Abstract
54715 Assessing the Influence of Virtual Appointments on the Duration of Antibiotic Prescriptions Post-COVID-19
Journal of the American Academy of Dermatology, Vol.91(3 Supplement), pp.AB131-AB131
09/2024
DOI: 10.1016/j.jaad.2024.07.526
Abstract
The COVID-19 pandemic prompted rapid adoption of telemedicine and virtual consultations among dermatology practitioners as a means of safely scheduling clinic appointments amidst lockdown measures. As clinics transitioned into a post-COVID world, many dermatologists opted to continue utilizing virtual visits in their practices as a way to provide greater accessibility of care. This study aimed to evaluate how virtual visits impacted length of antibiotic prescription for chronic dermatologic conditions during and after the COVID-19 pandemic. A retrospective cohort was designed using all documented tetracycline prescriptions in the year 2020 (n=569) and 2021 (n=639) prescribed by dermatology providers at the University of Iowa Hospitals and Clinics. Inclusion criteria included chronic dermatologic conditions as identified by ICD-10 coding.
Results demonstrate an overall decrease in overall telemedicine visits from 21.48% of visits in 2020 compared to 3.91% of visits in 2021 (p<0.0001). In 2020, the average length of tetracycline prescription length for virtual visits was 94.26 days vs. 100.14 days in 2021. Analysis demonstrates that 29.40% of dermatology visits in 2020 resulted in tetracycline prescriptions over 91 days vs. 29.11% of visits in 2021 (p=0.0447). Prescription length varied significantly by visit type, with overall in-person visits resulting in an average prescription length of 94.36 days, and virtual visits resulting in an average length of 105.7 days. This demonstrated high percentage of long-term tetracycline prescription lengths following virtual visits is important in guiding efforts to improve antibiotic stewardship.
Details
- Title: Subtitle
- 54715 Assessing the Influence of Virtual Appointments on the Duration of Antibiotic Prescriptions Post-COVID-19
- Creators
- Ananya Munjal - University of Iowa Department of DermatologyRaghav Tripathi - Johns Hopkins UniversityPatrick Kinn - University of Iowa Department of PharmacologyKelly Percival - University of IowaDilek Ince - University of IowaJennifer G. Powers - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Journal of the American Academy of Dermatology, Vol.91(3 Supplement), pp.AB131-AB131
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jaad.2024.07.526
- ISSN
- 0190-9622
- Language
- English
- Date published
- 09/2024
- Academic Unit
- Dermatology; Infectious Diseases; Internal Medicine
- Record Identifier
- 9984699046802771
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