Evaluation of the Do Bugs Need Drugs? program in British Columbia: Can we curb antibiotic prescribing?
Evaluation of the Do Bugs Need Drugs? program in British Columbia: Can we curb antibiotic prescribing?
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DOI：
10.1155/2011/745090
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发表时间：
2011-03-01
影响因子：
2.8
通讯作者：
Patrick, David M.
中科院分区：
文献类型：
--
作者：
McKay, Rachel M.;Vrbova, Linda;Patrick, David M.
目的：过度使用抗生素会加速抗生素耐药性。虫子需要药物吗？是一项针对不列颠哥伦比亚省针对公众和医疗保健专业人员的教育计划，旨在减少不必要的处方。本文对该计划在前四年的影响进行了描述性评估。方法：计划的实施是通过分发的教育材料的数量和教育课程的参与程度来衡量的。通过衡量参与医生的知识和处方习惯的变化，以及调查全省抗生素使用趋势，评估了该计划的影响。结果：自 2005 年秋季启动以来，共有 51,367 名儿童、辅助生活居民和医疗保健专业人员参与了该计划。参与医生的术前和术后评估表明，他们在上呼吸道感染的临床知识和适当的抗生素治疗方面有了显着改善。自2006年以来，全省抗生素总体使用率趋于稳定。氟喹诺酮类药物和大环内酯类药物的使用率自2005年以来已趋于平稳。急性支气管炎的使用率与该计划首次实施时的水平相同，但其他感兴趣的急性上呼吸道感染的使用率有所下降。结论：虫子需要药物吗？该计划显着改善了医生的抗生素处方决策，并且在生态上与人口抗生素消费模式的理想变化相关。
OBJECTIVE: Antibiotic resistance is accelerated by the overuse of antibiotics. Do Bugs Need Drugs? is an educational program adapted in British Columbia to target both the public and health care professionals, with the aim of reducing unnecessary prescribing. The current article presents a descriptive evaluation of the impact of the program over the first four years.METHOD: Program implementation was measured by the amount of educational material distributed and the level of participation in educational sessions. The impact of the program was assessed by measuring changes in knowledge and prescribing habits of participating physicians, and by investigating provincial trends in antibiotic use.RESULTS: A total of 51,367 children, assisted-living residents and health care professionals have participated in the program since its inception in the fall of 2005. Pre- and postcourse assessments of participating physicians indicated significant improvements in clinical knowledge and appropriate antibiotic treatment of upper respiratory tract infections. Overall rates of antibiotic use in the province have stabilized since 2006. The rates of consumption of fluoroquinolones and macrolides have levelled off since 2005. Utilization rates for acute bronchitis are at the same level as when the program was first implemented, but rates for other acute upper respiratory tract infections of interest have declined.CONCLUSIONS: The Do Bugs Need Drugs? program significantly improves physician antibiotic prescription decisions and is ecologically associated with desirable change in population antibiotic consumption patterns.