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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Intervention to improve the quality of antimicrobial prescribing for urinary tract infection: a cluster randomized trial
|
|---|---|
| Published in |
Canadian Medical Association Journal, 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. |
X Demographics
The data shown below were collected from the profiles of 20 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 3 | 15% |
| United Kingdom | 3 | 15% |
| Ireland | 1 | 5% |
| Colombia | 1 | 5% |
| New Zealand | 1 | 5% |
| Australia | 1 | 5% |
| Unknown | 10 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 12 | 60% |
| Practitioners (doctors, other healthcare professionals) | 6 | 30% |
| Scientists | 2 | 10% |
Mendeley readers
The data shown below were compiled from readership statistics for 108 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Ireland | 1 | <1% |
| Belgium | 1 | <1% |
| Unknown | 106 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 21 | 19% |
| Researcher | 14 | 13% |
| Student > Bachelor | 11 | 10% |
| Student > Ph. D. Student | 8 | 7% |
| Other | 8 | 7% |
| Other | 20 | 19% |
| Unknown | 26 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 31 | 29% |
| Pharmacology, Toxicology and Pharmaceutical Science | 15 | 14% |
| Nursing and Health Professions | 11 | 10% |
| Business, Management and Accounting | 5 | 5% |
| Psychology | 4 | 4% |
| Other | 11 | 10% |
| Unknown | 31 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 38. 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 20 March 2019.
All research outputs
#925,593
of 23,112,054 outputs
Outputs from Canadian Medical Association Journal
#1,348
of 8,801 outputs
Outputs of similar age
#13,505
of 253,080 outputs
Outputs of similar age from Canadian Medical Association Journal
#24
of 101 outputs
Altmetric has tracked 23,112,054 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 8,801 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 33.2. This one has done well, scoring higher than 84% 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 253,080 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 94% of its contemporaries.
We're also able to compare this research output to 101 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 77% of its contemporaries.