translated title of the contribution	Physicians with access to point-of-care tests significantly reduce the antibiotic prescription for common cold
Original language	Spanish
Journal	Revista Espanola de Quimioterapia
Volume	26
Issue number	1
Pages (from-to)	12-20
Number of pages	9
ISSN	0214-3429
Publication status	Published - Mar 2013

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Llor, C., Hernández, S., Cots, J. M., Bjerrum, L., González, B., García, G., Alcántara, J. D., Guerra, G., Cid, M., Gómez, M., Ortega, J., Pérez, C., Arranz, J., Monedero, M. J., Paredes, J., Pineda, V., & Happy Audit España Study Group (2013). Los médicos que disponen de pruebas rápidas disminuyen significativamente la prescripción de antibióticos en el resfriado común. Revista Espanola de Quimioterapia, 26(1), 12-20.

Llor, C, Hernández, S, Cots, JM, Bjerrum, L, González, B, García, G, Alcántara, JD, Guerra, G, Cid, M, Gómez, M, Ortega, J, Pérez, C, Arranz, J, Monedero, MJ, Paredes, J, Pineda, V & Happy Audit España Study Group 2013, 'Los médicos que disponen de pruebas rápidas disminuyen significativamente la prescripción de antibióticos en el resfriado común', Revista Espanola de Quimioterapia, vol. 26, no. 1, pp. 12-20.

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title = "Los m{\'e}dicos que disponen de pruebas r{\'a}pidas disminuyen significativamente la prescripci{\'o}n de antibi{\'o}ticos en el resfriado com{\'u}n",

abstract = "Objective. This study was aimed at evaluating the effect of two levels of intervention on the antibiotic prescribing in patients with common cold. Methods. Before and after audit-based study carried out in primary healthcare centres in Spain. General practitioners registered all the episodes of common cold during 15 working days in January and February in 2008 (preintervention). Two types of intervention were considered: full intervention, consisting in individual feedback based on results from the first registry, courses in rational antibiotic prescribing, guidelines, patient information leaflets, workshops on rapid tests -rapid antigen detection and C-reactive protein tests- and provision of these tests in the surgeries; and partial intervention, consisting of all the above intervention except for the workshop and they did not have access to rapid tests. The same registry was repeated in 2009 (postintervention). In addition, new physicians filled out only the registry in 2009 (control group). Results. 210 physicians underwent the full intervention, 71 the partial intervention and 59 were assigned to the control group. The 340 doctors prescribed antibiotics in 274 episodes of a total of 12,373 cases registered (2.2%).The greatest percentage of antibiotic prescription was found in the control group (4.6%). The partial intervention increased the antibiotic prescription percentage from 1.1% to 2.7% while only doctors who underwent the complete intervention lead to a significant reduction of antibiotics prescribed, from 2.9% before to 0.7% after the intervention (p<0.001). Conclusion. Only physicians with access to rapid tests significantly reduced antibiotic prescription in patients with common cold.",

author = "C Llor and S Hern{\'a}ndez and Cots, {J M} and Lars Bjerrum and B Gonz{\'a}lez and G Garc{\'i}a and Alc{\'a}ntara, {J D} and G Guerra and M Cid and M G{\'o}mez and J Ortega and C P{\'e}rez and J Arranz and Monedero, {M J} and J Paredes and V Pineda and {Happy Audit Espa{\~n}a Study Group}",

year = "2013",

month = mar,

language = "Spansk",

volume = "26",

pages = "12--20",

journal = "Revista Espanola de Quimioterapia",

issn = "0214-3429",

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number = "1",

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TY - JOUR

T1 - Los médicos que disponen de pruebas rápidas disminuyen significativamente la prescripción de antibióticos en el resfriado común

AU - Llor, C

AU - Hernández, S

AU - Cots, J M

AU - Bjerrum, Lars

AU - González, B

AU - García, G

AU - Alcántara, J D

AU - Guerra, G

AU - Cid, M

AU - Gómez, M

AU - Ortega, J

AU - Pérez, C

AU - Arranz, J

AU - Monedero, M J

AU - Paredes, J

AU - Pineda, V

AU - Happy Audit España Study Group

PY - 2013/3

Y1 - 2013/3

N2 - Objective. This study was aimed at evaluating the effect of two levels of intervention on the antibiotic prescribing in patients with common cold. Methods. Before and after audit-based study carried out in primary healthcare centres in Spain. General practitioners registered all the episodes of common cold during 15 working days in January and February in 2008 (preintervention). Two types of intervention were considered: full intervention, consisting in individual feedback based on results from the first registry, courses in rational antibiotic prescribing, guidelines, patient information leaflets, workshops on rapid tests -rapid antigen detection and C-reactive protein tests- and provision of these tests in the surgeries; and partial intervention, consisting of all the above intervention except for the workshop and they did not have access to rapid tests. The same registry was repeated in 2009 (postintervention). In addition, new physicians filled out only the registry in 2009 (control group). Results. 210 physicians underwent the full intervention, 71 the partial intervention and 59 were assigned to the control group. The 340 doctors prescribed antibiotics in 274 episodes of a total of 12,373 cases registered (2.2%).The greatest percentage of antibiotic prescription was found in the control group (4.6%). The partial intervention increased the antibiotic prescription percentage from 1.1% to 2.7% while only doctors who underwent the complete intervention lead to a significant reduction of antibiotics prescribed, from 2.9% before to 0.7% after the intervention (p<0.001). Conclusion. Only physicians with access to rapid tests significantly reduced antibiotic prescription in patients with common cold.

AB - Objective. This study was aimed at evaluating the effect of two levels of intervention on the antibiotic prescribing in patients with common cold. Methods. Before and after audit-based study carried out in primary healthcare centres in Spain. General practitioners registered all the episodes of common cold during 15 working days in January and February in 2008 (preintervention). Two types of intervention were considered: full intervention, consisting in individual feedback based on results from the first registry, courses in rational antibiotic prescribing, guidelines, patient information leaflets, workshops on rapid tests -rapid antigen detection and C-reactive protein tests- and provision of these tests in the surgeries; and partial intervention, consisting of all the above intervention except for the workshop and they did not have access to rapid tests. The same registry was repeated in 2009 (postintervention). In addition, new physicians filled out only the registry in 2009 (control group). Results. 210 physicians underwent the full intervention, 71 the partial intervention and 59 were assigned to the control group. The 340 doctors prescribed antibiotics in 274 episodes of a total of 12,373 cases registered (2.2%).The greatest percentage of antibiotic prescription was found in the control group (4.6%). The partial intervention increased the antibiotic prescription percentage from 1.1% to 2.7% while only doctors who underwent the complete intervention lead to a significant reduction of antibiotics prescribed, from 2.9% before to 0.7% after the intervention (p<0.001). Conclusion. Only physicians with access to rapid tests significantly reduced antibiotic prescription in patients with common cold.

M3 - Tidsskriftartikel

C2 - 23546457

SN - 0214-3429

VL - 26

SP - 12

EP - 20

JO - Revista Espanola de Quimioterapia

JF - Revista Espanola de Quimioterapia

IS - 1

ER -

Los médicos que disponen de pruebas rápidas disminuyen significativamente la prescripción de antibióticos en el resfriado común

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