“Get Smart Colorado”

Gonzales, Ralph; Corbett, Kitty; Wong, Shale; Glazner, Judith E.; Deas, Ann M.; Leeman-Castillo, Bonnie; Maselli, Judith; Sebert-Kuhlmann, Ann; Wigton, Robert S.; Flores, Estevan T.; Kafadar, Karen

doi:10.1097/mlr.0b013e3181653d2e

Cited by 56 publications

(36 citation statements)

References 22 publications

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“…Public education should emphasize the potential risks of using nonprescription antibiotics and the inappropriateness of using antibiotic therapy for minor ailments. Multifaceted campaigns repeated over several years have the greatest effect (21,22). Self-medication with antibiotics has been identified as a new focus for public education campaigns by the European Centre for Disease Prevention and Control (ECDC), which prepared a toolkit on self-medication with antibiotics, offering advice on how campaign organizers could engage the general public to promote the appropriate and responsible use of antibiotics (23,24).…”

Section: Discussionmentioning

confidence: 99%

Nonprescription Antimicrobial Use in a Primary Care Population in the United States

Zoorob

Grigoryan

Nash

et al. 2016

Antimicrob Agents Chemother

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c Community antimicrobial resistance rates are high in communities with frequent use of nonprescription antibiotics. Studies addressing nonprescription antibiotic use in the United States have been restricted to Latin American immigrants. We estimated the prevalence of nonprescription antibiotic use in the previous 12 months as well as intended use (intention to use antibiotics without a prescription) and storage of antibiotics and examined patient characteristics associated with nonprescription use in a random sample of adults. We selected private and public primary care clinics that serve ethnically and socioeconomically diverse patients. Within the clinics, we used race/ethnicity-stratified systematic random sampling to choose a random sample of primary care patients. We used a self-administered standardized questionnaire on antibiotic use. Multivariate regression analysis was used to identify independent predictors of nonprescription use. The response rate was 94%. Of 400 respondents, 20 (5%) reported nonprescription use of systemic antibiotics in the last 12 months, 102 (25.4%) reported intended use, and 57 (14.2%) stored antibiotics at home. These rates were similar across race/ethnicity groups. Sources of antibiotics used without prescriptions or stored for future use were stores or pharmacies in the United States, "leftover" antibiotics from previous prescriptions, antibiotics obtained abroad, or antibiotics obtained from a relative or friend. Respiratory symptoms were common reasons for the use of nonprescription antibiotics. In multivariate analyses, public clinic patients, those with less education, and younger patients were more likely to endorse intended use. The problem of nonprescription use is not confined to Latino communities. Community antimicrobial stewardship must include a focus on nonprescription antibiotics.

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Section: Discussionmentioning

confidence: 99%

Nonprescription Antimicrobial Use in a Primary Care Population in the United States

Zoorob

Grigoryan

Nash

et al. 2016

Antimicrob Agents Chemother

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“…13,20,23 Thus, the concept of ASU and awareness of antimicrobial resistance should be promoted through public campaigns targeting individuals, organizations and the community at large, as in the fights against tobacco and alcohol. However, achieving a meaningful reduction in unnecessary antibiotic use without jeopardizing the successful treatment of bacterial infections 7 and without generating public panic with respect to antimicrobial resistance or a fear of lawsuits due to preventable nosocomial infection of bacterial resistant strains is a challenge.…”

Section: Policy and Practicementioning

confidence: 99%

“…14,19 Increasing awareness of antimicrobial resistance and promoting the rational use of antibiotics among prescribers and the general public are key to combating the unnecessary use of these drugs. 13,[20][21][22][23][24] Some important programmes have been launched in developed countries. They include Strama in Sweden; 22 the Get Smart: know when antibiotics work programme of the US Centers for Disease Control and Prevention, 23 and several national public campaigns in Europe.…”

Section: Introductionmentioning

confidence: 99%

“…13,[20][21][22][23][24] Some important programmes have been launched in developed countries. They include Strama in Sweden; 22 the Get Smart: know when antibiotics work programme of the US Centers for Disease Control and Prevention, 23 and several national public campaigns in Europe. 20,24 A 2007 review showed that the interventions undertaken by Thailand so far to contain antibiotic resistance had only been partially sucAbstract The Antibiotics Smart Use (ASU) programme was introduced in Thailand as a model to promote the rational use of medicines, starting with antibiotics.…”

Section: Introductionmentioning

confidence: 99%

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Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand

Sumpradit¹,

Chongtrakul²,

Anuwong³

et al. 2012

Bull. World Health Organ.

104

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“…Despite consensus and recommendations that antibiotics are not necessary for the vast majority of acute respiratory infections (ARI), inappropriate prescribing of antibiotics for these conditions continues as a major public health challenge [5]. Interventions to modify antibiotic overuse, targeted at both physicians and patients have had mixed results [6] [7]. Inappropriate antibiotic use has decreased somewhat [8], but antibiotics are still inappropriately prescribed in up to half of emergency department (ED) visits for ARI [9].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Antibiotic Prescribing for Acute Respiratory Infection by Emergency Physicians

Safdar¹,

Tape²,

Fox³

et al. 2014

Health

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Background: Antibiotics are frequently prescribed for upper acute respiratory tract infections (ARI) in the emergency department. To reduce inappropriate overprescribing, it is necessary to understand factors influencing physicians' decisions to prescribe antibiotics. Objective: Analyze the judgment policies of emergency physicians to determine factors predicting antibiotic use. Design: Paper case vignette study. Participants: 104 emergency physicians from Wisconsin. Measurements: We used judgment analysis to derive the policies of 104 emergency physicians from their responses to 20 case vignettes. We designed the cases such that each physician's use of clinical findings and patient factors could be inferred from the decisions they made about each case. Findings were compared to primary care practitioners (PCPs) in Colorado responding to the same paper cases to examine differences in factors influencing prescribing among the two groups. Results: The emergency physicians said they would prescribe an antibiotic (yes/no) in 51.4% of cases compared with 44.5% in the Colorado study. The majority of emergency physicians gave the greatest weight to duration of illness (51%), followed by temperature (20%) and cough (12%). Conclusions: These emergency physicians prescribed antibiotics more frequently than the Colorado PCPs. There was little difference in how clinical findings were weighted, suggesting this was not the source of the higher prescription rate among the emergency physicians. The considerable emphasis on duration of illness suggests that this would be a productive area for educational efforts to reduce antibiotic prescribing for ARI in the emergency department.

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“Get Smart Colorado”

Abstract: A low-cost mass media campaign was associated with a reduction in antibiotic use in the community, and seems to be mediated through decreases in office visits rates among children. The campaign seems to be cost-saving.

Cited by 56 publications

References 22 publications

Nonprescription Antimicrobial Use in a Primary Care Population in the United States

Nonprescription Antimicrobial Use in a Primary Care Population in the United States

Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand

Factors Affecting Antibiotic Prescribing for Acute Respiratory Infection by Emergency Physicians

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