TY - JOUR T1 - Interventions to reduce antibiotic prescribing for lower respiratory tract infections. Happy Audit study JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/09031936.00093211 SP - erj00932-2011 AU - C. Llor AU - J. Maria Cots AU - B.G. López-Valcárcel AU - J. Arranz AU - G. García AU - J. Ortega AU - M. Gómez AU - G. Guerra AU - M.J. Monedero AU - J.D. Alcántara AU - J. Paredes AU - S. Hernández AU - M. Cid AU - C. Pérez AU - V. Pineda Y1 - 2012/01/01 UR - http://erj.ersjournals.com/content/early/2011/12/16/09031936.00093211.abstract N2 - This before-after study was aimed to evaluate the effect of two interventions on lowering the prescription of antibiotics in lower respiratory tract infections (LRTI) in Spain.General practitioners (GP) registered all cases with LRTIs during 3-week periods before and after an intervention, in 2008 and 2009. Two types of intervention were considered: full intervention (FIG) consisting in discussion sessions of the results of the first registry, courses for GPs, guidelines, patient information leaflets, workshops on rapid tests and use of the C-reactive protein (CRP) test. GPs in the partial intervention group (PIG) underwent all the above intervention except for the workshop on rapid tests and they did not have access to CRP. A multilevel logistic regression analysis was performed considering the prescription of an antibiotic as the dependent variable.Two hundred ten physicians were assigned to FIG and 70 to PIG. In 2009, 58 new physicians were included as a control group. 5,385 LRTIs were registered. Compared with the control group the odds ratio of antibiotic prescription after the intervention in the PIG was 0.42 (95%CI: 0.22–0.82), being 0.22 (95%CI: 0.12–0.38) in the FIG.Intervention led to a reduction in the prescription of antibiotics, mainly when CRP testing was available. ER -