Trial Outcomes & Findings for An Educational Intervention to Improve the Use of Antibiotics in Portuguese Health Professional (NCT NCT02173509)

NCT ID: NCT02173509

Last Updated: 2023-08-18

Results Overview

To quantify antibiotic drug consumption, we used monthly sales data sourced from IMS Health® and we used the quality indicators validated by Coenen S et al., (2007) to calculate monthly prescribing rates.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

2300 participants

Primary outcome timeframe

up to 18 months

Results posted on

2023-08-18

Participant Flow

Participant milestones

Participant milestones
Measure
Control Group
Control group (n\~ 791 GPs and n\~888 pharmacists), not received the intervention.
Intervention Group
The intervention group (n\~ 309 GPs and n\~312 pharmacists). Received the intervention (n\~ 197 GPs and n\~173 pharmacists)
Overall Study
STARTED
1679
621
Overall Study
COMPLETED
1679
621
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Data not collected

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Group
n=621 Participants
Intervention group (n\~ 309 GPs and n\~312 pharmacists). Attended to the intervention, (n\~ 197 GPs and n\~173 pharmacists).
Control Group
n=1679 Participants
Intervention group (n\~ 791 GPs and n\~888 pharmacists).
Total
n=2300 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
Data not collected
0 Participants
Data not collected
0 Participants
Data not collected
Age, Categorical
Between 18 and 65 years
0 Participants
Data not collected
0 Participants
Data not collected
0 Participants
Data not collected
Sex: Female, Male
Female
0 Participants
data not collected
0 Participants
data not collected
0 Participants
data not collected
Age, Categorical
>=65 years
0 Participants
Data not collected
0 Participants
Data not collected
0 Participants
Data not collected
Sex: Female, Male
Male
0 Participants
data not collected
0 Participants
data not collected
0 Participants
data not collected
Region of Enrollment
Portugal
621 participants
n=621 Participants
1679 participants
n=1679 Participants
2300 participants
n=2300 Participants

PRIMARY outcome

Timeframe: up to 18 months

Population: The analysis was performed with the intention to treat and the PID was assessed. These values correspond to the post-intervention period.

To quantify antibiotic drug consumption, we used monthly sales data sourced from IMS Health® and we used the quality indicators validated by Coenen S et al., (2007) to calculate monthly prescribing rates.

Outcome measures

Outcome measures
Measure
Educational Multifaceted Intervention
n=621 Participants
Multidisciplinary and multifaceted educational intervention about antibiotic prescription and dispense, in physicians and pharmacists. Multidisciplinary and multifaceted educational intervention.: Outreach visits (40 minutes) which included a PowerPoint presentation and impress materials: poster; flyers; participation certificate and articles mentioned in the presentation. This outreach visit aimed to change the knowledge-attitudes previously identified in a previous study as being associated with poor prescribing of antibiotics in the case of physicians and propensity to dispense antibiotics without medical prescription in the case of pharmacists.
Control Group
n=1679 Participants
Did not received in the multidisciplinary and multifaceted educational intervention about antibiotic prescription and dispense.
Change From Baseline Antibiotic Consumption at 18 Months, in Primary Care
1.71 PID-number of packages per 1000 inhabit
Interval 1.65 to 1.77
2.01 PID-number of packages per 1000 inhabit
Interval 1.97 to 2.05

PRIMARY outcome

Timeframe: May 2012- September 2014

antibiotic monthly sales data, obtained from IMS and quality indicators monthly prescribing rates, according to the ESAC indicators.

Outcome measures

Outcome measures
Measure
Educational Multifaceted Intervention
n=621 Participants
Multidisciplinary and multifaceted educational intervention about antibiotic prescription and dispense, in physicians and pharmacists. Multidisciplinary and multifaceted educational intervention.: Outreach visits (40 minutes) which included a PowerPoint presentation and impress materials: poster; flyers; participation certificate and articles mentioned in the presentation. This outreach visit aimed to change the knowledge-attitudes previously identified in a previous study as being associated with poor prescribing of antibiotics in the case of physicians and propensity to dispense antibiotics without medical prescription in the case of pharmacists.
Control Group
n=1679 Participants
Did not received in the multidisciplinary and multifaceted educational intervention about antibiotic prescription and dispense.
Antibiotic Monthly Sales Data and Quality Indicators Monthly Prescribing Rates.
1.71 PID-number of packages per 1000 inhabit
Interval 1.65 to 1.77
2.01 PID-number of packages per 1000 inhabit
Interval 1.97 to 2.05

Adverse Events

Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Teresa Herdeiro

University Aveiro

Phone: +351234370200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place