Each partner institution of the Swiss Learning Health System (SLHS) is working on a specific topic that will lead to policy briefs and stakeholder dialogues.
This policy brief summarises the issues for the need to reduce unnecessary antibiotic prescribing for RTIs in ambulatory (primary) care by optimizing the use of CRP-POCT and its integration into clinical practice guidelines. It integrates a summary of the current evidence from a meta-analysis of RCTs on the clinical effectiveness of CRP-POCT to reduce antibiotic prescribing for RTIs. Based on this, and both high-profile RCTs and guidelines, it considers the steps that can be taken to address the continuing issue of unnecessary antibiotic prescribing, which can be a challenge due to the following main factors:
i) data on antibiotic consumption (for RTIs) from Swiss primary care are limited
ii) documentation of the use of CRP-POCT to reduce unnecessary antibiotic prescribing for RTIs in Swiss primary care is limited
iii) guidance on the use of CRP-POCT to reduce unnecessary antibiotic prescribing for RTIs in primary care is lacking
iiii) advice for physicians on how to deal with patients’ pressure and the decision of not prescribing antibiotics is lacking