Cargando…

Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact

Antibiotic resistance remains a crucial global public health problem with excessive and inappropriate antibiotic use representing an important driver of this issue. Strategies to improve antibiotic prescription and dispensing are required in primary health care settings. The main purpose of this rev...

Descripción completa

Detalles Bibliográficos
Autores principales: Rocha, Vânia, Estrela, Marta, Neto, Vanessa, Roque, Fátima, Figueiras, Adolfo, Herdeiro, Maria Teresa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9495011/
https://www.ncbi.nlm.nih.gov/pubmed/36139965
http://dx.doi.org/10.3390/antibiotics11091186
_version_ 1784793918221582336
author Rocha, Vânia
Estrela, Marta
Neto, Vanessa
Roque, Fátima
Figueiras, Adolfo
Herdeiro, Maria Teresa
author_facet Rocha, Vânia
Estrela, Marta
Neto, Vanessa
Roque, Fátima
Figueiras, Adolfo
Herdeiro, Maria Teresa
author_sort Rocha, Vânia
collection PubMed
description Antibiotic resistance remains a crucial global public health problem with excessive and inappropriate antibiotic use representing an important driver of this issue. Strategies to improve antibiotic prescription and dispensing are required in primary health care settings. The main purpose of this review is to identify and synthesize available evidence on the economic impact of educational interventions to reduce prescription and dispensing of antibiotics among primary health care professionals. Information about the clinical impact resulting from the implementation of interventions was also gathered. PubMed, Scopus, Web of Science and EMBASE were the scientific databases used to search and identify relevant studies. Of the thirty-three selected articles, most consisted of a simple intervention, such as a guideline implementation, while the others involved multifaceted interventions, and differed regarding study populations, designs and settings. Main findings were grouped either into clinical or cost outcomes. Twenty of the thirty-three articles included studies reporting a reduction in outcome costs, namely in antibiotic cost and associated prescription costs, in part due to an overall improvement in the appropriateness of antibiotic use. The findings of this study show that the implementation of educational interventions is a cost-effective strategy to reduce antibiotic prescription and dispensing among primary healthcare providers.
format Online
Article
Text
id pubmed-9495011
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-94950112022-09-23 Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact Rocha, Vânia Estrela, Marta Neto, Vanessa Roque, Fátima Figueiras, Adolfo Herdeiro, Maria Teresa Antibiotics (Basel) Review Antibiotic resistance remains a crucial global public health problem with excessive and inappropriate antibiotic use representing an important driver of this issue. Strategies to improve antibiotic prescription and dispensing are required in primary health care settings. The main purpose of this review is to identify and synthesize available evidence on the economic impact of educational interventions to reduce prescription and dispensing of antibiotics among primary health care professionals. Information about the clinical impact resulting from the implementation of interventions was also gathered. PubMed, Scopus, Web of Science and EMBASE were the scientific databases used to search and identify relevant studies. Of the thirty-three selected articles, most consisted of a simple intervention, such as a guideline implementation, while the others involved multifaceted interventions, and differed regarding study populations, designs and settings. Main findings were grouped either into clinical or cost outcomes. Twenty of the thirty-three articles included studies reporting a reduction in outcome costs, namely in antibiotic cost and associated prescription costs, in part due to an overall improvement in the appropriateness of antibiotic use. The findings of this study show that the implementation of educational interventions is a cost-effective strategy to reduce antibiotic prescription and dispensing among primary healthcare providers. MDPI 2022-09-02 /pmc/articles/PMC9495011/ /pubmed/36139965 http://dx.doi.org/10.3390/antibiotics11091186 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Rocha, Vânia
Estrela, Marta
Neto, Vanessa
Roque, Fátima
Figueiras, Adolfo
Herdeiro, Maria Teresa
Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact
title Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact
title_full Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact
title_fullStr Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact
title_full_unstemmed Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact
title_short Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact
title_sort educational interventions to reduce prescription and dispensing of antibiotics in primary care: a systematic review of economic impact
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9495011/
https://www.ncbi.nlm.nih.gov/pubmed/36139965
http://dx.doi.org/10.3390/antibiotics11091186
work_keys_str_mv AT rochavania educationalinterventionstoreduceprescriptionanddispensingofantibioticsinprimarycareasystematicreviewofeconomicimpact
AT estrelamarta educationalinterventionstoreduceprescriptionanddispensingofantibioticsinprimarycareasystematicreviewofeconomicimpact
AT netovanessa educationalinterventionstoreduceprescriptionanddispensingofantibioticsinprimarycareasystematicreviewofeconomicimpact
AT roquefatima educationalinterventionstoreduceprescriptionanddispensingofantibioticsinprimarycareasystematicreviewofeconomicimpact
AT figueirasadolfo educationalinterventionstoreduceprescriptionanddispensingofantibioticsinprimarycareasystematicreviewofeconomicimpact
AT herdeiromariateresa educationalinterventionstoreduceprescriptionanddispensingofantibioticsinprimarycareasystematicreviewofeconomicimpact