Management of infection in patients in health centres. Final report of the MIKSTRA programme

Rautakorpi U-M, Nyberg S, Honkanen P, Klaukka T, Liira H, Makela M, Palva E, Roine R, Sarkkinen H, Huovinen P
Record ID 32010001189
English
Authors' objectives: The purpose of the MIKSTRA programme was to gain an overall picture of how infection diagnostics and treatment are handled at health centres and what antimicrobials are used for in outpatient care. Another purpose was to guide the use of antimicrobials in a direction optimal for infection diagnostics and treatment, hence reducing their costs, through further education based on the Current Care guidelines. The long-term objective was that all outpatient care infections would be treated in the similar way nationwide, according to local applications based on evidence-based national recommendations. It was also explored whether further education at the workplace would be suitable for introducing treatment recommendations into practice. Two proven training methods were tested in the day-to-day work of health centres in the practical implementation of the training. The programme further aimed to establish a procedure whereby the diagnostics and treatment of infections in outpatient care could be monitored and further optimised pursuant to new research data and updated treatment recommendations.
Authors' recommendations: The MIKSTRA programme collected a large amount of information on the use of antimicrobials in outpatient treatment. It also succeeded in guiding the use of antimicrobials towards a more appropriate practice. But there is a lot of work still to do. We must all continue to strive in our everyday jobs and in the areas of drug policy, education and research to promote the optimal use of antimicrobials.We hope that the experiences gained and the knowledge produced in the MIKSTRA programme, including this fi nal report and its online appendices, will help clinical practitioners, researchers, medical teachers, and policymakers in these efforts.
Details
Project Status: Completed
Year Published: 2010
URL for published report: http://urn.fi/URN:NBN:fi-fe201205085182
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Finland
MeSH Terms
  • Anti-Bacterial Agents
  • Bacterial Infections
  • Influenza, Human
  • Primary Health Care
  • Respiratory Syncytial Virus Infections
Keywords
  • community health centers
  • attitude of health personel
  • practice guidelines as topic
  • patients
  • infections
Contact
Organisation Name: Finnish Coordinating Center for Health Technology Assessment
Contact Address: Finnish Office for Health Care Technology Assessment (Finohta)
Contact Name: .
Contact Email: fincchta@ppshp.fi
Copyright: Authors and THL
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.