Effects 4.5 years after an interactive GP educational seminar on antibiotic therapy for respiratory tract infections: a randomized controlled trial

Abstract

A single, standardized and interactive educational seminar targeting GPs significantly decreased antibiotic use for RTIs after 4.5 years.

Cost evaluations in health professions education: a systematic review of methods and reporting quality

“…In total, 23 (29%) studies stated the type of cost evaluation used (BMJ item 6), with 19 (24%) providing a justification for its choice (BMJ item 7). Furthermore, a wide variety of nomenclature was used to describe evaluation types; for example, in the study by Ferrat et al . the authors describe their evaluation as a ‘cost analysis’, whereas under the Drummond classification it would be considered a full economic evaluation.…”

Reducing antibiotic prescribing for lower respiratory tract infections 6 years after a multifaceted intervention

“…In a French randomised clinical trial, a single interactive educational intervention was associated with a significant reduction of antimicrobials prescribed 30 months following this intervention compared with the control group, with a difference of nearly 4%, but this study did not provide any information about particular infections . This study was followed up for 4.5 years and an adjusted difference of 2.2% less in intervened GPs compared with those who were assigned to the control group was observed …”

“…19 This study was followed up for 4.5 years and an adjusted difference of 2.2% less in intervened GPs compared with those who were assigned to the control group was observed. 11 GPs assigned to the control group in 2015 spent €2308.9 more than their counterparts in packages of antibiotics during the reg- analyses conducted previously. 20,21 To the best of our knowledge, no study has evaluated the effect of a single complex intervention more than 5 years later.…”

“…However, most studies included in the previous reviews assessed the short‐term effect of interventions . Only few studies have evaluated the long‐term effect of intervention …”

“…6,7 Only few studies have evaluated the longterm effect of intervention. [8][9][10][11][12] The Health Alliance for Prudent Prescribing, Yield and Use of Antimicrobial Drugs in the Treatment of respiratory tract infections project (HAPPY AUDIT) was a study financed by the European Commission aimed at strengthening the surveillance compared with the antibiotic prescription for LRTIs observed just after the intervention, antibiotic prescription slightly increased 6 years later among GPs who had undergone the intervention (OR 1.17, 95% CI 0.95-1.43), while control GPs prescribed significantly more antibiotics (OR 2.31, 95% CI 1.62-3.29). However, withholding antibiotic prescribing with C-reactive protein (CRP) values <10 mg/L was more frequently observed just after the intervention compared 6 years later (12.7% vs 32.2%; P < 0.01).…”