ArticleAnnals of thoracic medicine
A multifaceted approach to decrease inappropriate antibiotic use in a pediatric outpatient clinic.
Article in Annals of thoracic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Article
- Antimicrobial stewardship interventions in the WHO Eastern Mediterranean Region Countries: a scoping review of clinical, economic, and consumption outcomes.Antimicrobial resistance and infection control · 2025Article
- Antibiotic Use in Pediatric Care in Ghana: A Call to Action for Stewardship in This Population.Antibiotics (Basel, Switzerland) · 2025Article
- An outpatient antimicrobial stewardship needs assessment.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Perspectives of primary care physicians on academic detailing for antimicrobial stewardship: feasibility and impact assessment.The Journal of international medical research · 2024Article
- Article
- An evaluation of toxigenicJournal of infection prevention · 2021Article
- Public knowledge, attitude and practice towards antibiotics use and antimicrobial resistance in Saudi Arabia: A web-based cross-sectional survey.Journal of public health research · 2021Article
- Improved Antibiotic Prescribing Practices for Respiratory Infections Through Use of Computerized Order Sets and Educational Sessions in Pediatric Clinics.Open forum infectious diseases · 2021Article
- Implementation and impact of pediatric antimicrobial stewardship programs: a systematic scoping review.Antimicrobial resistance and infection control · 2020Article
- Knowledge, attitudes and practices regarding antibiotic use in Maputo City, Mozambique.PloS one · 2019Article
- "Appropriateness and adequacy of antibiotic prescription for upper respiratory tract infections in ambulatory health care centers in Ecuador".BMC pharmacology & toxicology · 2018Article
- The impact of Antimicrobial Stewardship Programmes in paediatric emergency departments and primary care: a systematic review.Therapeutic advances in infectious diseaseReview
- Benchmarking of antibiotic usage: An adjustment to reflect antibiotic stewardship program outcome in a hospital in Saudi Arabia.Journal of infection and public healthArticle
- Multidisciplinary Initiative to Increase Guideline-concordant Antibiotic Prescription at Discharge for Hospitalized Children with Uncomplicated Community-acquired Pneumonia.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInappropriate use of antimicrobial agents is the major cause for the development of resistance. Thus, it is important to include outpatient clinics in the development of antibiotic stewardship program.
methodsWe report a multifaceted approach to decrease inappropriate antibiotic use in upper respiratory tract infections (URTIs) in an outpatient pediatric clinic. The interventions included educational grand round, academic detailing, and prospective audit and feedback and peer comparison.
resultsDuring the study period, a total of 3677 outpatient clinic visits for URTIs were evaluated. Of all the included patients, 12% were <1 year of age, 42% were 1-5 years, and 46% were >5 years of age. Of the total patients, 684 (17.6%) received appropriate antibiotics, 2812 (76.4%) appropriately did not receive antibiotics, and 217 (6%) inappropriately received antibiotics. The monthly rate of prescription of inappropriate antibiotics significantly decreased from 12.3% at the beginning of the study to 3.8% at the end of the study (
conclusionsThe combination of education and academic detailing is important to improve antibiotic use.
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