Healthy Skepticism Library item: 2114
Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.
Publication type: Journal Article
Belongia EA, Knobloch MJ, Kieke BA, Davis JP, Janette C, Besser RE.
Impact of statewide program to promote appropriate antimicrobial drug use.
Emerg Infect Dis 2005 Jun; 11:(6):912-20
http://www.cdc.gov/ncidod/EID/vol11no06/05-0118.htm
Abstract:
The Wisconsin Antibiotic Resistance Network (WARN) was launched in 1999 to educate physicians and the public about judicious antimicrobial drug use. Public education included radio and television advertisements, posters, pamphlets, and presentations at childcare centers. Physician education included mailings, susceptibility reports, practice guidelines, satellite conferences, and presentations. We analyzed antimicrobial prescribing data for primary care physicians in Wisconsin and Minnesota (control state). Antimicrobial prescribing declined 19.8% in Minnesota and 20.4% in Wisconsin from 1998 to 2003. Prescribing by internists declined significantly more in Wisconsin than Minnesota, but the opposite was true for pediatricians. We conclude that the secular trend of declining antimicrobial drug use continued through 2003, but a large-scale educational program did not generate greater reductions in Wisconsin despite improved knowledge. State and local organizations should consider a balanced approach that includes limited statewide educational activities with increasing emphasis on local, provider-level interventions and policy development to promote careful antimicrobial drug use.
Keywords:
MeSH Terms:
Anti-Bacterial Agents/economics*
Anti-Bacterial Agents/therapeutic use*
Communications Media
Drug Resistance, Bacterial
Drug Utilization
Education, Medical, Continuing
Government Programs*
Health Education*
Humans
Physician's Practice Patterns/statistics & numerical data*
Physicians, Family/education*
Prescriptions, Drug/economics
Prescriptions, Drug/statistics & numerical data
Program Evaluation*
Research Support, U.S. Gov't, P.H.S.
Wisconsin
