Carles Llor

Summary

Affiliation: Rovira i Virgili University
Country: Spain

Publications

  1. pmc Health Alliance for prudent antibiotic prescribing in patients with respiratory tract infections (HAPPY AUDIT) -impact of a non-randomised multifaceted intervention programme
    Lars Bjerrum
    Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
    BMC Fam Pract 12:52. 2011
  2. pmc Efficacy of anti-inflammatory or antibiotic treatment in patients with non-complicated acute bronchitis and discoloured sputum: randomised placebo controlled trial
    Carl Llor
    Department of General Pathology University Rovira i Virgili, Primary Care Centre Jaume I, c Felip Pedrell, 45 47 43005 Tarragona, Spain
    BMJ 347:f5762. 2013
  3. pmc Rationale, design and organization of the delayed antibiotic prescription (DAP) trial: a randomized controlled trial of the efficacy and safety of delayed antibiotic prescribing strategies in the non-complicated acute respiratory tract infections in gener
    Mariam de la Poza Abad
    Centro de Atención Primaria Doctor Carles Ribas, Barcelona, Spain
    BMC Fam Pract 14:63. 2013
  4. pmc General practitioners' views on the acceptability and applicability of a web-based intervention to reduce antibiotic prescribing for acute cough in multiple European countries: a qualitative study prior to a randomised trial
    Sibyl Anthierens
    Centre for General Practice, Vaccine and Infectious Disease Institute VAXINFECTIO, Laboratory of Microbiology, University of Antwerp, Antwerp, Belgium
    BMC Fam Pract 13:101. 2012
  5. doi request reprint Predictors for antibiotic prescribing in patients with exacerbations of COPD in general practice
    Carl Llor
    University Rovira i Virgili, Primary Healthcare Centre Jaume I, c Felip Pedrell, 45 47, 43005 Tarragona, Spain
    Ther Adv Respir Dis 7:131-7. 2013
  6. doi request reprint C-reactive protein testing in patients with acute rhinosinusitis leads to a reduction in antibiotic use
    Carl Llor
    Primary Healthcare Centre Jaume I, University Rovira i Virgili, Tarragona, Spain
    Fam Pract 29:653-8. 2012
  7. ncbi request reprint A study of adherence to antibiotic treatment in ambulatory respiratory infections
    Carl Llor
    Primary Care Centre Jaume I, c Felip Pedrell, 45 47, 43005 Tarragona, Spain
    Int J Infect Dis 17:e168-72. 2013
  8. ncbi request reprint Efficacy of antibiotic therapy for acute exacerbations of mild to moderate chronic obstructive pulmonary disease
    Carl Llor
    1University Rovira i Virgili, Primary Care Center Jaume I, c Felip Pedrell, 45 47, Tarragona, Spain
    Am J Respir Crit Care Med 186:716-23. 2012
  9. doi request reprint Usefulness of a patient symptom diary card in the monitoring of exacerbations of chronic bronchitis and chronic obstructive pulmonary disease
    C Llor
    Primary Care Centre Jaume I, Tarragona, Spain
    Int J Clin Pract 66:711-7. 2012
  10. doi request reprint Interventions to reduce antibiotic prescription for lower respiratory tract infections: Happy Audit study
    Carl Llor
    University Rovira i Virgili, Primary Healthcare Centre Jaume I, c Felip Pedrell, 45 47, Tarragona, Catalonia 43005, Spain
    Eur Respir J 40:436-41. 2012

