A Randomized Controlled Trial to Change Antibiotic Prescribing Patterns in a Community

Abstract

Overall, academic detailing appeared to be no more effective in reducing antibiotic use than the practice-specific report cards alone.

The potential counter effect of COVID-19 outbreak on an antimicrobial agents prescribing educational intervention

“…On one hand, similar results of the failure of educational interventions in improving antimicrobial agents prescribing behaviors were reported by a considerable body of literature [28][29][30][31]. Suggested reasons for such failure included the continued belief in the effectiveness of antimicrobial agents and a desire for a rapid response, low intensity of the interventions provided, and difficulties in changing the behavior of physicians in spite of being aware of the best practice [29][30][31]. On the other hand, findings of this study might be attributed to a different factor, which is the COVID-19 outbreak.…”

“…Post-intervention, the rate of antimicrobial agents prescribing was significantly higher for the intervention group (11.6 prescriptions per 1,000 patients) than the control group (5.1 prescriptions per 1,000 patients), which indicates failure of the educational intervention in improving antimicrobial agents prescribing practices. On one hand, similar results of the failure of educational interventions in improving antimicrobial agents prescribing behaviors were reported by a considerable body of literature [28][29][30][31]. Suggested reasons for such failure included the continued belief in the effectiveness of antimicrobial agents and a desire for a rapid response, low intensity of the interventions provided, and difficulties in changing the behavior of physicians in spite of being aware of the best practice [29][30][31].…”

A RCT evaluating the effectiveness and cost‐effectiveness of academic detailing versus postal prescribing feedback in changing GP antibiotic prescribing

“…There is considerable variability in the design and the results from studies aimed at reducing or changing the pattern of antibiotic prescribing [15]. Studies that have used similar interventions have reported results similar to the current study, in that they did not achieve a reduction in overall antibiotic prescribing but altered the pattern of antibiotic selection [16–19]. Interventions that achieved a reduction in antibiotic prescribing invariable used intensive multifaceted interventions over a prolonged period with active public education elements [15,20–22].…”

Diagnosis and Management of Food-Induced Anaphylaxis: A National Survey of Pediatricians

“…13 It is possible that clinically based educational efforts, such as academic detailing, which have been used to attempt to reduce the inappropriate use of antibiotics, may prove effective in improving pediatricians' knowledge of food-induced anaphylaxis. 14 Our findings suggest that the most important factor in preparing pediatricians to manage food-induced anaphylaxis may be experience managing FA patients. Pediatricians who reported that they cared for FA patients were more likely to agree that the child in the scenario was having an anaphylactic reaction, that epinephrine be administered to treat the reaction, and that self-injectable epinephrine be prescribed.…”