Clinical Decision Support Systems and Antibiotic Prescribing—Reply

A 10% reduction of prescribing rates seems to be the best achievable effect in more actively delivered complex interventions to reduce antimicrobial prescribing, compared with smaller effects in more passively delivered interventions.2 A change to prescribing of more first-choice antibiotics seems t...

Full description

Saved in:
Bibliographic Details
Published in:JAMA : the journal of the American Medical Association 2006-04, Vol.295 (15), p.1771-1771
Main Authors: Johannes C van der Wouden, Kuyvenhoven, Marijke M, Samore, Matthew H, Stoddard, Gregory J
Format: Article
Language:English
Subjects:
Antibiotics
Intervention
Medical treatment
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 10% reduction of prescribing rates seems to be the best achievable effect in more actively delivered complex interventions to reduce antimicrobial prescribing, compared with smaller effects in more passively delivered interventions.2 A change to prescribing of more first-choice antibiotics seems to be easier than reducing the number of antimicrobial prescriptions.3,4 We agree that more potent interventions are needed to adequately control antimicrobial resistance. Effectiveness of a multiple intervention to reduce antibiotic prescribing for respiratory tract symptoms in primary care: randomised controlled trial. Drs van der Wouden and Kuyvenhoven offer the alternative hypothesis that the effects on antimicrobial prescribing that were observed in our study were secondary to differences in implementation of the community intervention rather than a consequence of clinical decision support system (CDSS) use. In addition, survey data did not reveal differences in attitudes or knowledge about antimicrobial resistance among residents of CDSS and community intervention alone communities during the post-intervention period.
ISSN:0098-7484
1538-3598
DOI:10.1001/jama.295.15.1771-b