Reducing inappropriate antibiotic prescribing for children in primary care: a cluster randomised controlled trial of two interventions by Marieke B Lemiengre,

Slides:



Advertisements
Similar presentations
Cost-effectiveness of point-of-care C-reactive protein testing to inform antibiotic prescribing decisions by Raymond Oppong, Mark Jit, Richard D Smith,
Advertisements

Impact of a printed decision aid on patients’ intention to undergo prostate cancer screening: a multicentre, pragmatic randomised controlled trial in primary.
Recognising Kawasaki disease in UK primary care: a descriptive study using the Clinical Practice Research Datalink by Abigail Moore, Anthony Harnden, and.
Which weight-loss programmes are as effective as Weight Watchers®?
Impact of a printed decision aid on patients’ intention to undergo prostate cancer screening: a multicentre, pragmatic randomised controlled trial in primary.
by Gillian C Hall, Louise E Tulloh, and Robert M R Tulloh
Motivational interviewing: a systematic review and meta-analysis
by Carol Sinnott, Sheena Mc Hugh, Maria B Boyce, and Colin P Bradley
by Ian S Shaw, Roland M Valori, André Charlett, and Cliodna AM McNulty
Medical and psychosocial factors associated with antibiotic prescribing in primary care: survey questionnaire and factor analysis by Tau-Hong Lee, Joshua.
by Narinder Chana, Talya Porat, Cate Whittlesea, and Brendan Delaney
Addison’s disease: identification and management in primary care
by Anwen L Cope, Ivor G Chestnutt, Fiona Wood, and Nick A Francis
Impact on hypertension control of a patient-held guideline: a randomised controlled trial by Brian McKinstry, Janet Hanley, David Heaney, Lucy McCloughan,
Patients' ideas, concerns, and expectations (ICE) in general practice: impact on prescribing by Jan Matthys, Glyn Elwyn, Marc Van Nuland, Georges Van Maele,
Molluscum contagiosum and associations with atopic eczema in children: a retrospective longitudinal study in primary care by Jonathan R Olsen, Vincent.
Are physical activity interventions in primary care and the community cost-effective? A systematic review of the evidence by Sue Garrett, C Raina Elley,
Prevalence of systolic inter-arm differences in blood pressure for different primary care populations: systematic review and meta-analysis by Christopher.
Effectiveness of nurse-delivered cardiovascular risk management in primary care: a randomised trial by Helene R Voogdt-Pruis, George HMI Beusmans, Anton.
Signs and symptoms for diagnosis of serious infections in children: a prospective study in primary careCommentary by Ann Van den Bruel, Bert Aertgeerts,
Assessing the effectiveness of topical betamethasone to treat chronic chilblains: a randomised clinical trial in primary care by Ibo H Souwer, Jacobus.
Epidemiology and impact of multimorbidity in primary care: a retrospective cohort study by Chris Salisbury, Leigh Johnson, Sarah Purdy, Jose M Valderas,
by Nicola Adderley, Ronan Ryan, and Tom Marshall
Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial by Natasha J Verbakel, Maaike Langelaan,
Prevalence of urinary tract infection in acutely unwell children in general practice: a prospective study with systematic urine sampling by Kathryn O’Brien,
Clinical features of bladder cancer in primary care
by William Hamilton, Deborah J Sharp, Tim J Peters, and Alison P Round
Primary care organisational interventions for secondary prevention of ischaemic heart disease: a systematic review and meta-analysis by Edel Murphy, Akke.
BJGP Volume 58(556):e10-e16 November 1, 2008
Alarm signs and antibiotic prescription in febrile children in primary care: an observational cohort study by Gijs Elshout, Yvette van Ierland, Arthur.
GPs' classification of headache: is primary headache underdiagnosed?
Cost-effectiveness of point-of-care C-reactive protein testing to inform antibiotic prescribing decisions by Raymond Oppong, Mark Jit, Richard D Smith,
Effect of shared care on blood pressure in patients with chronic kidney disease: a cluster randomised controlled trial by Nynke D Scherpbier-de Haan, Gerald.
by Jan C Frich, Espen Saxhaug Kristoffersen, and Christofer Lundqvist
Assessing the effectiveness of topical betamethasone to treat chronic chilblains: a randomised clinical trial in primary care by Ibo H Souwer, Jacobus.
Clinical features of kidney cancer in primary care: a case-control study using primary care records by Elizabeth Shephard, Richard Neal, Peter Rose, Fiona.
Acute infective conjunctivitis in primary care: who needs antibiotics
by Kayalvili Mugunthan, Treasure McGuire, and Paul Glasziou
Simplified sleep restriction for insomnia in general practice: a randomised controlled trial by Karen Falloon, C Raina Elley, Antonio Fernando, Arier C.
Supervised exercises for adults with acute lateral ankle sprain: a randomised controlled trial by Rogier M van Rijn, Anton G van Os, Gert-Jan Kleinrensink,
by Ben Jackson, Michelle Marshall, and Susie Schofield
Flurbiprofen microgranules for relief of sore throat: a randomised, double-blind trial by Marc Russo, Mark Bloch, Fred de Looze, Christopher Morris, and.
Variations in GP–patient communication by ethnicity, age, and gender: evidence from a national primary care patient survey by Jenni Burt, Cathy Lloyd,
by Carmen Tsang, Alex Bottle, Azeem Majeed, and Paul Aylin
Patterns of regional variation of opioid prescribing in primary care in England: a retrospective observational study by Luke Mordecai, Carl Reynolds, Liam.
Antibiotics for acute cough: an international observational study of patient adherence in primary care by Nick A Francis, David Gillespie, Jacqueline Nuttall,
by Diego García-Huidobro, Klaus Puschel, and Gabriela Soto
Hepatitis C infection among injecting drug users in general practice: a cluster randomised controlled trial of clinical guidelines' implementation by Walter.
Does a decision aid help physicians to detect chronic obstructive pulmonary disease? by Berna DL Broekhuizen, Alfred Sachs, Kristel Janssen, Geert-Jan.
Randomised controlled trial of a brief intervention targeting predominantly non-verbal communication in general practice consultations by Paul Little,
Patterns of regional variation of opioid prescribing in primary care in England: a retrospective observational study by Luke Mordecai, Carl Reynolds, Liam.
Management of first-episode pelvic inflammatory disease in primary care: results from a large UK primary care database by Amanda Nicholson, Greta Rait,
by Sarah Walker, Chris Hyde, and William Hamilton
Clinical predictors of antibiotic prescribing for acutely ill children in primary care: an observational study by Kathryn O’Brien, Thomas Wyn Bellis, Mark.
PsyScan e-tool to support diagnosis and management of psychological problems in general practice: a randomised controlled trial by Luc G Gidding, Mark.
Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial by Nathalie Eikelenboom, Jan van Lieshout,
by Melanie J Calvert, Richard J McManus, and Nick Freemantle
by Yafang Huang, Rui Chen, Tao Wu, Xiaoming Wei, and Aimin Guo
Developing a curriculum statement based on clinical practice: genetics in primary care by Sarah Burke, Melissa Martyn, Anna Stone, Catherine Bennett, Hywel.
Use of multiple inflammatory marker tests in primary care: using Clinical Practice Research Datalink to evaluate accuracy by Jessica Watson, Hayley E Jones,
by Abigail Moore, Anthony Harnden, and Richard Mayon-White
Quality-improvement strategies for the management of hypertension in chronic kidney disease in primary care: a systematic review by Hugh Gallagher, Simon.
by Rebecca Martinez, Shirley Reynolds, and Amanda Howe
Medication management strategy for older people with polypharmacy in general practice: a qualitative study on prescribing behaviour in primary care by.
by Marion Murphy, Stephen Byrne, and Colin P Bradley
Gut-directed hypnotherapy for irritable bowel syndrome: piloting a primary care-based randomised controlled trial by Lesley Roberts, Sue Wilson, Sukhdev.
by Alex J Mitchell, Sanjay Rao, and Amol Vaze
Signs and symptoms in diagnosing acute myocardial infarction and acute coronary syndrome: a diagnostic meta-analysis by Rudi Bruyninckx, Bert Aertgeerts,
Use of multiple inflammatory marker tests in primary care: using Clinical Practice Research Datalink to evaluate accuracy by Jessica Watson, Hayley E Jones,
Flow chart representing the number of acute infectious episodes included in the study. a Scoring positive at one of the following clinical criteria: gut.
Presentation transcript:

Reducing inappropriate antibiotic prescribing for children in primary care: a cluster randomised controlled trial of two interventions by Marieke B Lemiengre, Jan Y Verbakel, Roos Colman, Tine De Burghgraeve, Frank Buntinx, Bert Aertgeerts, Frans De Baets, and An De Sutter BJGP Volume 68(668):e204-e210 February 22, 2018 ©2018 by British Journal of General Practice

Flow chart representing the number of acute infectious episodes included in the study. a Scoring positive at one of the following clinical criteria: gut feeling of the physician, presence of dyspnoea, temperature ≥40°C, and diarrhoea in children aged betwee... Flow chart representing the number of acute infectious episodes included in the study.a Scoring positive at one of the following clinical criteria: gut feeling of the physician, presence of dyspnoea, temperature ≥40°C, and diarrhoea in children aged between 1 and 2.5 years. BISNA = brief intervention with safety net. CDR = clinical decision rule. CRP = C-reactive protein. FP = family physician. R = randomisation. UC = usual care. Marieke B Lemiengre et al. Br J Gen Pract 2018;68:e204-e210 ©2018 by British Journal of General Practice

Estimated marginal means of the immediate antibiotic prescribing rate (with 95% confidence interval) for the different intervention groups (adjusted analysis). Estimated marginal means of the immediate antibiotic prescribing rate (with 95% confidence interval) for the different intervention groups (adjusted analysis). BISNA = brief intervention with safety net. CRP = C-reactive protein. UC = usual care. Marieke B Lemiengre et al. Br J Gen Pract 2018;68:e204-e210 ©2018 by British Journal of General Practice