title: [Does the prescribing of antibiotics in paediatrics improve after a multidisciplinary intervention?].
abstract: Antibiotics overuse is linked to elevated antimicrobial resistance. In Aragon, Spain, the highest antibiotic prescription rates occur among children from 1 to 4 years old. The rate of use in this age group is over 60%.
  
  
  OBJECTIVE
  To evaluate the effect of multi-faceted intervention on Primary Care paediatricians to reduce antibiotic use and to improve antibiotic prescribing for paediatric outpatients.
  
  
  METHODS
  Outpatient antimicrobial prescribing was analysed before and after an intervention in paediatricians. The intervention included a clinical education session about diagnosis and treatment in the most prevalent paediatric infectious diseases, a clinical interview and communication skills, a workshop on rapid Streptococcus antigen detection test and patient information leaflets and useful internet websites for parents. The control group included paediatricians without this educational intervention on antibiotics.
  
  
  RESULTS
  Antibiotic prescribing decreased from 19.17 defined daily doses per 1000 inhabitants/day (DID) to 14.36 DID among intervention paediatricians vs 19.84 DID to 16.02 DID in controls. The decreasing was higher in the intervention group, but the effect was not statistically significant. Macrolides and broad-spectrum penicillins prescribing decreased in both groups.
  
  
  CONCLUSIONS
  Antibiotic prescribing decreased, but there were no statistically significant differences between the two groups. The high satisfaction of paediatricians in the intervention group makes it necessary to continue with these kinds of strategies to improve antibiotic use in outpatients.
authors.affiliation: Centro de Salud Oliver, Sector Zaragoza III, Servicio Aragonés de Salud, Zaragoza, España. Electronic address: mplalana@gmail.com.
authors.forename: Pilar
authors.initials: P
authors.lastname: Lalana-Josa
authors.affiliation: Centro de Salud Casetas, Sector Zaragoza III, Servicio Aragonés de Salud, Zaragoza, España.
authors.forename: Blanca
authors.initials: B
authors.lastname: Laclaustra-Mendizábal
authors.affiliation: Dirección de Atención Primaria, Sector Zaragoza III, Servcio Aragonés de Salud, Zaragoza, España.
authors.forename: M Mercedes
authors.initials: MM
authors.lastname: Aza-Pascual-Salcedo
authors.affiliation: Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Carcas-de-Benavides
authors.affiliation: Dirección de Atención Primaria, Sector Zaragoza III, Servcio Aragonés de Salud, Zaragoza, España.
authors.forename: M Jesús
authors.initials: MJ
authors.lastname: Lallana-Álvarez
authors.affiliation: Dirección de Atención Primaria, Sector Zaragoza II, Servicio Aragonés de Salud, Zaragoza, España.
authors.forename: M Belén
authors.initials: MB
authors.lastname: Pina-Gadea
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D065187:Controlled Before-After Studies; D011307:Drug Prescriptions / Q000592:standards*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010372:Pediatrics; D010818:Practice Patterns, Physicians'; D013030:Spain
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibiotic use; Atención primaria; Estrategias de intervención; Intervention strategies; Paediatrics; Pediatría; Primary healthcare; Utilización de antibióticos