Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
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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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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10314/6433 http://hdl.handle.net/10314/6433 https://doi.org/10.3390/antibiotics9090546 |
url |
http://hdl.handle.net/10314/6433 https://doi.org/10.3390/antibiotics9090546 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
32867122 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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