Effect of a multifaceted intervention on potentially unnecessary antibiotic prescriptions in general practice, out-of-hours services, and nursing homes in Spain.
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| Title: | Effect of a multifaceted intervention on potentially unnecessary antibiotic prescriptions in general practice, out-of-hours services, and nursing homes in Spain. |
|---|---|
| Alternate Title: | Efecto de una intervención polifacética en la prescripción antibiótica potencialmente innecesaria en medicina general, servicios de urgencias y residencias geriátricas en España. |
| Authors: | García-Sangenís, Ana1,2, Raynal-Floriano, Fabiana3, González López-Valcárcel, Beatriz3, Vallejo-Torres, Laura3, Llor, Carl1,2 carles.llor@gmail.com |
| Source: | Revista Española de Quimioterapia. jun2025, Vol. 38 Issue 3, p234-239. 6p. |
| Subjects: | MEDICAL personnel, INAPPROPRIATE prescribing (Medicine), STATISTICAL significance, ANTIBACTERIAL agents, NURSING care facilities |
| Abstract (English): | Objective: To evaluate the impact of a multifaceted antimicrobial stewardship intervention on potentially unnecessary antibiotic prescribing. Material and methods: Before and after quality control study carried out in three different settings--general practice, out-ofhours services, and nursing homes--in Spain. Healthcare professionals (both doctors and nurses) self-registered common infections using a specific template for each setting before (2022) and after (2023) receiving a 5-hour intervention on prudent antibiotic use. Results: Eighty-nine professionals participated in the first registration (48 in general practice, 23 in out-of-hours services, and 15 in nursing homes), with 71 (79.8%) completing the intervention and second registration. Potentially unnecessary antibiotic prescriptions were 68.5%, 41.7%, and 77.7% in the first registration, respectively, and 61.4%, 34.8%, and 86.8% after the intervention, showing reductions of 10.4% in general practice and 16.5% in out-of-hours services, and an 11.7% increase in nursing homes, albeit without statistically significant differences. Conclusions: The study found that this intervention slightly improved antibiotic use, with minimal impact, but worsened in nursing homes. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Evaluar el impacto de una intervención multifacética en la prescripción antibiótica potencialmente innecesaria. Material y métodos: Estudio de calidad antes-después realizado en tres ámbitos distintos--medicina general, servicios de urgencias de atención primaria y residencias geriátricas--en España. Los profesionales sanitarios (tanto médicos como personal de enfermería) registraron infecciones comunes utilizando una plantilla específica para cada entorno antes (2022) y después (2023) de recibir una intervención de 5 horas sobre prescripción prudente de antibióticos. Resultados: 89 profesionales participaron en el primer registro (48 en medicina general, 23 en urgencias y 15 en residencias), de los cuales 71 (79,8%) completaron la intervención y el segundo registro. La prescripción antibiótica potencialmente innecesaria fue 68,5%, 41,7% y 77,7% respectivamente en el primer registro, y 61,4%, 34,8% y 86,8% después de la intervención, mostrando reducciones del 10,4% en medicina general y 16,5% en urgencias y aumento del 11,7% en residencias, sin diferencias estadísticamente significativas. Conclusiones: La intervención mejoró ligeramente la prescripción antibiótica después de la intervención, con mínimo impacto. En residencias geriátricas, su calidad empeoró. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Items | – Name: Title Label: Title Group: Ti Data: Effect of a multifaceted intervention on potentially unnecessary antibiotic prescriptions in general practice, out-of-hours services, and nursing homes in Spain. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Efecto de una intervención polifacética en la prescripción antibiótica potencialmente innecesaria en medicina general, servicios de urgencias y residencias geriátricas en España. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22García-Sangenís%2C+Ana%22">García-Sangenís, Ana</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Raynal-Floriano%2C+Fabiana%22">Raynal-Floriano, Fabiana</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22González+López-Valcárcel%2C+Beatriz%22">González López-Valcárcel, Beatriz</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Vallejo-Torres%2C+Laura%22">Vallejo-Torres, Laura</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Llor%2C+Carl%22">Llor, Carl</searchLink><relatesTo>1,2</relatesTo><i> carles.llor@gmail.