Improving the appropriateness of antimicrobial use in primary care after implementation of a local antimicrobial guide in both levels of care.

Objective: This study aims to assess the effectiveness of multiple interventions carried out during the implementation of a guide, on the improvement of the appropriateness of antimicrobial prescribing in primary care.

Design: This is a cross-sectional before/after study carried out in Aljarafe Health Care Area (Andalusia, Spain), with a population of 368,728 inhabitants assisted in 37 health centers.

Subjects: Subjects include patients with antibiotic prescriptions during 2009 (pre-intervention phase) or 2012 (postintervention phase) selected by simple random sampling (confidence level, 95%; accuracy, 5%), with infections registered in the electronic clinical history.

[Appropriateness of antibiotic prescribing in a primary care area: a cross-sectional study].

Objective: To assess the profile of patients receiving antibiotics and the appropriateness of these prescriptions for the clinical conditions.

Design: Cross-sectional study of prescription-indication.

Setting: A primary health care area in Andalusia.