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Intervention to improve the quality of antimicrobial prescribing for urinary tract infection: a cluster randomized trial

Overview of attention for article published in CMAJ, November 2015
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (95th percentile)
  • Good Attention Score compared to outputs of the same age and source (75th percentile)

Mentioned by

news
3 news outlets
policy
1 policy source
twitter
22 tweeters
facebook
3 Facebook pages

Citations

dimensions_citation
11 Dimensions

Readers on

mendeley
55 Mendeley
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Title
Intervention to improve the quality of antimicrobial prescribing for urinary tract infection: a cluster randomized trial
Published in
CMAJ, November 2015
DOI 10.1503/cmaj.150601
Pubmed ID
Authors

Akke Vellinga, Sandra Galvin, Sinead Duane, Aoife Callan, Kathleen Bennett, Martin Cormican, Christine Domegan, Andrew W. Murphy

Abstract

Overuse of antimicrobial therapy in the community adds to the global spread of antimicrobial resistance, which is jeopardizing the treatment of common infections. We designed a cluster randomized complex intervention to improve antimicrobial prescribing for urinary tract infection in Irish general practice. During a 3-month baseline period, all practices received a workshop to promote consultation coding for urinary tract infections. Practices in intervention arms A and B received a second workshop with information on antimicrobial prescribing guidelines and a practice audit report (baseline data). Practices in intervention arm B received additional evidence on delayed prescribing of antimicrobials for suspected urinary tract infection. A reminder integrated into the patient management software suggested first-line treatment and, for practices in arm B, delayed prescribing. Over the 6-month intervention, practices in arms A and B received monthly audit reports of antimicrobial prescribing. The proportion of antimicrobial prescribing according to guidelines for urinary tract infection increased in arms A and B relative to control (adjusted overall odds ratio [OR] 2.3, 95% confidence interval [CI] 1.7 to 3.2; arm A adjusted OR 2.7, 95% CI 1.8 to 4.1; arm B adjusted OR 2.0, 95% CI 1.3 to 3.0). An unintended increase in antimicrobial prescribing was observed in the intervention arms relative to control (arm A adjusted OR 2.2, 95% CI 1.2 to 4.0; arm B adjusted OR 1.4, 95% CI 0.9 to 2.1). Improvements in guidelinebased prescribing were sustained at 5 months after the intervention. A complex intervention, including audit reports and reminders, improved the quality of prescribing for urinary tract infection in Irish general practice. ClinicalTrials.gov, no. NCT01913860.

Twitter Demographics

The data shown below were collected from the profiles of 22 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 55 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ireland 1 2%
Belgium 1 2%
Unknown 53 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 13 24%
Student > Master 11 20%
Unspecified 6 11%
Other 5 9%
Student > Doctoral Student 4 7%
Other 16 29%
Readers by discipline Count As %
Medicine and Dentistry 24 44%
Unspecified 9 16%
Pharmacology, Toxicology and Pharmaceutical Science 8 15%
Nursing and Health Professions 4 7%
Psychology 3 5%
Other 7 13%

Attention Score in Context

This research output has an Altmetric Attention Score of 39. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 October 2018.
All research outputs
#402,177
of 12,860,000 outputs
Outputs from CMAJ
#702
of 5,893 outputs
Outputs of similar age
#11,277
of 235,324 outputs
Outputs of similar age from CMAJ
#22
of 89 outputs
Altmetric has tracked 12,860,000 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,893 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 23.5. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 235,324 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 95% of its contemporaries.
We're also able to compare this research output to 89 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 75% of its contemporaries.