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Title: | Rationale, design and organization of the delayed antibiotic prescription (DAP) trial: a randomized controlled trial of the eficacy and safety of delayed antibiotic prescribing strategies in the non-complicated acute respiratory tract infections in general practice |
Author: | Poza Abad, Mariam de la Mas Dalmau, Gemma Moreno Bakedano, Raquel González González, Ana Isabel Canellas Criado, Yolanda Hernández Anadón, Silvia Rotaeche del Campo, Rafael Torán Montserrat, Pere Negret Palma, Antonio Pera, Guillem Borrell Thió, Eulalia Llor, Carl Little, Paul Alonso Coello, Pablo Simonet Aineto, Pere Delayed antibiotic prescription Group |
Keywords: | Medicaments antibacterians Prescripció de medicaments Infeccions respiratòries Antibiòtics Antibacterial agents Drug prescribing Respiratory infections Antibiotics |
Issue Date: | 19-May-2013 |
Publisher: | BioMed Central |
Abstract: | Background: Respiratory tract infections are an important burden in primary care and it's known that they are usually self-limited and that antibiotics only alter its course slightly. This together with the alarming increase of bacterial resistance due to increased use of antimicrobials calls for a need to consider strategies to reduce their use. One of these strategies is the delayed prescription of antibiotics. Methods: Multicentric, parallel, randomised controlled trial comparing four antibiotic prescribing strategies in acute non-complicated respiratory tract infections. We will include acute pharyngitis, rhinosinusitis, acute bronchitis and acute exacerbation of chronic bronchitis or chronic obstructive pulmonary disease (mild to moderate). The therapeutic strategies compared are: immediate antibiotic treatment, no antibiotic treatment, and two delayed antibiotic prescribing (DAP) strategies with structured advice to use a course of antibiotics in case of worsening of symptoms or not improving (prescription given to patient or prescription left at the reception of the primary care centre 3 days after the first medical visit). Discussion: Delayed antibiotic prescription has been widely used in Anglo-Saxon countries, however, in Southern Europe there has been little research about this topic. The DAP trial wil evaluate two different delayed strategies in Spain for the main respiratory infections in primary care. |
Note: | Reproducció del document publicat a: https://doi.org/10.1186/1471-2296-14-63 |
It is part of: | BMC Family Practice, 2013, vol. 14, p. 63 |
URI: | http://hdl.handle.net/2445/191140 |
Related resource: | https://doi.org/10.1186/1471-2296-14-63 |
ISSN: | 1471-2296 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) |
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