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Open Access 01-12-2014 | Research article

Educational interventions to improve prescription and dispensing of antibiotics: a systematic review

Authors: Fátima Roque, Maria Teresa Herdeiro, Sara Soares, António Teixeira Rodrigues, Luiza Breitenfeld, Adolfo Figueiras

Published in: BMC Public Health | Issue 1/2014

Abstract

Background

Excessive and inappropriate antibiotic use contributes to growing antibiotic resistance, an important public-health problem. Strategies must be developed to improve antibiotic-prescribing. Our purpose is to review of educational programs aimed at improving antibiotic-prescribing by physicians and/or antibiotic-dispensing by pharmacists, in both primary-care and hospital settings.

Methods

We conducted a critical systematic search and review of the relevant literature on educational programs aimed at improving antibiotic prescribing and dispensing practice in primary-care and hospital settings, published in January 2001 through December 2011.

Results

We identified 78 studies for analysis, 47 in primary-care and 31 in hospital settings. The studies differed widely in design but mostly reported positive results. Outcomes measured in the reviewed studies were adherence to guidelines, total of antibiotics prescribed, or both, attitudes and behavior related to antibiotic prescribing and quality of pharmacy practice related to antibiotics. Twenty-nine studies (62%) in primary care and twenty-four (78%) in hospital setting reported positive results for all measured outcomes; fourteen studies (30%) in primary care and six (20%) in hospital setting reported positive results for some outcomes and results that were not statistically influenced by the intervention for others; only four studies in primary care and one study in hospital setting failed to report significant post-intervention improvements for all outcomes. Improvement in adherence to guidelines and decrease of total of antibiotics prescribed, after educational interventions, were observed, respectively, in 46% and 41% of all the reviewed studies. Changes in behaviour related to antibiotic-prescribing and improvement in quality of pharmacy practice was observed, respectively, in four studies and one study respectively.

Conclusion

The results show that antibiotic use could be improved by educational interventions, being mostly used multifaceted interventions.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/14/1276/prepub

Title: Educational interventions to improve prescription and dispensing of antibiotics: a systematic review
Authors: Fátima Roque
Maria Teresa Herdeiro
Sara Soares
António Teixeira Rodrigues
Luiza Breitenfeld
Adolfo Figueiras
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-14-1276

ACC 2024 Congress

Springer Medicine

Educational interventions to improve prescription and dispensing of antibiotics: a systematic review

Abstract

Background

Methods

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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