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1466. Antibiotic utilization reports may reduce prescribing practices for Upper Respiratory Infections
BACKGROUND: More than 90% of Upper respiratory tract infections (URI) have a viral etiology; nonetheless, these represent the most common reason for ambulatory antibiotic prescription. This translates in higher risk of antibiotic-related adverse events and promotion of antimicrobial resistance. METH...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7776172/ http://dx.doi.org/10.1093/ofid/ofaa439.1647 |
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author | Salcedo, David Augusto Terrero Kelly, Allison Tate, Victoria |
author_facet | Salcedo, David Augusto Terrero Kelly, Allison Tate, Victoria |
author_sort | Salcedo, David Augusto Terrero |
collection | PubMed |
description | BACKGROUND: More than 90% of Upper respiratory tract infections (URI) have a viral etiology; nonetheless, these represent the most common reason for ambulatory antibiotic prescription. This translates in higher risk of antibiotic-related adverse events and promotion of antimicrobial resistance. METHODS: A prospective single-center intervention surveying and providing individual, face-to-face comparative reports of antibiotic utilization, for any of the 4 diagnostic entities that constitute upper respiratory tract infection (common cold, pharyngitis, acute rhinosinusitis and acute bronchitis), was performed in our Emergency Department. Example of monthly provider reports used which included general and individualized goals. [Image: see text] RESULTS: A total of 12 health care providers were followed for 12 months. Education, prescribing reports and individual goals were provided. The pre-intervention prescription rate from September to December 2018 averaged 74.75% (SD 20.59, 95% CI 61.6-87.8), with a post-intervention rate of 55.5% from September to December of 2019 (SD 19.20, 95% CI 43.3-67.7) that was statistically significant (p=0.0036). A higher use of antibiotic was observed in physicians when compared to non-physician providers in both pre and post intervention stages (reduction of 16.6% vs 23% after intervention respectively), with no statistical difference between the two groups (CI 95% of -38.82 to 2.395, p=0.0773). A proposed target of 50% or less was observed in 5 of 12 providers (41.6%), and 2 out of 12 (16.7%) had increase in their antibiotic utilization rate. Comparative use of antimicrobials in the pre (September-December 2018) and post (September-December 2019) - intervention periods. [Image: see text] Average individual antimicrobial use rate before and after intervention. [Image: see text] CONCLUSION: Routine face-to-face utilization reports may constitute an effective approach in reducing antibiotic prescription practices in the Emergency Department, and potentially, in other outpatient healthcare settings. DISCLOSURES: All Authors: No reported disclosures |
format | Online Article Text |
id | pubmed-7776172 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77761722021-01-07 1466. Antibiotic utilization reports may reduce prescribing practices for Upper Respiratory Infections Salcedo, David Augusto Terrero Kelly, Allison Tate, Victoria Open Forum Infect Dis Poster Abstracts BACKGROUND: More than 90% of Upper respiratory tract infections (URI) have a viral etiology; nonetheless, these represent the most common reason for ambulatory antibiotic prescription. This translates in higher risk of antibiotic-related adverse events and promotion of antimicrobial resistance. METHODS: A prospective single-center intervention surveying and providing individual, face-to-face comparative reports of antibiotic utilization, for any of the 4 diagnostic entities that constitute upper respiratory tract infection (common cold, pharyngitis, acute rhinosinusitis and acute bronchitis), was performed in our Emergency Department. Example of monthly provider reports used which included general and individualized goals. [Image: see text] RESULTS: A total of 12 health care providers were followed for 12 months. Education, prescribing reports and individual goals were provided. The pre-intervention prescription rate from September to December 2018 averaged 74.75% (SD 20.59, 95% CI 61.6-87.8), with a post-intervention rate of 55.5% from September to December of 2019 (SD 19.20, 95% CI 43.3-67.7) that was statistically significant (p=0.0036). A higher use of antibiotic was observed in physicians when compared to non-physician providers in both pre and post intervention stages (reduction of 16.6% vs 23% after intervention respectively), with no statistical difference between the two groups (CI 95% of -38.82 to 2.395, p=0.0773). A proposed target of 50% or less was observed in 5 of 12 providers (41.6%), and 2 out of 12 (16.7%) had increase in their antibiotic utilization rate. Comparative use of antimicrobials in the pre (September-December 2018) and post (September-December 2019) - intervention periods. [Image: see text] Average individual antimicrobial use rate before and after intervention. [Image: see text] CONCLUSION: Routine face-to-face utilization reports may constitute an effective approach in reducing antibiotic prescription practices in the Emergency Department, and potentially, in other outpatient healthcare settings. DISCLOSURES: All Authors: No reported disclosures Oxford University Press 2020-12-31 /pmc/articles/PMC7776172/ http://dx.doi.org/10.1093/ofid/ofaa439.1647 Text en © The Author 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Poster Abstracts Salcedo, David Augusto Terrero Kelly, Allison Tate, Victoria 1466. Antibiotic utilization reports may reduce prescribing practices for Upper Respiratory Infections |
title | 1466. Antibiotic utilization reports may reduce prescribing practices for Upper Respiratory Infections |
title_full | 1466. Antibiotic utilization reports may reduce prescribing practices for Upper Respiratory Infections |
title_fullStr | 1466. Antibiotic utilization reports may reduce prescribing practices for Upper Respiratory Infections |
title_full_unstemmed | 1466. Antibiotic utilization reports may reduce prescribing practices for Upper Respiratory Infections |
title_short | 1466. Antibiotic utilization reports may reduce prescribing practices for Upper Respiratory Infections |
title_sort | 1466. antibiotic utilization reports may reduce prescribing practices for upper respiratory infections |
topic | Poster Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7776172/ http://dx.doi.org/10.1093/ofid/ofaa439.1647 |
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