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. 2017 Feb 9;2017(2):CD003543. doi: 10.1002/14651858.CD003543.pub4

Popovski 2015.

Methods STUDY DESIGN: ITS
Risk of Bias: LOW
Participants PROVIDERS: all physicians in the hospital
 PARTICIPANTS: all patients with intra‐abdominal infections
 CLINICAL PROBLEM: decrease use of ciprofloxacin for empirical treatment
 SETTING: 1 university hospital in Canada
Interventions FORMAT: Interventions: educational meetings with dissemination of guidelines; reminders (physical, posters, and on intranet)
 Intervention Functions: education, environmental restructuring
 DELIVERER: AMT
 COMPARISON: usual care
 DESIRED CHANGE: decrease excessive
Outcomes PRESCRIBING: Choice: use of ciprofloxacin in DDD/1000 OBD
CLINICAL: mortality, re‐admission (cohort data)
Notes FINANCIAL SUPPORT: Funding: commercial Merck, Pfizer, Astellas, and the Medbuy Corporation. Hamilton Health Sciences Foundation (Jack Hirsh Fellowship). Competing Interests: 1 author received honoraria from Merck and Astellas for lectures. All other authors: none to declare
ADDITIONAL DATA: email response from authors with guideline and additional data about the intervention
Risk of bias
Bias Authors' judgement Support for judgement
Intervention independent (ITS) ? Low risk  
Analysed appropriately (ITS) ? Low risk Re‐analysed
Shape of effect pre‐specified (ITS) ? Low risk Point of intervention was point of analysis.
Unlikely to affect data collection (ITS) ? Low risk Outcome data from pharmacy computer
Knowledge of the allocation adequately prevented(ITS)? Low risk Outcome data from pharmacy computer
Incomplete outcome data addressed (ITS) ? Low risk Outcome data from pharmacy computer
Free of selected reporting (ITS) ? Low risk Outcome data from pharmacy computer
Free of other bias (ITS) ? Low risk > 1 year data pre‐ and postintervention