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Development and efficacy of a clinician-targeted refresher course for treating nonpneumonia respiratory tract infections.
Yamamoto, Shungo; Gu, Yoshiaki; Fujitomo, Yumiko; Kanai, Nobuyuki; Yamahata, Yoshihiro; Saito, Hiroyuki; Hashimoto, Tadayuki; Ohmagari, Norio.
Afiliación
  • Yamamoto S; Department of Healthcare Epidemiology School of Public Health in the Graduate School of Medicine Kyoto University Kyoto Japan.
  • Gu Y; Integrated Clinical Education Center Kyoto University Hospital Kyoto Japan.
  • Fujitomo Y; AMR Clinical Reference Center National Center for Global Health and Medicine Hospital Tokyo Japan.
  • Kanai N; AMR Clinical Reference Center National Center for Global Health and Medicine Hospital Tokyo Japan.
  • Yamahata Y; Kanai Hospital Kyoto Japan.
  • Saito H; Kansai Center for Family Medicine Shiga Japan.
  • Hashimoto T; Department of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto Japan.
  • Ohmagari N; Department of General Medicine & Primary Care Yamaguchi University Hospital Yamaguchi Japan.
J Gen Fam Med ; 19(4): 127-132, 2018 Jul.
Article en En | MEDLINE | ID: mdl-29998042
BACKGROUND: In 2017, the Japanese government published an evidence-based manual describing the appropriate use of antibiotics in outpatient settings to tackle the problem of antimicrobial resistance. To fill the evidence-practice gap, we developed a clinician-targeted course aimed at improving clinician skills in the daily clinical practice of treating acute respiratory tract infections (RTIs) based on the manual. The aim of this study was to evaluate the efficacy of the course. METHODS: This course consisted of lectures using illness scripts and checklists, as well as interactive communication skills training using role-playing. We performed a vignette-based evaluation of the changes in the knowledge and attitudes of the course participants toward prescribing antibiotics for nonpneumonia RTIs, using pre- and postcourse questionnaires. The questionnaires also included course feedback via the use of a 5-point Likert scale. RESULTS: Thirty-eight clinicians were included in the analyses, and 90% of these participants had graduated ≥20 years ago. We found statistically significant reductions in the intention to prescribe antibiotics for four of the six nonpneumonia RTI vignettes: acute bronchitis (-47.2%; 95% confidence interval [CI] -66.3 to -28.1%), common cold (-16.2%; 95% CI -30.8 to -1.6%), acute pharyngitis (-27.0%; 95% CI -49.0 to -5.0%), and acute rhinosinusitis (-33.3%; 95% CI -53.3 to -13.3%). The course seemed to be satisfactory for experienced doctors who were the relevant target population of such a workshop. CONCLUSIONS: The refresher course was helpful for reducing the participants' intensions to prescribe antibiotics for nonpneumonia RTIs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: J Gen Fam Med Año: 2018 Tipo del documento: Article Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: J Gen Fam Med Año: 2018 Tipo del documento: Article Pais de publicación: Japón