Adriana Jovanov, Ashley Parks, Cynthia Jovanov, Xolani Mdluli
A Qualitative Analysis of Knowledge Levels, Perceived Susceptibility, and Perceived Severity Surrounding Anal Cancer and Human Papillomavirus
Journal of primary care & community health
antimicrobial stewardship programs attempting optimize antibiotic therapy clinical outcomes mainly focus inpatient outpatient settings lack antimicrobial stewardship program studies emergency department ed represents gap tackling problem antimicrobial resistance eds treat substantial number upper respiratory tract infection cases throughout year intend implement two evidencebased interventions 1 patient education 2 providing physician feedback prescribing rates incorporate evidence literature review contextualizing interventions based findings local qualitative study study uses quasiexperimental design evaluate effects interventions time eds 4 public hospitals singapore include initial control period 18 months next 6 months randomize 2 eds receive 1 intervention ie patient education 2 eds receive alternative intervention ie physician feedback eds receive second intervention subsequent 6 months top ongoing intervention data collected another 6 months assess persistence intervention effects information leaflets handed patients eds consult physician feedback individual physicians senior doctors form electronic text messages feedback contain physicians antibiotic prescribing rate compared departments overall antibiotic prescribing rate bitesize message good antibiotic prescribing practices analyze data using segmented regression differenceindifference estimation account concurrent cluster comparisons proposed study assesses effectiveness evidencebased contextspecific interventions optimize antibiotic prescribing eds interventions aligned singapores national effort tackle antimicrobial resistance scaled successful clinicaltrialsgov nct05451863 httpsclinicaltrialsgovstudynct05451836 derr110219650417