Access to Point-of-Care Tests Reduces the Prescription of Antibiotics Among Antibiotic-Requesting Subjects With Respiratory Tract Infections

Research output: Contribution to journalJournal articleResearchpeer-review

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Access to Point-of-Care Tests Reduces the Prescription of Antibiotics Among Antibiotic-Requesting Subjects With Respiratory Tract Infections. / Llor, Carl; Bjerrum, Lars; Munck, Anders; Cots, Josep M; Hernández, Silvia; Moragas, Ana; HAPPY AUDIT Investigators.

In: Respiratory Care, Vol. 59, No. 12, 12.2014, p. 1918-23.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Llor, C, Bjerrum, L, Munck, A, Cots, JM, Hernández, S, Moragas, A & HAPPY AUDIT Investigators 2014, 'Access to Point-of-Care Tests Reduces the Prescription of Antibiotics Among Antibiotic-Requesting Subjects With Respiratory Tract Infections', Respiratory Care, vol. 59, no. 12, pp. 1918-23. https://doi.org/10.4187/respcare.03275

APA

Llor, C., Bjerrum, L., Munck, A., Cots, J. M., Hernández, S., Moragas, A., & HAPPY AUDIT Investigators (2014). Access to Point-of-Care Tests Reduces the Prescription of Antibiotics Among Antibiotic-Requesting Subjects With Respiratory Tract Infections. Respiratory Care, 59(12), 1918-23. https://doi.org/10.4187/respcare.03275

Vancouver

Llor C, Bjerrum L, Munck A, Cots JM, Hernández S, Moragas A et al. Access to Point-of-Care Tests Reduces the Prescription of Antibiotics Among Antibiotic-Requesting Subjects With Respiratory Tract Infections. Respiratory Care. 2014 Dec;59(12):1918-23. https://doi.org/10.4187/respcare.03275

Author

Llor, Carl ; Bjerrum, Lars ; Munck, Anders ; Cots, Josep M ; Hernández, Silvia ; Moragas, Ana ; HAPPY AUDIT Investigators. / Access to Point-of-Care Tests Reduces the Prescription of Antibiotics Among Antibiotic-Requesting Subjects With Respiratory Tract Infections. In: Respiratory Care. 2014 ; Vol. 59, No. 12. pp. 1918-23.

Bibtex

@article{499fe2822cb34f5c8d80c9be00fbe63a,
title = "Access to Point-of-Care Tests Reduces the Prescription of Antibiotics Among Antibiotic-Requesting Subjects With Respiratory Tract Infections",
abstract = "BACKGROUND: General practitioners (GPs) often feel uncomfortable when patients request an antibiotic when there is likely little benefit. This study evaluates the effect of access to point-of-care tests on decreasing the prescription of antibiotics in respiratory tract infections in subjects who explicitly requested an antibiotic prescription.METHODS: Spanish GPs registered all cases of respiratory tract infections over a 3-week period before and after an intervention undertaken in 2008 and 2009. Patients with acute sinusitis, pneumonia, and exacerbations of COPD were excluded. Two types of interventions were performed: the full intervention group received prescriber feedback with discussion of the results of the first registry, courses for GPs, guidelines, patient information leaflets, workshops, and access to point-of-care tests (rapid streptococcal antigen detection test and C-reactive protein test); and the partial intervention group underwent all of the above interventions except for the workshop and access to point-of-care tests.RESULTS: A total of 210 GPs were assigned to the full intervention group and 71 to the partial intervention group. A total of 25,479 subjects with respiratory tract infections were included, of whom 344 (1.4{\%}) requested antibiotic prescribing. Antibiotics were more frequently prescribed to subjects requesting them compared with those who did not (49.1{\%} vs 18.5{\%}, P < .001). In the group of GPs assigned to the partial intervention group, 53.1{\%} of subjects requesting antibiotics received a prescription before and 60{\%} after the intervention, without statistical differences being observed. In the group of GPs assigned to the full intervention group, the percentages were 55.1{\%} and 36.2{\%}, respectively, with a difference of 18.9{\%} (95{\%} CI: 6.4{\%}-30.6{\%}, P < .05).CONCLUSIONS: Access to point-of-care tests reduces antibiotic use in subjects who explicitly request an antibiotic prescription.",
author = "Carl Llor and Lars Bjerrum and Anders Munck and Cots, {Josep M} and Silvia Hern{\'a}ndez and Ana Moragas and {HAPPY AUDIT Investigators}",
note = "Copyright {\circledC} 2014 by Daedalus Enterprises.",
year = "2014",
month = "12",
doi = "10.4187/respcare.03275",
language = "English",
volume = "59",
pages = "1918--23",
journal = "Respiratory Care",
issn = "0020-1324",
publisher = "Daedalus Enterprises, Inc.",
number = "12",