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Española+de+Quimioterapia%22">Revista Española de Quimioterapia</searchLink>. jun2025, Vol. 38 Issue 3, p234-239. 6p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22MEDICAL+personnel%22">MEDICAL personnel</searchLink><br /><searchLink fieldCode="DE" term="%22INAPPROPRIATE+prescribing+%28Medicine%29%22">INAPPROPRIATE prescribing (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22STATISTICAL+significance%22">STATISTICAL significance</searchLink><br /><searchLink fieldCode="DE" term="%22ANTIBACTERIAL+agents%22">ANTIBACTERIAL agents</searchLink><br /><searchLink fieldCode="DE" term="%22NURSING+care+facilities%22">NURSING care facilities</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objective: To evaluate the impact of a multifaceted antimicrobial stewardship intervention on potentially unnecessary antibiotic prescribing. Material and methods: Before and after quality control study carried out in three different settings--general practice, out-ofhours services, and nursing homes--in Spain. Healthcare professionals (both doctors and nurses) self-registered common infections using a specific template for each setting before (2022) and after (2023) receiving a 5-hour intervention on prudent antibiotic use. Results: Eighty-nine professionals participated in the first registration (48 in general practice, 23 in out-of-hours services, and 15 in nursing homes), with 71 (79.8%) completing the intervention and second registration. Potentially unnecessary antibiotic prescriptions were 68.5%, 41.7%, and 77.7% in the first registration, respectively, and 61.4%, 34.8%, and 86.8% after the intervention, showing reductions of 10.4% in general practice and 16.5% in out-of-hours services, and an 11.7% increase in nursing homes, albeit without statistically significant differences. Conclusions: The study found that this intervention slightly improved antibiotic use, with minimal impact, but worsened in nursing homes. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivo: Evaluar el impacto de una intervención multifacética en la prescripción antibiótica potencialmente innecesaria. Material y métodos: Estudio de calidad antes-después realizado en tres ámbitos distintos--medicina general, servicios de urgencias de atención primaria y residencias geriátricas--en España. Los profesionales sanitarios (tanto médicos como personal de enfermería) registraron infecciones comunes utilizando una plantilla específica para cada entorno antes (2022) y después (2023) de recibir una intervención de 5 horas sobre prescripción prudente de antibióticos. Resultados: 89 profesionales participaron en el primer registro (48 en medicina general, 23 en urgencias y 15 en residencias), de los cuales 71 (79,8%) completaron la intervención y el segundo registro. La prescripción antibiótica potencialmente innecesaria fue 68,5%, 41,7% y 77,7% respectivamente en el primer registro, y 61,4%, 34,8% y 86,8% después de la intervención, mostrando reducciones del 10,4% en medicina general y 16,5% en urgencias y aumento del 11,7% en residencias, sin diferencias estadísticamente significativas. Conclusiones: La intervención mejoró ligeramente la prescripción antibiótica después de la intervención, con mínimo impacto. En residencias geriátricas, su calidad empeoró. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.37201/req/024.2025 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 234 Subjects: – SubjectFull: MEDICAL personnel Type: general – SubjectFull: INAPPROPRIATE prescribing (Medicine) Type: general – SubjectFull: STATISTICAL significance Type: general – SubjectFull: ANTIBACTERIAL agents Type: general – SubjectFull: NURSING care facilities Type: general Titles: – TitleFull: Effect of a multifaceted intervention on potentially unnecessary antibiotic prescriptions in general practice, out-of-hours services, and nursing homes in Spain. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: García-Sangenís, Ana – PersonEntity: Name: NameFull: Raynal-Floriano, Fabiana – PersonEntity: Name: NameFull: González López-Valcárcel, Beatriz – PersonEntity: Name: NameFull: Vallejo-Torres, Laura – PersonEntity: Name: NameFull: Llor, Carl IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: jun2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 02143429 Numbering: – Type: volume Value: 38 – Type: issue Value: 3 Titles: – TitleFull: Revista Española de Quimioterapia Type: main |
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