Evaluation of the Do Bugs Need Drugs? Program in British Columbia: Can We Curb Antibiotic Prescribing?

McKay, Rachel; Vrbova, Linda; Fuertes, Elaine; Chong, Mei; David, Samara; Dreher, Kim; Purych, Dale; Blondel-Hill, Edith; Henry, Bonnie; Marra, Fawziah; Kendall, Perry Rw.; Patrick, David M.

doi:10.1155/2011/745090

Cited by 43 publications

(54 citation statements)

References 23 publications

(14 reference statements)

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“…Madle et al have shown that web based teaching materials can change knowledge and attitudes regarding antibiotic use [48]. An educational program directed at both health professionals and the general public in Canada was associated with a decline in antibiotic prescribing rates, as reported by McKay [49]. …”

Section: Discussionmentioning

confidence: 99%

Assessing the Impact of a School Intervention to Promote Students’ Knowledge and Practices on Correct Antibiotic Use

Azevedo

Pinheiro

Yaphe

et al. 2013

IJERPH

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The clinical efficacy of antibiotics depends on their correct use. Widespread ignorance and inappropriate attitudes to antibiotic use have been identified among consumers. In order to improve the knowledge of middle-school students on antibiotics and their correct use, 82 ninth-grade students were enrolled in a teaching activity. The teaching activity consisted of a slide show presentation followed by discussion in a regular class. To evaluate the impact of the teaching activity the students were asked to answer a questionnaire before and after the activity. This study aimed: (1) to evaluate knowledge on the use of antibiotics in students of two schools in the north of Portugal and (2) to evaluate the efficacy of the school intervention in improving students’ knowledge on correct antibiotic use. We found lack of knowledge among students regarding antibiotic spectra and indications and incorrect attitudes in the pre-test. Significant increases in knowledge were observed after implementation of the teaching activity. Knowledge of the correct use of antibiotics for bacterial diseases rather than viral diseases rose from 43% to 76% in the post-test (p < 0.01). Knowledge of the risk of bacterial resistance to antibiotics from their incorrect use rose from 48% to 74% in the post-test (p < 0.05). We believe that it is important to reinforce the teaching activities on microbiology and antibiotic use at the middle school level.

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Section: Discussionmentioning

confidence: 99%

Assessing the Impact of a School Intervention to Promote Students’ Knowledge and Practices on Correct Antibiotic Use

Azevedo

Pinheiro

Yaphe

et al. 2013

IJERPH

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“…In contrast, HIV prevalence is 18% and 11% among MSM in Toronto and Ottawa, respectively [6,7] suggesting that HIV-positive men are over-represented in syphilis transmission networks. For men co-infected with HIV, the response to syphilis treatment can be suboptimal, [8] the development of neurosyphilis may be accelerated, [9] treatment decisions are more complex, and HIV infectiousness may be enhanced [10]. Prompt syphilis testing and treatment is important to prevent potential clinical sequelae and also to limit ongoing syphilis and HIV transmission.…”

Section: Introductionmentioning

confidence: 99%

Patterns of syphilis testing in a large cohort of HIV patients in Ontario, Canada, 2000–2009

et al. 2013

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BackgroundSince 2000, reported syphilis cases increased ten-fold in Canada, particularly among men who have sex with men (MSM) co-infected with HIV. We characterized temporal patterns of of syphilis testing in a large cohort of HIV patients in Ontario, Canada.MethodsWe analyzed data from a multi-site cohort of people in HIV care from 2000 to 2009. Data were obtained from medical charts, interviews and record linkage with the syphilis test database at the Public Health Ontario Laboratories. We estimated the proportion that had syphilis testing at least once per year and the period and annual prevalence of reactive tests.ResultsAmong 4232 participants, the annual proportion tested rose from 2.7% (95%CI 1.9, 3.5) in 2000 to 54.6% (95%CI 52.9, 56.3) in 2009. Testing was most common for participants who were men who have sex with men (MSM), aged <30, recently diagnosed with HIV, were antiretroviral treatment naive, had routine HIV lab testing at least twice in that year, or tested for syphilis in the preceding year. The proportion with at least one reactive test in 2000–09 was 21.0% (95%CI 19.4, 22.7) for MSM, 5.3% (95%CI 3.3, 7.4) for non-MSM males, and 2.6% (95%CI 1.2, 4.0) for women. Among MSM, the annual prevalence of reactive syphilis tests with high RPR titre (≥1:16) peaked at 3.8% in 2009.ConclusionsThe burden of syphilis co-infection rose considerably among HIV-positive MSM, such that by 2009, at least 1 in 5 men had laboratory evidence of current or past infection. Interventions may be needed to boost syphilis testing to achieve goals set by guidelines even in settings with universal health care.

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“…Il a été démontré que l'antibiothérapie inutile représente un lourd fardeau de l'utilisation inappropriée des antimicrobiens au Canada (1-4). En raison de préoccupations croissantes à propos du lien entre l'utilisation d'antimicrobiens et la résistance aux antimicrobiens, une réorientation vers une utilisation plus prudente des antimicrobiens a été l'un des domaines mis en évidence pour la lutte contre la propagation de la résistance aux antimicrobiens (5)(6)(7)(8).…”

Section: Discussionunclassified

Promotion de l’intendance en matière d’antimicrobiens : Résumé du rapport de 2015 du CDMTI

Хан¹,

infectieuses²,

Arthur³

et al. 2016

RMTC

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Evaluation of the Do Bugs Need Drugs? Program in British Columbia: Can We Curb Antibiotic Prescribing?

Abstract: The Do Bugs Need Drugs? program significantly improves physician antibiotic prescription decisions and is ecologically associated with desirable change in population antibiotic consumption patterns.

Cited by 43 publications

References 23 publications

Assessing the Impact of a School Intervention to Promote Students’ Knowledge and Practices on Correct Antibiotic Use

Assessing the Impact of a School Intervention to Promote Students’ Knowledge and Practices on Correct Antibiotic Use

Patterns of syphilis testing in a large cohort of HIV patients in Ontario, Canada, 2000–2009

Promotion de l’intendance en matière d’antimicrobiens : Résumé du rapport de 2015 du CDMTI

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