}

RIS

TY - JOUR

T1 - Access to Point-of-Care Tests Reduces the Prescription of Antibiotics Among Antibiotic-Requesting Subjects With Respiratory Tract Infections

AU - Llor, Carl

AU - Bjerrum, Lars

AU - Munck, Anders

AU - Cots, Josep M

AU - Hernández, Silvia

AU - Moragas, Ana

AU - HAPPY AUDIT Investigators

N1 - Copyright © 2014 by Daedalus Enterprises.

PY - 2014/12

Y1 - 2014/12

N2 - BACKGROUND: General practitioners (GPs) often feel uncomfortable when patients request an antibiotic when there is likely little benefit. This study evaluates the effect of access to point-of-care tests on decreasing the prescription of antibiotics in respiratory tract infections in subjects who explicitly requested an antibiotic prescription.METHODS: Spanish GPs registered all cases of respiratory tract infections over a 3-week period before and after an intervention undertaken in 2008 and 2009. Patients with acute sinusitis, pneumonia, and exacerbations of COPD were excluded. Two types of interventions were performed: the full intervention group received prescriber feedback with discussion of the results of the first registry, courses for GPs, guidelines, patient information leaflets, workshops, and access to point-of-care tests (rapid streptococcal antigen detection test and C-reactive protein test); and the partial intervention group underwent all of the above interventions except for the workshop and access to point-of-care tests.RESULTS: A total of 210 GPs were assigned to the full intervention group and 71 to the partial intervention group. A total of 25,479 subjects with respiratory tract infections were included, of whom 344 (1.4%) requested antibiotic prescribing. Antibiotics were more frequently prescribed to subjects requesting them compared with those who did not (49.1% vs 18.5%, P < .001). In the group of GPs assigned to the partial intervention group, 53.1% of subjects requesting antibiotics received a prescription before and 60% after the intervention, without statistical differences being observed. In the group of GPs assigned to the full intervention group, the percentages were 55.1% and 36.2%, respectively, with a difference of 18.9% (95% CI: 6.4%-30.6%, P < .05).CONCLUSIONS: Access to point-of-care tests reduces antibiotic use in subjects who explicitly request an antibiotic prescription.

AB - BACKGROUND: General practitioners (GPs) often feel uncomfortable when patients request an antibiotic when there is likely little benefit. This study evaluates the effect of access to point-of-care tests on decreasing the prescription of antibiotics in respiratory tract infections in subjects who explicitly requested an antibiotic prescription.METHODS: Spanish GPs registered all cases of respiratory tract infections over a 3-week period before and after an intervention undertaken in 2008 and 2009. Patients with acute sinusitis, pneumonia, and exacerbations of COPD were excluded. Two types of interventions were performed: the full intervention group received prescriber feedback with discussion of the results of the first registry, courses for GPs, guidelines, patient information leaflets, workshops, and access to point-of-care tests (rapid streptococcal antigen detection test and C-reactive protein test); and the partial intervention group underwent all of the above interventions except for the workshop and access to point-of-care tests.RESULTS: A total of 210 GPs were assigned to the full intervention group and 71 to the partial intervention group. A total of 25,479 subjects with respiratory tract infections were included, of whom 344 (1.4%) requested antibiotic prescribing. Antibiotics were more frequently prescribed to subjects requesting them compared with those who did not (49.1% vs 18.5%, P < .001). In the group of GPs assigned to the partial intervention group, 53.1% of subjects requesting antibiotics received a prescription before and 60% after the intervention, without statistical differences being observed. In the group of GPs assigned to the full intervention group, the percentages were 55.1% and 36.2%, respectively, with a difference of 18.9% (95% CI: 6.4%-30.6%, P < .05).CONCLUSIONS: Access to point-of-care tests reduces antibiotic use in subjects who explicitly request an antibiotic prescription.

U2 - 10.4187/respcare.03275

DO - 10.4187/respcare.03275

M3 - Journal article

VL - 59

SP - 1918

EP - 1923

JO - Respiratory Care

JF - Respiratory Care

SN - 0020-1324

IS - 12

ER -

ID: 128851533