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

Uçkay 2009.

Methods STUDY DESIGN: ITS
Risk of Bias: HIGH
Participants PROVIDERS: all physicians in one orthopaedic unit
 PARTICIPANTS: all patients in one orthopaedic unit
 CLINICAL PROBLEM: suspected bone and joint infection
 SETTING: 1 hospital in Switzerland
Interventions FORMAT: Interventions: educational outreach by review and recommend change. The intervention is reported in 2 phases, the 1st delivered by "Dedicated ID specialist and one internist" and the 2nd delivered by "ID specialist with experience in Infection Control".
 Intervention Functions: enablement, persuasion
 DELIVERER: specialist (ID) physician
 COMPARISON: usual care
 DESIRED CHANGE: decrease excessive
Outcomes PRESCRIBING: Choice: use of IV and oral antibiotics in DDD/1000 OBD
Notes FINANCIAL SUPPORT: Funding: none.Competing Interests: none declared.
ADDITIONAL DATA: email response from authors with additional data about the intervention
Risk of bias
Bias Authors' judgement Support for judgement
Intervention independent (ITS) ? Unclear risk Insufficient information to assess
Analysed appropriately (ITS) ? Low risk Time series analysis with ARIMA modelling
Shape of effect pre‐specified (ITS) ? Low risk Point of intervention was point of analysis.
Unlikely to affect data collection (ITS) ? Unclear risk Outcome data were from routine pharmacy systems.
Knowledge of the allocation adequately prevented(ITS)? Low risk Outcome data were from routine pharmacy systems.
Incomplete outcome data addressed (ITS) ? Low risk Outcome data were from routine pharmacy systems.
Free of selected reporting (ITS) ? High risk The information in Table 1 does not include total antibiotic use or cost, so cannot be used to support the claims made in the paper.
Free of other bias (ITS) ? High risk < 1 year pre‐intervention data
Insufficient information to assess. In particular, it is not clear what difference the "ID specialist with experience in Infection Control" would make compared with "Dedicated ID specialist and one internist".