TY - JOUR
T1 - Health alliance for prudent prescribing and yield of antibiotics in a patient-centred perspective (HAPPY PATIENT)
T2 - a before-and-after intervention and implementation study protocol
AU - Bjerrum, Anders
AU - García-Sangenís, Ana
AU - Modena, Daniela
AU - Córdoba, Gloria
AU - Bjerrum, Lars
AU - Chalkidou, Athina
AU - Lykkegaard, Jesper
AU - Hansen, Malene Plejdrup
AU - Søndergaard, Jens
AU - Nexøe, Jørgen
AU - Rebnord, Ingrid
AU - Sebjørnsen, Isabel
AU - Jensen, Jette Nygaard
AU - Hansen, Matilde Bøgelund
AU - Taxis, Katja
AU - Lambert, Maarten
AU - Benko, Ria
AU - González López-Valcárcel, Beatriz
AU - Raynal, Fabiana
AU - Barragán, Nieves
AU - Touboul, Pia
AU - Bruno, Pascale
AU - Radzeviciene, Ruta
AU - Jaruseviciene, Lina
AU - Bandzaite, Auste
AU - Godycki-Cwirko, Maciek
AU - Kowalczyk, Anna
AU - Lionis, Christos
AU - Karkana, Maria-Nefeli
AU - Anastasaki, Marilena
AU - Coleman, Jamie
AU - Glasová, Helena
AU - van Agtmael, Michiel
AU - Tattevin, Pierre
AU - Borràs, Alicia
AU - Llor, Carl
N1 - © 2022. The Author(s).
PY - 2022
Y1 - 2022
N2 - BACKGROUND: Excessive and inappropriate use of antibiotics is the most important driver of antimicrobial resistance. The aim of the HAPPY PATIENT project is to evaluate the adaptation of European Union (EU) recommendations on the prudent use of antimicrobials in human health by evaluating the impact of a multifaceted intervention targeting different categories of healthcare professionals (HCPs) on common community-acquired infectious diseases, especially respiratory and urinary tract infections.METHODS/DESIGN: HAPPY PATIENT was initiated in January 2021 and is planned to end in December 2023. The partners of this project include 15 organizations from 9 countries. Diverse HCPs (doctors, nurses, pharmacists, and pharmacy technicians) will be audited by the Audit Project Odense (APO) method before and after an intervention in four different settings: general practice, out of hours services, nursing homes and community pharmacies in four high antibiotic prescribing countries (France, Poland, Greece, and Spain) and one low prescribing country (Lithuania). About 25 individuals from each professional group will be recruited in each country, who will register at least 25 patients with community-acquired infections during each audit period. Shortly before the second registration participants will undertake a multifaceted intervention and will receive the results from the first registration to allow the identification of possible quality problems. At these meetings participants will receive training courses on enhancement of communication skills, dissemination of clinical guidelines with recommendations for diagnosis and treatment, posters for the waiting rooms, and leaflets for patients. The results of the second registration will be compared with those obtained in the first audit.DISCUSSION: HAPPY PATIENT is an EU-funded project aimed at contributing to the battle against antibiotic resistance through improvement of the quality of management of common community-acquired infections based on interventions by different types of HCPs. It is hypothesized that the use of multifaceted strategies combining active intervention will be effective in reducing inappropriate prescribing and dispensing of antibiotics.STUDY REGISTRATION: EU Health programmes project database https://webgate.ec.europa.eu/chafea_pdb/health/projects/900024/summary ; date of registration: 1 January 2021.
AB - BACKGROUND: Excessive and inappropriate use of antibiotics is the most important driver of antimicrobial resistance. The aim of the HAPPY PATIENT project is to evaluate the adaptation of European Union (EU) recommendations on the prudent use of antimicrobials in human health by evaluating the impact of a multifaceted intervention targeting different categories of healthcare professionals (HCPs) on common community-acquired infectious diseases, especially respiratory and urinary tract infections.METHODS/DESIGN: HAPPY PATIENT was initiated in January 2021 and is planned to end in December 2023. The partners of this project include 15 organizations from 9 countries. Diverse HCPs (doctors, nurses, pharmacists, and pharmacy technicians) will be audited by the Audit Project Odense (APO) method before and after an intervention in four different settings: general practice, out of hours services, nursing homes and community pharmacies in four high antibiotic prescribing countries (France, Poland, Greece, and Spain) and one low prescribing country (Lithuania). About 25 individuals from each professional group will be recruited in each country, who will register at least 25 patients with community-acquired infections during each audit period. Shortly before the second registration participants will undertake a multifaceted intervention and will receive the results from the first registration to allow the identification of possible quality problems. At these meetings participants will receive training courses on enhancement of communication skills, dissemination of clinical guidelines with recommendations for diagnosis and treatment, posters for the waiting rooms, and leaflets for patients. The results of the second registration will be compared with those obtained in the first audit.DISCUSSION: HAPPY PATIENT is an EU-funded project aimed at contributing to the battle against antibiotic resistance through improvement of the quality of management of common community-acquired infections based on interventions by different types of HCPs. It is hypothesized that the use of multifaceted strategies combining active intervention will be effective in reducing inappropriate prescribing and dispensing of antibiotics.STUDY REGISTRATION: EU Health programmes project database https://webgate.ec.europa.eu/chafea_pdb/health/projects/900024/summary ; date of registration: 1 January 2021.
KW - Anti-Bacterial Agents/therapeutic use
KW - Community-Acquired Infections/drug therapy
KW - Drug Resistance, Microbial
KW - Humans
KW - Insurance Pools
KW - Respiratory Tract Infections/drug therapy
U2 - 10.1186/s12875-022-01710-1
DO - 10.1186/s12875-022-01710-1
M3 - Journal article
C2 - 35501712
VL - 23
JO - BMC Primary Care
JF - BMC Primary Care
SN - 2731-4553
IS - 1
M1 - 102
ER -