Collaborators

  • Marc Miravitlles
  • Lars Bjerrum
  • Angel Vila-Corcoles
  • Alejandro Diaz
  • J Blade
  • Eva Lena Strandberg
  • M Hernandez Martinez
  • M Hernandez
  • Jordi Madurell
  • Olga Ochoa-Gondar
  • Mariam de la Poza Abad
  • Paul Little
  • Sibyl Anthierens
  • E Salsench
  • M Perez Bauer
  • F Grifoll
  • V Silvestre
  • J Boj
  • Cinta de Diego
  • M Piqueras
  • N Saún
  • J M Villó
  • M Grive
  • L Clotas
  • A Vila Corcoles
  • C Bayona
  • M M Juarez
  • A García Fuertes
  • F Bobe
  • A Serrano
  • F Gomez Bertomeu
  • M Alvarez
  • B Fernandez
  • M A Puig
  • E Satué
  • R Anton
  • M Maxenchs
  • J L Pinyol
  • J Bitria
  • T Benet
  • I Hospital
  • M J Solís
  • M C de Diego
  • J Fort
  • J Daniel
  • J Balsells
  • O Ochoa Gondar
  • D Montanyes
  • C Ferrández
  • E Martin
  • D Llovet
  • X Ansa
  • M C Daufí
  • I Noguera
  • A Gomez
  • G Cando
  • A Vilanova
  • I Guinea
  • J M Santamaria
  • F Gallego
  • X Clivillé
  • B Rull
  • J Grifoll
  • X Raga
  • L Palacios
  • M Herreros
  • Silvia Hernández Anadón
  • Yolanda Canellas Criado
  • Rafael Rotaeche Del Campo
  • Antonio Negrete Palma
  • Gemma Mas Dalmau
  • Ana Isabel González González
  • Guillem Pera
  • Eulalia Borrell Thio
  • Pere Torán Monserrat
  • Pablo Alonso Coello
  • Mikel Moreno Bakedano
  • Nick A Francis
  • Patricia Fernandez-Vandellos
  • Jaroslaw Krawczyk
  • Elaine Douglas
  • Lucy Yardley
  • Jochen W L Cals
  • Sarah Tonkin-Crine
  • Theo Verheij
  • Herman Goossens
  • Samuel Coenen
  • X Bria
  • Monica Maxenchs
  • Laura Palacios

