Identifying Opportunities to Improve Guideline-Concordant Antibiotic Prescribing in Veterans with Acute Respiratory Infections or Cystitis

Hayley E Meyer; Brian C Lund; Brett H Heintz; Bruce Alexander; Jason A Egge; Daniel J Livorsi

doi:10.1017/ice.2017.59

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Identifying Opportunities to Improve Guideline-Concordant Antibiotic Prescribing in Veterans with Acute Respiratory Infections or Cystitis

Journal article

Peer reviewed

Identifying Opportunities to Improve Guideline-Concordant Antibiotic Prescribing in Veterans with Acute Respiratory Infections or Cystitis

Hayley E Meyer, Brian C Lund, Brett H Heintz, Bruce Alexander, Jason A Egge and Daniel J Livorsi

Infection control and hospital epidemiology, Vol.38(6), pp.724-728

06/2017

DOI: 10.1017/ice.2017.59

PMID: 28397622

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Abstract

We investigated the frequency and determinants of guideline-discordant antibiotic prescribing in outpatients with respiratory infections or cystitis. Antibiotic prescribing was guideline discordant in 60% of patients. The most common reason for discordance was prescribing an antibiotic when not indicated. In a multivariate analysis, physicians in training had the highest likelihood of guideline-concordant antibiotic prescribing. Infect Control Hosp Epidemiol 2017;38:724-728.

Acute Disease

Guideline Adherence - standards

Humans

Middle Aged

Male

Respiratory Tract Infections - drug therapy

Practice Patterns, Physicians

Cystitis - drug therapy

Anti-Bacterial Agents - therapeutic use

Quality Improvement

Ambulatory Care Facilities

Pharyngitis - drug therapy

Female

Retrospective Studies

Hospitals, Veterans

Sinusitis - drug therapy

Bacteriuria - drug therapy

Practice Guidelines as Topic

Details

Title: Subtitle: Identifying Opportunities to Improve Guideline-Concordant Antibiotic Prescribing in Veterans with Acute Respiratory Infections or Cystitis
Creators: Hayley E Meyer - 1Department of Pharmaceutical Services,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa
Brian C Lund - 2Center for Comprehensive Access & Delivery Research and Evaluation,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa
Brett H Heintz - 1Department of Pharmaceutical Services,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa
Bruce Alexander - 2Center for Comprehensive Access & Delivery Research and Evaluation,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa
Jason A Egge - 1Department of Pharmaceutical Services,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa
Daniel J Livorsi - 2Center for Comprehensive Access & Delivery Research and Evaluation,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa
Resource Type: Journal article
Publication Details: Infection control and hospital epidemiology, Vol.38(6), pp.724-728
DOI: 10.1017/ice.2017.59
PMID: 28397622
ISSN: 0899-823X
eISSN: 1559-6834
Language: English
Date published: 06/2017
Academic Unit: Pharmacy; Psychiatry; Infectious Diseases; Epidemiology; Pharmacy Practice and Science; Internal Medicine
Record Identifier: 9984094536802771

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