training mode

Educationa l Interventio n fo r Parent s an d Healthcar e Provider s Lead s to
Reduce
d
Antibioti
c
Us
e in Acut e Otiti s Medi a LARS
SMA
Ê
BREKKE
1
,
DAG
BERILD
2
,
ANTO
N
GI
Æ
VE
R
3
,
TORN
I
MYRBAK
K
4
,
AIRI
N
FUSKEV
A
Ê
G
5
,
JOHANN
A
U.
ERICSO
N
4
,
TRON
D
FL
Æ
GSTA
D
4
,
6
,
Ø
RJA
N
OLSVI
K
4 an d
SIGN
E
H.
RINGERT
Z
2
,
4
From
the
1
Regiona l Dru g Informatio n Centr e ,
Tromsø
Uni v ersit y Hospita l ,
Tromsø
,
Norway
,
2
Departmen t of
Medicin
e
,
Aker
Uni
v ersit y
Hospita
l
,
Oslo
,
Norway
,
3
Th
e
Emergenc
y
Cal
l
Se
r v ice
,
Tromsø
,
Norway
,
4
The
Uni v ersit y of
Troms
ø
,
Facult y of
Medicin
e
,
Tromsø
,
Norway
,
5
Th
e
Hospita
l
Pharmac
y of Troms ø ,
Tromsø
,
Norway
and
6
Departmen t of
Pediatrics
,
Tromsø
Uni v ersit y Hospita l ,
Tromsø
,
Norway
We use d a controlle d before-and-afte r desig n wit h th e aim s of reducin g bot h th e tota l consumptio n of antibiotic s an d th e us e of broad-spectru m antibiotic s agains t acut e otiti s medi a
(AOM)
, an d to stud y to wha t exten t prescription s fo r antibiotic s agains t
AO
M wer e dispensed .
Informatio
n on evidence-base d treatmen t of uncomplicate d
AO
M wa s provide d to doctor s an d nurses
,
an d writte n guideline s wer e implemented
.
Pamphlet s an d ora l informatio n concernin g symptomati c treatmen t an d th e limite d effec t of antibioti c us e in AO
M
wer e give n to parents .
Eligibl
e patient s wer e
81
9 childre n age d
1
–
1
5
y.
Th e proportio n of patient s receivin g a prescriptio n fo r antibiotic s wa s reduce d fro m 90
%
at baselin e to 74
%
durin g th e stud
y