Impact of Statewide Program To Promote Appropriate Antimicrobial Drug Use

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Belongia, Edward A. ; Knobloch, Mary Jo ; Kieke, Burney A. ; Davis, Jeffrey P. ; Janette, Carolyn ; Besser, Richard E.
• Description:
  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.
• Subjects:
  Anti-Bacterial Agents Communications Media Drug Prescriptions Drug Resistance, Bacterial Drug Utilization Education, Medical, Continuing Government Programs Health Education Humans Physician'S Practice Patterns Physicians, Family Program Evaluation Research

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• Source:
  Emerg Infect Dis. 11(6):912-920.
• Document Type:
  Journal Article
• Funding:
  U50/CCU515878/CC/ODCDC CDC HHS/United States
• Place as Subject:
  Wisconsin
• Location:
  North America
• Volume:
  11
• Issue:
  6
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:12bf98d7108346f199cc6d2af678246ed9bc151077fa0efa4de0434223975853
• Download URL:
  https://stacks.cdc.gov/view/cdc/7864/cdc_7864_DS1.pdf
• File Type:
  [PDF - 273.20 KB ]