Detail Information

Publications39

  1. pmc Health Alliance for prudent antibiotic prescribing in patients with respiratory tract infections (HAPPY AUDIT) -impact of a non-randomised multifaceted intervention programme
    Lars Bjerrum
    Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
    BMC Fam Pract 12:52. 2011
    ..The aim of this study was to evaluate the impact of a multifaceted intervention targeting general practitioners (GPs) and patients in six countries with different health organization and different prevalence of antibiotic resistance...
  2. pmc Efficacy of anti-inflammatory or antibiotic treatment in patients with non-complicated acute bronchitis and discoloured sputum: randomised placebo controlled trial
    Carl Llor
    Department of General Pathology University Rovira i Virgili, Primary Care Centre Jaume I, c Felip Pedrell, 45 47 43005 Tarragona, Spain
    BMJ 347:f5762. 2013
    ..To evaluate the efficacy of oral anti-inflammatory or antibiotic treatment compared with placebo in the resolution of cough in patients with uncomplicated acute bronchitis and discoloured sputum...
  3. pmc Rationale, design and organization of the delayed antibiotic prescription (DAP) trial: a randomized controlled trial of the efficacy and safety of delayed antibiotic prescribing strategies in the non-complicated acute respiratory tract infections in gener
    Mariam de la Poza Abad
    Centro de Atención Primaria Doctor Carles Ribas, Barcelona, Spain
    BMC Fam Pract 14:63. 2013
    ..This together with the alarming increase of bacterial resistance due to increased use of antimicrobials calls for a need to consider strategies to reduce their use. One of these strategies is the delayed prescription of antibiotics...
  4. pmc General practitioners' views on the acceptability and applicability of a web-based intervention to reduce antibiotic prescribing for acute cough in multiple European countries: a qualitative study prior to a randomised trial
    Sibyl Anthierens
    Centre for General Practice, Vaccine and Infectious Disease Institute VAXINFECTIO, Laboratory of Microbiology, University of Antwerp, Antwerp, Belgium
    BMC Fam Pract 13:101. 2012
    ..We explored GPs' views on the initial version of INTRO to test acceptability and potentially increase applicability for use in multiple countries before the start of a randomised trial...
  5. doi request reprint Predictors for antibiotic prescribing in patients with exacerbations of COPD in general practice
    Carl Llor
    University Rovira i Virgili, Primary Healthcare Centre Jaume I, c Felip Pedrell, 45 47, 43005 Tarragona, Spain
    Ther Adv Respir Dis 7:131-7. 2013
    ....
  6. doi request reprint C-reactive protein testing in patients with acute rhinosinusitis leads to a reduction in antibiotic use
    Carl Llor
    Primary Healthcare Centre Jaume I, University Rovira i Virgili, Tarragona, Spain
    Fam Pract 29:653-8. 2012
    ..To evaluate the effect of C-reactive protein (CRP) testing on the antibiotic prescribing in patients with acute rhinosinusitis...
  7. ncbi request reprint A study of adherence to antibiotic treatment in ambulatory respiratory infections
    Carl Llor
    Primary Care Centre Jaume I, c Felip Pedrell, 45 47, 43005 Tarragona, Spain
    Int J Infect Dis 17:e168-72. 2013
    ..To assess the different types of antibiotic-taking behavior and to compare self-reported with objectively measured adherence to antibiotic regimens in respiratory infections...
  8. ncbi request reprint Efficacy of antibiotic therapy for acute exacerbations of mild to moderate chronic obstructive pulmonary disease
    Carl Llor
    1University Rovira i Virgili, Primary Care Center Jaume I, c Felip Pedrell, 45 47, Tarragona, Spain
    Am J Respir Crit Care Med 186:716-23. 2012
    ..Antimicrobial therapy remains a controversial issue in nonsevere exacerbations of chronic obstructive pulmonary disease (COPD)...
  9. doi request reprint Usefulness of a patient symptom diary card in the monitoring of exacerbations of chronic bronchitis and chronic obstructive pulmonary disease
    C Llor
    Primary Care Centre Jaume I, Tarragona, Spain
    Int J Clin Pract 66:711-7. 2012
    ..To assess the usefulness of a patient diary card of symptoms for monitoring the evolution of an exacerbation of chronic bronchitis (CB) and chronic obstructive pulmonary disease (COPD) in primary care...
  10. doi request reprint Interventions to reduce antibiotic prescription for lower respiratory tract infections: Happy Audit study
    Carl Llor
    University Rovira i Virgili, Primary Healthcare Centre Jaume I, c Felip Pedrell, 45 47, Tarragona, Catalonia 43005, Spain
    Eur Respir J 40:436-41. 2012
    ..42 (95% CI: 0.22-0.82) and 0.22 (95% CI: 0.12-0.38) in the FIG. Intervention led to a reduction in the prescription of antibiotics, mainly when CRP testing was available...
  11. doi request reprint Validity of a point-of-care based on heterophile antibody detection for the diagnosis of infectious mononucleosis in primary care
    Carl Llor
    Primary Healthcare Centre Jaume I, University Rovira i Virgili, Tarragona, Spain
    Eur J Gen Pract 18:15-21. 2012
    ..To evaluate the validity of a point-of-care test to diagnose infectious mononucleosis (IM) compared with Epstein-Barr virus (EBV) specific serology...
  12. pmc Impact of rapid antigen detection testing on antibiotic prescription in acute pharyngitis in adults. FARINGOCAT STUDY: a multicentric randomized controlled trial
