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Objective: To evaluate the impact of a multifaceted antimicrobial stewardship intervention on potentially unnecessary antibiotic prescribing.
Material And Methods: Before and after quality control study carried out in three different settingsgeneral practice, out-of-hours services, and nursing homesin Spain. Healthcare professionals (both doctors and nurses) self-registered common infections using a specific template for each setting before (2022) and after (2023) receiving a 5-hour intervention on prudent antibiotic use.
Results: Eighty-nine professionals participated in the first registration (48 in general practice, 23 in out-of-hours services, and 15 in nursing homes), with 71 (79.8%) completing the intervention and second registration. Potentially unnecessary antibiotic prescriptions were 68.5%, 41.7%, and 77.7% in the first registration, respectively, and 61.4%, 34.8%, and 86.8% after the intervention, showing reductions of 10.4% in general practice and 16.5% in out-of-hours services, and an 11.7% increase in nursing homes, albeit without statistically significant differences.
Conclusions: The study found that this intervention slightly improved antibiotic use, with minimal impact, but worsened in nursing homes.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095936 | PMC |
http://dx.doi.org/10.37201/req/024.2025 | DOI Listing |
Cureus
September 2025
Neurosurgery, Queen Elizabeth University Hospital, Glasgow, GBR.
Background Emergency neurosurgical referrals are a leading driver of on-call workload and unplanned admissions. Tracking their volume and case-mix supports safe staffing, imaging capacity, and bed planning across regional networks. The study included all emergency referrals made to the department between 2020 and 2022.
View Article and Find Full Text PDFCureus
August 2025
Medicine, Salford Royal National Health Service (NHS) Foundation Trust, Manchester, GBR.
Introduction Oxygen is a routinely administered, yet prescription-only therapy in hospital settings. Inappropriate prescribing can result in significant harm, particularly in patients at risk of type 2 respiratory failure. This audit aimed to evaluate adherence to guidelines on oxygen prescribing during admission clerking in the Emergency Assessment Unit (EAU) of Salford Royal NHS Foundation Trust, a UK tertiary care hospital.
View Article and Find Full Text PDFInt J Emerg Med
September 2025
Department of General Practice & Nursing Science, Julius Center for Health Sciences and Primary care, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, Utrecht, 3508 AB, The Netherlands.
Background: Ruptured abdominal aortic aneurysm (rAAA) is rare but it is the second most frequently missed diagnosis reported as sentinel adverse event ('calamity') at out-of-hours services in primary care (OHS-PC). We aimed to identify characteristics that could be useful for telephone triage of suspected rAAA at the OHS-PC.
Methods: In a matched case-control study (1:4 ratio), we compared patients with a missed rAAA (cases) to patients with the same age and sex, and with similar entrance complaint (controls).
Br J Gen Pract
September 2025
Center for General Practice at Aalborg University, Aalborg, Denmark.
BMC Health Serv Res
August 2025
Department of Clinical Research, University Hospital of Southern Denmark, Aabenraa, Denmark.
Purpose: Care home residents often suffer from several morbidities, including dementia, and are prone to acute hospital admissions. Attempts to reduce avoidable hospitalisations from care homes are diverse, but they can include a strengthened collaboration between care home facilities and primary care physicians (PCPs). We aim to investigate whether residents of care homes with and without a care home physician have different contact patterns with PCPs, out-of-hours service, and hospitals.
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