Effect of a community-based behavioural intervention bundle to improve antibiotic use and patient management in Burkina Faso and DR Congo (CABU-EICO): a cluster-randomised controlled trial.
Brecht Ingelbeen, Daniel Valia, Bijou Mbangi et al.
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In 30 seconds
This cluster-randomised controlled trial evaluated a community-based intervention in Burkina Faso and DR Congo aimed at reducing Watch-group antibiotic use among healthcare providers. The intervention led to a significant decrease in Watch-group antibiotic use from 26.8% to 17.1% in the intervention group, while the control group saw an increase from 13.4% to 21.2%. The adjusted prevalence ratio for Watch-group antibiotic use was 0.33.
Key findings
- Watch-group antibiotic use decreased from 26.8% to 17.1% in the intervention group.
- Control group Watch-group antibiotic use increased from 13.4% to 21.2%.
- The adjusted prevalence ratio for Watch-group antibiotic use was 0.33.
- Changes in patient management scores were minimal.
Why it matters
This study demonstrates that community-based interventions can effectively reduce inappropriate antibiotic use, which is crucial for combating antimicrobial resistance. Improved antibiotic stewardship can enhance patient care and public health outcomes.