    Jordi Madurell
    Primary Healthcare Center Hostalric, Institut d Assistència Sanitària de Girona, Breda Hostalric, Spain
    BMC Fam Pract 11:25. 2010
    ..The purpose of this study is to assess the impact of rapid antigen detection testing (RADT) to identify GABHS in acute pharyngitis on the utilization of antibiotics in primary care...
  13. doi request reprint The sale of antibiotics without prescription in pharmacies in Catalonia, Spain
    Carl Llor
    Primary Care Center Jaume I, University Rovira i Virgili, Tarragona, Spain
    Clin Infect Dis 48:1345-9. 2009
    ..The objective of this study was to quantify the percentage of pharmacies selling antibiotics without an official medical prescription in Catalonia, Spain, by the simulation of 3 different clinical cases presented by actors...
  14. doi request reprint Exacerbations worsen the quality of life of chronic obstructive pulmonary disease patients in primary healthcare
    C Llor
    Primary Healthcare Centre Jaume I, University Rovira i Virgili, Tarragona, Spain
    Int J Clin Pract 62:585-92. 2008
    ..To investigate the evolution of the quality of life of patients with chronic obstructive pulmonary disease (COPD) and quantify the impact of exacerbations on the deterioration of quality of life over 2 years...
  15. doi request reprint The higher the number of daily doses of antibiotic treatment in lower respiratory tract infection the worse the compliance
    Carl Llor
    Primary Care Centre Jaume I, Tarragona, University Rovira i Virgili, Spain
    J Antimicrob Chemother 63:396-9. 2009
    ..To assess the drug compliance observed among patients with lower respiratory tract infection treated with once-daily, twice-daily and thrice-daily antibiotic regimens...
  16. ncbi request reprint [Validation of a rapid antigenic test in the diagnosis of pharyngitis caused by group a beta-haemolytic Streptococcus]
    Carles Llor
    Medicina de Familia, Centro de Salud Jaume I, Tarragona, Spain
    Aten Primaria 40:489-94. 2008
    ..To determine the validity of the rapid antigen test (RAT) OSOM StrepA Genzyme for the diagnosis of acute pharyngitis caused by group A beta-haemolytic strep (GABHS)...
  17. pmc Effectiveness of anti-inflammatory treatment versus antibiotic therapy and placebo for patients with non-complicated acute bronchitis with purulent sputum. The BAAP Study protocol
    Carl Llor
    University Rovira i Virgili, Primary Healthcare Centre Jaume I, Tarragona, Spain
    BMC Pulm Med 11:38. 2011
    ..Thus, the aim of this study is to evaluate the clinical effectiveness of a schedule of an oral anti-inflammatory compared with an antibiotic regimen and another group assigned to receive a placebo...
  18. doi request reprint Antibiotic prescribing over the last 16 years: fewer antibiotics but the spectrum is broadening
    C Llor
    Primary Care Centre Jaume I, University Rovira i Virgili, c Foixarda, 95, 43008, Tarragona, Spain
    Eur J Clin Microbiol Infect Dis 28:893-7. 2009
    ..Awareness of the rational use of antibiotics is mandatory, basically aimed at reducing the overall prescribing of antibiotics and encouraging those with a narrower spectrum...
  19. pmc Impact on antibiotic prescription of rapid antigen detection testing in acute pharyngitis in adults: a randomised clinical trial
    Carl Llor
    Primary Healthcare Centre Jaume I, Tarragona, University Rovira i Virgili, Spain
    Br J Gen Pract 61:e244-51. 2011
    ..Acute pharyngitis is one of the most frequent reasons for a GP consultation, and in most cases an antibiotic is prescribed...
  20. doi request reprint [Prudent use of antibiotics and suggestions for improvement in the primary health care system]
    Carles Llor
    Centro de Salud Jaume I, Universidad Rovira i Virgili, Tarragona, Espana
    Enferm Infecc Microbiol Clin 28:17-22. 2010
    ..The results of the Happy Audit study recently conducted in Spain confirm these findings...
  21. doi request reprint The adherence of GPs to guidelines for the diagnosis and treatment of lower urinary tract infections in women is poor
    Carl Llor
    Primary Care Centre Jaume I, University Rovira i Virgili, Tarragona, Spain
    Fam Pract 28:294-9. 2011
    ..To assess the adherence of GPs to evidence-based guidelines for the diagnosis and management of lower urinary tract infection (UTI) in women...
  22. doi request reprint Effect of two interventions on reducing antibiotic prescription in pharyngitis in primary care
    Carl Llor
    University Rovira i Virgili, Primary Healthcare Centre Jaume I, Tarragona, Spain
    J Antimicrob Chemother 66:210-5. 2011
    ..to evaluate the effect of two interventions on reducing antibiotic prescription in pharyngitis...
  23. pmc Efficacy of amoxycillin versus amoxycillin/clavulanate in acute exacerbations of chronic pulmonary obstructive disease in primary care
    Carl Llor
    Primary Care Centre Jaume I, Tarragona, Spain
    Int J Chron Obstruct Pulmon Dis 4:45-53. 2009
    ..Amoxycillin/clavulanate is considered first-line treatment for ambulatory exacerbations of COPD. However, narrow-spectrum antibiotics may be as useful for mild to moderate patients...
  24. doi request reprint Repetition of the rapid antigen test in initially negative supposed streptococcal pharyngitis is not necessary in adults
    C Llor
    Primary Care Centre Jaume I, University Rovira i Virgili, Tarragona, Spain
    Int J Clin Pract 63:1340-4. 2009
    ....
