Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections

Detalhes bibliográficos
Autor(a) principal: Oliveira, Inês
Data de Publicação: 2020
Outros Autores: Rego, Catarina, Semedo, Guilherme, Gomes, Daniel, Roque, Fátima, Figueiras, Adolfo, Herdeiro, Maria
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10314/6433
https://doi.org/10.3390/antibiotics9090546
Resumo: Overuse and inappropriate antibiotic prescription for respiratory tract infections (RTI) are one of the major contributors to the current antibiotic resistance problem. Guidelines provide support to prescribers for proper decision-making. Our purpose is to review the impact of prescribers' exposure to guidelines in antibiotic prescription for RTIs. A systematic review was performed searching in the scientific databases MEDLINE PubMed and EMBASE for studies which exposed prescribers to guidelines for RTI and compared antibiotic prescription rates/quality before and after the implementation, with thirty-four articles included in the review. The selected studies consisted on a simple intervention in the form of guideline implementation while others involved multifaceted interventions, and varied in population, designs, and settings. Prescription rate was shown to be reduced in the majority of the studies, along with an improvement in appropriateness, defined mainly by the prescription of narrow-spectrum rather than broad-spectrum antibiotics. Intending to ascertain if this implementation could decrease prescription costs, 7 articles accessed it, of which 6 showed the intended reduction. Overall interventions to improve guidelines adherence can be effective in reducing antibiotic prescriptions and inappropriate antibiotic selection for RTIs, supporting the importance of implementing guidelines in order to decrease the high levels of antibiotic prescriptions, and consequently reduce antimicrobial resistance.
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spelling Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infectionsadherenceantibiotic prescriptionguidelinesrespiratory tract infectionsOveruse and inappropriate antibiotic prescription for respiratory tract infections (RTI) are one of the major contributors to the current antibiotic resistance problem. Guidelines provide support to prescribers for proper decision-making. Our purpose is to review the impact of prescribers' exposure to guidelines in antibiotic prescription for RTIs. A systematic review was performed searching in the scientific databases MEDLINE PubMed and EMBASE for studies which exposed prescribers to guidelines for RTI and compared antibiotic prescription rates/quality before and after the implementation, with thirty-four articles included in the review. The selected studies consisted on a simple intervention in the form of guideline implementation while others involved multifaceted interventions, and varied in population, designs, and settings. Prescription rate was shown to be reduced in the majority of the studies, along with an improvement in appropriateness, defined mainly by the prescription of narrow-spectrum rather than broad-spectrum antibiotics. Intending to ascertain if this implementation could decrease prescription costs, 7 articles accessed it, of which 6 showed the intended reduction. Overall interventions to improve guidelines adherence can be effective in reducing antibiotic prescriptions and inappropriate antibiotic selection for RTIs, supporting the importance of implementing guidelines in order to decrease the high levels of antibiotic prescriptions, and consequently reduce antimicrobial resistance.2023-01-20T11:24:23Z2023-01-202020-08-27T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10314/6433http://hdl.handle.net/10314/6433https://doi.org/10.3390/antibiotics9090546eng32867122Oliveira, InêsRego, CatarinaSemedo, GuilhermeGomes, DanielRoque, FátimaFigueiras, AdolfoHerdeiro, Mariainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-14T02:59:55Zoai:bdigital.ipg.pt:10314/6433Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:44:12.570547Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
title Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
spellingShingle Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
Oliveira, Inês
adherence
antibiotic prescription
guidelines
respiratory tract infections
title_short Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
title_full Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
title_fullStr Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
title_full_unstemmed Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
title_sort Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
author Oliveira, Inês
author_facet Oliveira, Inês
Rego, Catarina
Semedo, Guilherme
Gomes, Daniel
Roque, Fátima
Figueiras, Adolfo
Herdeiro, Maria
author_role author
author2 Rego, Catarina
Semedo, Guilherme
Gomes, Daniel
Roque, Fátima
Figueiras, Adolfo
Herdeiro, Maria
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Oliveira, Inês
Rego, Catarina
Semedo, Guilherme
Gomes, Daniel
Roque, Fátima
Figueiras, Adolfo
Herdeiro, Maria
dc.subject.por.fl_str_mv adherence
antibiotic prescription
guidelines
respiratory tract infections
topic adherence
antibiotic prescription
guidelines
respiratory tract infections
description Overuse and inappropriate antibiotic prescription for respiratory tract infections (RTI) are one of the major contributors to the current antibiotic resistance problem. Guidelines provide support to prescribers for proper decision-making. Our purpose is to review the impact of prescribers' exposure to guidelines in antibiotic prescription for RTIs. A systematic review was performed searching in the scientific databases MEDLINE PubMed and EMBASE for studies which exposed prescribers to guidelines for RTI and compared antibiotic prescription rates/quality before and after the implementation, with thirty-four articles included in the review. The selected studies consisted on a simple intervention in the form of guideline implementation while others involved multifaceted interventions, and varied in population, designs, and settings. Prescription rate was shown to be reduced in the majority of the studies, along with an improvement in appropriateness, defined mainly by the prescription of narrow-spectrum rather than broad-spectrum antibiotics. Intending to ascertain if this implementation could decrease prescription costs, 7 articles accessed it, of which 6 showed the intended reduction. Overall interventions to improve guidelines adherence can be effective in reducing antibiotic prescriptions and inappropriate antibiotic selection for RTIs, supporting the importance of implementing guidelines in order to decrease the high levels of antibiotic prescriptions, and consequently reduce antimicrobial resistance.
publishDate 2020
dc.date.none.fl_str_mv 2020-08-27T00:00:00Z
2023-01-20T11:24:23Z
2023-01-20
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10314/6433
http://hdl.handle.net/10314/6433
https://doi.org/10.3390/antibiotics9090546
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https://doi.org/10.3390/antibiotics9090546
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