An Intervention to Reduce Inappropriate Prescriptions of Antibiotics for Respiratory Infections in General Practice

Conditions

Anti-Bacterial Agents, Respiratory Tract Infections

Brief summary

This study will explore the possible effect of a tailored educational intervention towards general practitioners, in order to improve antibiotic prescriptions for respiratory infections.

Ulrich Thiem, Stefan Wilm, Wolfgang Greiner, Henrik Rudolf, Hans J. Trampisch et al. (8 authors)

Therapeutic Advances in Drug Safety2020-01-0110 citations

10.1177/2042098620918459

Improving antibiotic prescribing in acute respiratory tract infections: cluster randomised trial from Norwegian general practice (prescription peer academic detailing (Rx-PAD) study)

Svein Gjelstad, Sevald Høye, Jørund Straand, Mette Brekke, Ingvild Dalen et al. (6 authors)

BMJ2013-07-26150 citations

10.1136/bmj.f4403

Are children carrying the burden of broad-spectrum antibiotics in general practice? Prescription pattern for paediatric outpatients with respiratory tract infections in Norway.

Fossum GH, Lindbæk M, Gjelstad S, Dalen I, Kværner KJ.

2013-01-0741 citations

10.1136/bmjopen-2012-002285

Interventions

BEHAVIORALEducational intervention

Educational outreach visits to the CME-groups, work-shops, audit and feedback

BEHAVIORALEducational intervention program

The 433 recruited GPs had a total of 1336 717 office consultations of which 171 679 (12.8%) were RTIs encounters for 118 621 different patients. The GPs participated in peer continuing medical education (CME) groups in southern Norway. A multifaceted intervention was tailored, where key components were educational outreach visits to the CME-groups, work-shops, audit and feedback. Prescription Peer Academic Detailers conducted the educational outreach visits. During these visits, evidence-based recommendations of antibiotic prescriptions for RTIs were presented and software handed out for installation in participants PCs, enabling collection of prescription data. These data was linked to corresponding data from the Norwegian Prescription Database (NorPD). Main outcomes are baseline proportion of inappropriate antibiotic prescriptions for RTIs and change in prescription patterns compared to baseline one year after the initiation of the tailored pedagogic intervention.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* General practitioner * Specialist in general practice

Design outcomes

Primary

Measure	Time frame	Description
Change in antibiotic prescription patterns for respiratory infections	1 year	From the 1.336.717 office consultations, main outcomes data (baseline proportion of inappropriate antibiotic prescriptions for RTIs and change in prescription patterns compared to baseline) was measured 1 year after the initiation of the tailored pedagogic intervention.

Countries

Norway

Outcome results

None listed