<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732025000300200</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v41i3.14141</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Avaliação e melhoria da qualidade da prescrição antibiótica em cistites agudas não complicadas num agrupamento de centros de saúde de Lisboa]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation and improvement of antibiotic prescription quality in acute uncomplicated cystitis in primary care facilities in Lisbon]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vinagre]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bispo]]></surname>
<given-names><![CDATA[Renato]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Mar Mateus da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neto]]></surname>
<given-names><![CDATA[Madalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palma]]></surname>
<given-names><![CDATA[Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[Joana Vital]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[Inês Cruz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[Clara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ULS Santa Maria  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS Santa Maria  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ULS Santa Maria  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,ULS Santa Maria  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>3</numero>
<fpage>200</fpage>
<lpage>206</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732025000300200&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732025000300200&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732025000300200&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  As infeções do trato urinário são uma das principais causas de prescrição de antibióticos nos cuidados de saúde primários. Uma auditoria à qualidade da prescrição de antibióticos nas cistites agudas não complicadas a um agrupamento de centros de saúde em Lisboa mostrou uma conformidade global de 35,81%. Perante este resultado elaborou-se um trabalho de melhoria de qualidade.  Objetivo:  Melhorar a qualidade da prescrição antibiótica nas cistites agudas não complicadas, avaliar a eficácia da intervenção e a conformidade global de prescrição.  Métodos:  A intervenção consistiu em sessões educacionais, auditoria e feedback, criação de um fluxograma de apoio à prescrição e distribuição de um folheto dirigido às utentes. Para aferir os resultados da intervenção foi desenhado um estudo quasi-experimental, comparando a conformidade global e por unidades funcionais antes e após a intervenção. Resultados: Analisaram-se 1.226 episódios no período pré-intervenção e 1.055 episódios no período pós-intervenção. Após a intervenção, a conformidade global foi de 65,31%, o que representa uma melhoria global da prescrição de 82,40%. A melhoria foi considerada significativa.  Conclusão:  Os autores consideram que a combinação de várias estratégias foi crucial para o sucesso dos resultados obtidos. Adicionalmente, o elevado número de episódios analisados reforça a robustez desses resultados. É essencial reavaliar regularmente a qualidade da prescrição para garantir a sustentabilidade das melhorias a longo prazo. Trabalhos que, além da auditoria à adequação da prescrição antibiótica, procurem apurar os determinantes e crenças relacionados com a prescrição poderão ajudar a elaborar intervenções mais ajustadas, que garantam resultados eficazes e duradouros, de uma forma custo-eficaz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Urinary tract infections are one of the main causes of antibiotic prescriptions in primary healthcare. An audit on the quality of antibiotic prescriptions for uncomplicated acute cystitis in a group of health centers in Lisbon showed an overall compliance rate of 35.81%. In response to this result, a quality improvement initiative was developed.  Objective:  To improve the quality of antibiotic prescriptions for uncomplicated acute cystitis, assess the effectiveness of the intervention, and evaluate overall prescription compliance.  Methods:  The intervention consisted of educational sessions, auditing and feedback, creating a flowchart to support prescriptions, and distributing a leaflet to patients. A quasi-experimental study was designed to assess the results of the intervention, comparing overall and unit-specific compliance before and after the intervention.  Results:  One thousand two hundred and twenty-six episodes were analyzed in the pre-intervention period and 1,055 episodes in the post-intervention period. After the intervention, overall compliance was 65.31%, representing an overall prescription improvement of 82.40%. The improvement was considered significant.  Conclusion:  The authors believe that the combination of several strategies was crucial to the success of the results achieved. Additionally, the large number of episodes analyzed reinforces the robustness of these results. It is essential to regularly reassess the quality of prescription practices to ensure the long-term sustainability of improvements. Future efforts, which, in addition to auditing the adequacy of antibiotic prescriptions, aim to investigate the determinants and beliefs related to prescription practices, may help design more tailored interventions that cost-effectively ensure effective and long-lasting results.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Cistite]]></kwd>
<kwd lng="pt"><![CDATA[Padrões de prática médica]]></kwd>
<kwd lng="pt"><![CDATA[Resistência a antibióticos]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de saúde primários]]></kwd>
<kwd lng="pt"><![CDATA[Gestão de antimicrobianos]]></kwd>
<kwd lng="pt"><![CDATA[Educação médica continuada]]></kwd>
<kwd lng="en"><![CDATA[Cystitis]]></kwd>
<kwd lng="en"><![CDATA[Practice patterns, Physicians&#8217;]]></kwd>
<kwd lng="en"><![CDATA[Drug resistance, Bacterial]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
<kwd lng="en"><![CDATA[Antimicrobial stewardship]]></kwd>
<kwd lng="en"><![CDATA[Continuing medical education]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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