Evaluating Hospital Educator-led Academic Detailing on Improving Antibiotic Prescribing in Primary Healthcare: a Feasibility Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Proportion of antimicrobials expressed as DDD per day for ATC group J01 associated with acute respiratory tract infections
Study Overview
Brief Summary
World increase in mortality from consequences of antimicrobial resistance (AMR) represents a significant public health problem. Irrational prescribing of antimicrobial drugs (AMD) in general population is one of the main causes of development AMR. This is also contributed by fact that up to 90% of total antimicrobial consumption in Europe is related to the general population. Problem of AMR has been recognized by World Health Organization and Council of European Union, which support the establishment of the antimicrobial stewardship team (A-team). A-team provides co-ordinated interventions that promote rational use of AMD. To date, no study has been carried out in which A-team from hospital environment goes to primary health care for the purpose of rationalization prescribing of AMD by primary health care practitioners. Project for implementation of hospital A-team in primary health care in Koprivnica-Križevci County was initiated using academic detailing method aimed at rationalization of the consumption of AMD.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 25 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •All primary care physicians in Koprivnica Križevci County that agree to participate in the study
Exclusion Criteria
- •Primary care physicians outside Koprivnica Križevci County
Arms & Interventions
Experimental group in Koprivnica Križevci County
Hospital A-team provided academic detailing intervention to primary care physicians in Koprivnica Križevci county who agree to participate
Intervention: Academic detailing intervention (Behavioral)
Control group in Koprivnica Križevci county
Primary care physicians in Koprivnica Križevci county who did not agree to participate in academic detailing intervention
Control group in Bjelovar Bilogora county
Primary care physicians in Bjelovar Bilogora county without the academic detailing intervention
Outcomes
Primary Outcomes
Proportion of antimicrobials expressed as DDD per day for ATC group J01 associated with acute respiratory tract infections
Time Frame: 1 year
Rationalization of consumption of antimicrobials for acute respiratory tract infections (for associated ICD diagnoses J01, J02, J03, J06, J20)
Secondary Outcomes
- Change in Clostridiodes dificile infection for patients on antimicrobial therapy(1 year)
Investigators
Darija Kuruc Poje
Head of hospital pharmacy, Clinical pharmacist
General Hospital Koprivnica