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2013-05-19

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cc-by (c) Poza Abad, Mariam de la et al., 2013
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/191140

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

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https://doi.org/10.1186/1471-2296-14-63

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.

Subject

Medicaments antibacterians, Prescripció de medicaments, Infeccions respiratòries, Antibiòtics

Subject (English)

Antibacterial agents, Drug prescribing, Respiratory infections, Antibiotics

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Articles publicats en revistes (Ciències Clíniques)

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POZA ABAD, Mariam de la, et al. 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. BMC Family Practice. 2013. Vol. 14, num. 63. ISSN 1471-2296. [consulted: 12 of August of 2026]. Available at: https://hdl.handle.net/2445/191140

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