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Implementing Practice Guidelines for Appropriate Antimicrobial Usage

A Systematic Review

Bibliographic Data

ID9104362
AuthorsPamela Gro (0000-0002-4258-6105, Hackensack University Medical Center, corresponding author), Peter A Gross, Duressa Pujat
Year2001
Volume39
Issue8 Suppl 2
PagesII-55-II-69
Publication date2001-08-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200108002-00004
PMID11583122
OpenAlexW2076563598
LanguageEN
Citations received8
References cited33

BACKGROUND: Antimicrobial resistance is increasing, apparently in part as a result of the inappropriate use of antimicrobial agents. OBJECTIVES: To conduct a systematic review of guideline implementation studies for improving appropriate use of antimicrobial agents and to determine which implementation methods appear to improve the outcome of appropriate antimicrobial use. RESEARCH DESIGN: The Medline database was searched for comparative studies on guideline implementation of appropriate antimicrobial use in common infections. Estimates of treatment effects and costs were included. The community-acquired infections selected were otitis media, respiratory illnesses, pharyngitis, and sinusitis. The nosocomial infections selected were urinary tract infections and surgical wound infections. Antiretroviral treatment studies and vancomycin usage studies were also included. Other computer-assisted antibiotic control studies not selected in the above topics were included. RESULTS: Forty studies were found that documented the effectiveness of implementation methods in encouraging appropriate antimicrobial use. The available evidence showed that multifaceted implementation methods were most successful. Individual implementation methods that appeared to be useful were academic detailing, feedback from nurses, pharmacists, or physicians, local adaptation of a guideline, small-group interactive sessions, and computer-assisted care

Antibiotic resistance · Antibiotics · Antimicrobial · Antimicrobial stewardship · Guideline · Intensive care medicine · Medical prescription · MEDLINE · Respiratory tract infections · Sinusitis · Antibiotic Use and Resistance · Infection Control in Healthcare · Internal Medicine · Medicine · Nosocomial Infections in ICU · Nursing · Surgery

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    Open Access•John Chalker, Ratanawijitrasin et al.•Social Science & Medicine•2005

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    Pamela Gro, Peter A Gross et al.•Medical Care•2001

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    Arch G Mainous, William J Hueston et al.•American Journal of Public Health•2003

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    Open Access•Judith D De Jong, Peter P Groenewegen et al.•Social Science & Medicine•2003

  • Why Don't Physicians Follow Clinical Practice Guidelines?

    Michael D Cabana, Cynthia S Rand et al.•JAMA•1999

  • Changing Provider Behavior

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Citations per year0.32
Citation span2001 - 2020 (20)
Highly citedNo

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