BACKGROUND: Up to 21% of pediatric visits result in an antibiotic prescription, and a large portion of these are unnecessary. OBJECTIVE: To determine if educational sessions would reduce inappropriate antibiotic use. METHODS: Intervention study evaluating antibiotic prescribing following educational sessions for urinary tract infection, skin and soft tissue infection, pharyngitis, upper respiratory tract infection, acute otitis media, and acute bacterial sinusitis. RESULTS: A total of 26 out of 43 (60%) nurse practitioners in 4 urgent care centers were enrolled in the study. The rate of inappropriate antibiotic use among all conditions was 10% before and 8% after the intervention (p = .02). A decrease in inappropriate antibiotic prescribing was seen after the educational session (p < .01). The most common reasons for inappropriate antibiotic prescribing were too broad (41%), wrong dosage (22%), and not indicated (17%). CONCLUSIONS: Educational sessions led to improvement in overall inappropriate antibiotic use. Additional stewardship interventions are needed to further reduce unnecessary antibiotic use.
BACKGROUND: Up to 21% of pediatric visits result in an antibiotic prescription, and a large portion of these are unnecessary. OBJECTIVE: To determine if educational sessions would reduce inappropriate antibiotic use. METHODS: Intervention study evaluating antibiotic prescribing following educational sessions for urinary tract infection, skin and soft tissue infection, pharyngitis, upper respiratory tract infection, acute otitis media, and acute bacterial sinusitis. RESULTS: A total of 26 out of 43 (60%) nurse practitioners in 4 urgent care centers were enrolled in the study. The rate of inappropriate antibiotic use among all conditions was 10% before and 8% after the intervention (p = .02). A decrease in inappropriate antibiotic prescribing was seen after the educational session (p < .01). The most common reasons for inappropriate antibiotic prescribing were too broad (41%), wrong dosage (22%), and not indicated (17%). CONCLUSIONS: Educational sessions led to improvement in overall inappropriate antibiotic use. Additional stewardship interventions are needed to further reduce unnecessary antibiotic use.
Authors: Pasquale Di Pietro; Ornella Della Casa Alberighi; Michela Silvestri; Maria Angela Tosca; Anna Ruocco; Giorgio Conforti; Giovanni A Rossi; Elio Castagnola; Maria Caterina Merlano; Simona Zappettini; Salvatore Renna Journal: Ital J Pediatr Date: 2017-12-22 Impact factor: 2.638
Authors: Yu Zhang; John Kabba; Jie Chang; Wenjing Ji; Shan Zhu; Jiale Yu; Sen Xu; Yu Fang Journal: Int J Environ Res Public Health Date: 2018-09-03 Impact factor: 3.390
Authors: Tessa Rietbergen; Denise Spoon; Anja H Brunsveld-Reinders; Jan W Schoones; Anita Huis; Maud Heinen; Anke Persoon; Monique van Dijk; Hester Vermeulen; Erwin Ista; Leti van Bodegom-Vos Journal: Implement Sci Date: 2020-05-25 Impact factor: 7.327
Authors: D Donà; E Barbieri; M Daverio; R Lundin; C Giaquinto; T Zaoutis; M Sharland Journal: Antimicrob Resist Infect Control Date: 2020-01-03 Impact factor: 4.887
Authors: Lauren N Fay; Lauren M Wolf; Kasey L Brandt; G Robert DeYoung; Adam M Anderson; Nnaemeka E Egwuatu; Lisa E Dumkow Journal: Am J Health Syst Pharm Date: 2019-01-25 Impact factor: 2.637