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HAPPY AUDIT, Medical Audits for Prudent Use of Antimicrobial Agents in European Primary Health Care

Project title HAPPY AUDIT, Medical Audits for Prudent Use of Antimicrobial Agents in European Primary Health Care
Database Data manually inserted in the NDPHS Database
ID in the source database 540
Thematic area
  • Communicable Diseases (other than HIV/AIDS and TB)
  • Primary Health Care
Topic Lowering antibiotic prescribing by doctors in PHC.
Project geographical area
  • Denmark
  • Lithuania
  • Russia
  • Sweden
Substate level / administrative units /regions Kaliningrad Oblast
Lead partner (organisation) Research Unit for General Practice in Odense
Lead partner (owner or/and project manager) no data
Partner organisations no data
Start date 2007-04-12
End date 2010-03-31
Duration (months) 35
Target audience Doctors in PHC
Summary Abstract:
The aim of the project is to strengthen the surveillance of respiratory tract infections in Europe through development of intervention programs targeting general practitioners (GPs), parents of young children and healthy adults. The team will study the incidence of respiratory tract infec-tions among patients in general practice, and carry out research based on audit registration to explore the existing use of diagnostic tools in patients with respiratory tract infections.
Based on results from audit registrations at GPs, the team will develop locally adapted interven-tion programs, including guidelines, courses for GPs, workshops and patient information leaflets for improving the quality of antibiotic prescription. The overall aim of the intervention programme is to reduce the occurrence of bacterial resistance by reducing prescribing of unnecessary antibiotics for respiratory tract infections and by improv-ing the use of appropriate antibiotics in suspected bacterial infections.
The proposed method for auditing GPs is called Audit Project Odense (APO). APO has been developed and successfully tested at the different groups of GPs in the Nordic countries. In this project APO will be used at European level involving some 420 GPs from 11 regions with dif-ferent cultural background and different organisation of the primary health care. Research on the effect of preventive measures will be carried out by analysing audit registrations carried out before and after the intervention period. The results will be widely disseminated in a Working Conference hosted by The World Health Organisation (WHO) and the World Associa-tion of Family Doctors (WONCA) at the end of the project. To ensure public awareness of the risk of resistant bacteria, media campaign targeting both pro-fessionals and the public will be developed and the results including a guideline for ss be published.
Background Scientific and technological objectives Infections caused by resistant bacteria lead to an increased mortality, prolonged hospital stay and increased costs compared. The history has told us that this problem will not be solved by the provision of more potent antibiotics by the pharmaceutical industry – quite the contrary. An increased consumption of potent antibiotics inevitable leads to an increased number of resistant bacteria. The control of antibiotic resistance should be solved by other initiatives. A cornerstone of efforts to control antibiotic resistance is to improve the quality of antibiotic prescriptions in primary health care as more than 90% of antibiotics are prescribed by General Practitioners (GPs).
The HAPPY AUDIT project aims at changing peoples habits towards prudent use of antimicrobial agents (antibiotics). The proposed method is called Audit Project Odense (APO). APO will be implemented at some 420 General Practitioners (GPs) and their patients and the results will be collected and analysed. The APO method has been developed and successfully tested at GPs in the Nordic countries. Pilot studies have shown that interventions to reduce unnecessary antibiotic prescribing can lead to a reduction in the prevalence of resistant strains . In this project, APO will be implemented at European level including 11 regions with different cultural background and different organisation of the primary health care.
The HAPPY AUDIT consortium includes:
  • Research organisations, SMEs and GP organisations in DK, SE, LT, RU, FR and ES
  • National health authorities in the same countries
  • International organisations: The World Health Organisation (WHO) and The World Or-ganisation of family Doctors (WONCA).
    Excessive and inappropriate use of antibiotics is considered to be the most important reason for development of bacterial resistance to antibiotics. It has been clearly documented that the prevalence of resistant strains is correlated with the consumption of antibiotics, and studies comparing bacterial resistance in various European countries have shown striking differences in the consumption of antibiotics.
  • Objectives To carry out research on existing behavioural tools:
    - Planning of APO cycles in 12 regions with participation of 400 GPs
    - Development of indicators for intervention
    - Preparation of intervention materials for patients and professionals

    Implementation of APO cycles in 12 regions:
    - Initial registration of GPs and use of antibiotics for their RTI patients.
    - Development of a number of intervention activities as a tool for behavioural changes of the general public and professionals in the community towards prudent use of antimicrobial agents in the view of different cultural backgrounds.
    - Final registration including registration of the use of antibiotics after the intervention period.
    Specific objectives/indicators no data
    Results no data
    Total foreseen budget EUR 1,492,300
    Total implementation costs
    (for completed projects, if available)
    no data
    Conversion to € was done on
    (according to the relevant
    exchange rate at
    Infoeuro Monthly Files)
    no data
    Financing agencies / organisations European Commission
    Project's URL / project's website http://www.happyaudit.org
    Papers associated with this project no data
    Further information no data
    Last posted: on 2009-08-26 at 16:07:46

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