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

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Title: Los médicos que disponen de pruebas rápidas disminuyen significativamente la prescripción de antibióticos en el resfriado común.
Alternate Title: Physicians with access to point-of-care tests significantly reduce the antibiotic prescription for common cold.
Authors: Llor, Carles1 carles.llor@urv.net, Hernández, Silvia1, Cots, Josep María2, Bjerrum, Lars3, González, Beatriz4, García, Guillermo5, de Dios Alcántara, Juan6, Guerra, Gloria7, Cid, Marina8, Gómez, Manuel9, Ortega, Jesús10, Pérez, Carolina11, Arranz, Javier12, Monedero, María José13, Paredes, José14, Pineda, Vicenta15
Source: Revista Española de Quimioterapia. mar2013, Vol. 26 Issue 1, p12-20. 9p.
Subjects: GENERAL practitioners, POINT-of-care testing, ANTIBIOTICS, DRUG prescribing, COMMON cold, PRIMARY care, CONTROL groups
Abstract (English): 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. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Evaluar el efecto de dos niveles de intervención en la prescripción antibiótica en el resfriado común. Métodos. Estudio de garantía de calidad antes-después realizado en centros de salud de España. Los médicos participantes registraron durante 15 días laborables en enero y febrero de 2008 (preintervención) todos los contactos con resfriado. Se consideraron dos niveles de intervención: uno completo, que consistió en un feedback individual con presentación de los resultados del primer registro, cursos sobre prescripción racional de antibiótcios, guías, folletos de información para pacientes, talleres sobre pruebas rápidas--test de detección antigénica y proteína C reactiva--y provisión de estas pruebas en la consulta; y otro, parcial, realizando lo mismo menos el taller y no se dieron pruebas rápidas. En una segunda fase se repitió el mismo registro en 2009 (postintervención). Además, se incluyeron nuevos médicos que rellenaron sólo el registro en 2009 (grupo control). Resultados. Un total de 210 médicos fueron asignados al grupo de intervención completa, 71 a intervención parcial y 59 médicos fueron asignados al grupo control. Los 340 médicos participantes prescribieron antibióticos en 274 resfriados de un total de 12.373 casos registrados (2,2%). El mayor porcentaje de prescripción antibiótica se observó entre los médicos asignados al grupo control (4,6%). La intervención parcial aumentó el porcentaje de prescripción antibiótica del 1,1% al 2,7% mientras que los médicos que realizaron la intervención completa sí la disminuyeron, pasando de un 2,9% antes de la intervención a un 0,7% después (p<0,001). Conclusión. Sólo los médicos con disponibilidad de pruebas rápidas redujeron signi?cativamente la prescripción antibiótica en pacientes con resfriado común. [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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  Data: 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&lt;0.001). Conclusion. Only physicians with access to rapid tests significantly reduced antibiotic prescription in patients with common cold. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Evaluar el efecto de dos niveles de intervenci&#243;n en la prescripci&#243;n antibi&#243;tica en el resfriado com&#250;n. M&#233;todos. Estudio de garant&#237;a de calidad antes-despu&#233;s realizado en centros de salud de Espa&#241;a. Los m&#233;dicos participantes registraron durante 15 d&#237;as laborables en enero y febrero de 2008 (preintervenci&#243;n) todos los contactos con resfriado. Se consideraron dos niveles de intervenci&#243;n: uno completo, que consisti&#243; en un feedback individual con presentaci&#243;n de los resultados del primer registro, cursos sobre prescripci&#243;n racional de antibi&#243;tcios, gu&#237;as, folletos de informaci&#243;n para pacientes, talleres sobre pruebas r&#225;pidas--test de detecci&#243;n antig&#233;nica y prote&#237;na C reactiva--y provisi&#243;n de estas pruebas en la consulta; y otro, parcial, realizando lo mismo menos el taller y no se dieron pruebas r&#225;pidas. En una segunda fase se repiti&#243; el mismo registro en 2009 (postintervenci&#243;n). Adem&#225;s, se incluyeron nuevos m&#233;dicos que rellenaron s&#243;lo el registro en 2009 (grupo control). Resultados. Un total de 210 m&#233;dicos fueron asignados al grupo de intervenci&#243;n completa, 71 a intervenci&#243;n parcial y 59 m&#233;dicos fueron asignados al grupo control. Los 340 m&#233;dicos participantes prescribieron antibi&#243;ticos en 274 resfriados de un total de 12.373 casos registrados (2,2%). El mayor porcentaje de prescripci&#243;n antibi&#243;tica se observ&#243; entre los m&#233;dicos asignados al grupo control (4,6%). La intervenci&#243;n parcial aument&#243; el porcentaje de prescripci&#243;n antibi&#243;tica del 1,1% al 2,7% mientras que los m&#233;dicos que realizaron la intervenci&#243;n completa s&#237; la disminuyeron, pasando de un 2,9% antes de la intervenci&#243;n a un 0,7% despu&#233;s (p&lt;0,001). Conclusi&#243;n. S&#243;lo los m&#233;dicos con disponibilidad de pruebas r&#225;pidas redujeron signi?cativamente la prescripci&#243;n antibi&#243;tica en pacientes con resfriado com&#250;n. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Revista Espa&#241;ola 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&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Text: Spanish
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      – SubjectFull: POINT-of-care testing
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