  25. ncbi request reprint [Antibiotic prescribing in respiratory tract infections and predictive factors for their use]
    Carles Llor
    Centro de Salud Jaume I, Tarragona, Spain
    Aten Primaria 42:28-35. 2010
    ..The aim of this study is to investigate the antibiotic treatment administered for these RTIs in Spain and to find out which criteria are associated with its use...
  26. doi request reprint [Infectious disease in primary care: 1-year prospective study]
    Carles Llor
    Centro de Salud Jaume I, Tarragona, Espana
    Enferm Infecc Microbiol Clin 28:222-6. 2010
    ..The frequency and seasonal variability of infectious diseases was determined in patients consulting in the primary care setting...
  27. pmc Association between use of rapid antigen detection tests and adherence to antibiotics in suspected streptococcal pharyngitis
    Carl Llor
    Primary Care Centre Jaume I, Tarragona, University Rovira i Virgili, Spain
    Scand J Prim Health Care 28:12-7. 2010
    ..The aim of this study was to evaluate the association of rapid antigen detection tests (RADT) and treatment adherence among patients 18 years of age or over with pharyngitis treated with different antibiotic regimens...
  28. ncbi request reprint [Compliance rate of antibiotic therapy in patients with acute pharyngitis is very low, mainly when thrice-daily antibiotics are given]
    C Llor
    Centro de Salud Jaume I, Tarragona
    Rev Esp Quimioter 22:20-4. 2009
    ..To assess drug-compliance observed among patients with suspected streptococcal pharyngitis treated with twice-daily antibiotic regimens (b.i.d.) and others with thrice-daily regimens (t.i.d.)...
  29. doi request reprint Impact of C-reactive protein testing on adherence to thrice-daily antibiotic regimens in patients with lower respiratory tract infection
    Carl Llor
    Primary Care Centre Jaume I, Tarragona, Spain
    Prim Care Respir J 19:358-62. 2010
    ..Few studies have analysed adherence to antibiotic treatment in respiratory tract infections...
  30. ncbi request reprint [Physicians with access to point-of-care tests significantly reduce the antibiotic prescription for common cold]
    Carles Llor
    Centro de Atención Primaria Jaume I, Tarragona, Universidad Rovira i Virgili, Spain
    Rev Esp Quimioter 26:12-20. 2013
    ..This study was aimed at evaluating the effect of two levels of intervention on the antibiotic prescribing in patients with common cold...
  31. ncbi request reprint [Reduction in the prescription of antibiotics in pharyngoamygdalitis and sinusitis by means of an audit]
    Carles Llor
    Centro de Salud Jaume I, Tarragona, Espana
    Aten Primaria 38:304-5. 2006
  32. ncbi request reprint [Bacterial etiology of chronic bronchitis exacerbations treated by primary care physicians]
    Carles Llor
    Centro de Salud Jaume I, Tarragona, Espana
    Arch Bronconeumol 42:388-93. 2006
    ..The aim of the present study was to determine the bacterial etiology of chronic bronchitis exacerbations in patients not requiring hospitalization...
  33. doi request reprint Effectiveness of pneumococcal vaccination in older adults with chronic respiratory diseases: results of the EVAN-65 study
    Olga Ochoa-Gondar
    Research Unit, Primary Care Service of Tarragona Valls, Institut Catala de la Salut, Tarragona, Spain
    Vaccine 26:1955-62. 2008
    ..66; 95% CI: 0.43-1.01; p=0.059). Although our findings suggest moderate benefits from the vaccination, the evidence of clinical effectiveness appears limited...
  34. pmc The burden of community-acquired pneumonia in the elderly: the Spanish EVAN-65 study
    Olga Ochoa-Gondar
    Primary Care Service of Tarragona Valls, Institut Catala de la Salut, Tarragona, Spain
    BMC Public Health 8:222. 2008
    ..However, population-based data are very limited and its overall burden is unclear. This study assessed incidence and mortality from CAP among Spanish community-dwelling elderly...
  35. ncbi request reprint More evidence is required for short-term treatment of exacerbations of chronic obstructive pulmonary disease: 3 days or no antibiotic at all?
    C Llor
    Clin Microbiol Infect 13:748-9. 2007
  36. ncbi request reprint [Risk factors for increased cost of exacerbations of chronic bronchitis and chronic obstructive pulmonary disease]
    C Llor
    Grupo de Infecciosas de la Sociedad Catalana de Medicina Familiar, Barcelona, Spain
    Arch Bronconeumol 42:175-82. 2006
    ..To identify what variables characterizing the patients, exacerbations, and treatment of chronic bronchitis and chronic obstructive pulmonary disease (COPD) are associated with a higher direct health cost...
  37. ncbi request reprint Economic evaluation of the antibiotic treatment of exacerbations of chronic bronchitis and COPD in primary care
    C Llor
    Infectious Diseases Group of the Catalan Society of Family Medicine, Barcelona, Spain
    Int J Clin Pract 58:937-44. 2004
    ..The mean cost of an exacerbation was Euro 118.58 and failure was responsible for 44.2% of the total cost of exacerbation...
  38. ncbi request reprint [Use of the Internet in a multicenter study of chronic obstructive pulmonary disease in primary care. Pilot phase of the EFEMAP study]
    M Miravitlles
    Servicio de Neumologia, Institut Clínic de Pneumologia i Cirurgia Toràcica IDIBAPS, Hospital Clinic i Provincial, Barcelona, Spain
    Arch Bronconeumol 38:427-30. 2002
    ..To determine the reliability of clinical data collection and transmission by Internet in a multicenter primary care study...