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  1. Improving the prescribing of antibiotics for urinary tract infection.

    Article - En anglais

    Background 

    In recent years there have been changes in the recommended antibiotic treatment for urinary tract infections (UTIs).

    In particular, the use of amoxycillin or co-trimoxazole is now discouraged, with amoxycillin-potassium clavulanate, cephalexin and trimethoprim becoming first-line agents for uncomplicated lower UTIs.

    Aim 

    To examine whether academic detailing, performed by a pharmacist, could modify prescribing practices for antibiotics used in the treatment of UTI in the community setting.

    Methods 

    The intervention was conducted in Southern Tasmania, using the remainder of the State as a control area.

    The target group of general practitioners was sent educational material designed to assist in the appropriate prescribing of antibiotics in the treatment of UTI.

    A pharmacist then visited each general practitioner and discussed the rational use of antibiotics for UTIs directly with him/her.

    Outcomes were measured using evaluation feedback from the general practitioners and pharmacoepidemiological data, which were not linked to diagnosis.

    The key variable examined was the total defined daily doses (DDDs) dispensed for the recommended first-line agents (amoxycillin-potassium clavulanate, cephalexin and trimethoprim) compared with amoxycillin (3g single-dose form) and co-trimoxazole.

    Results 

    The educational programme was very well received by the general practitioners. (...)

    Mots-clés Pascal : Antibiotique, Antibactérien, Prescription médicale, Infection, Voie urinaire, Chimiothérapie, Traitement, Homme, Information thérapeutique, Pharmacien, Médecin généraliste, Relation professionnelle, Education, Voie urinaire pathologie, Appareil urinaire pathologie, Tasmanie, Australie, Océanie

    Mots-clés Pascal anglais : Antibiotic, Antibacterial agent, Medical prescription, Infection, Urinary tract, Chemotherapy, Treatment, Human, Therapeutic information, Chemist, General practitioner, Professional relation, Education, Urinary tract disease, Urinary system disease, Tasmania, Australia, Oceania

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0533955

    Code Inist : 002B02S02. Création : 13/02/1998.