ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020
Antibiotic Prescribing Variability in a Large Urgent Care Network: A New Target for Outpatient Stewardship.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Ambulatory antibiotic prescribing for acute sinusitis: a multicenter, retrospective cohort study evaluating appropriateness.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Inappropriate antibiotic prescribing for acute respiratory illnesses in outpatient settings in New York City, 2019-2022.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Real-world impact of point-of-care testing for SARS-CoV-2 in an ambulatory setting of an integrated health network.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Article
- Implementing with intention: advantages, challenges, and tactics to optimally utilize the AXR metric.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Designed for simplicity, used for complexity: The systemic pressures shaping walk-in clinic practices and outcomes.PloS one · 2025Article
- Integrating an antimicrobial stewardship bundle into advanced urgent care sites.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- The relationship between antibiotic utilization for respiratory conditions (AXR) and antibiotic prescribing for pharyngitis.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Impact of an evidence-based order panel on antibiotic prescribing in ambulatory patients with cystitis.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Optimal Pediatric Outpatient Antibiotic Prescribing.JAMA network open · 2024Article
- Implementation of peer comparison reporting and academic detailing sessions to reduce inappropriate antimicrobial prescribing rates in upper respiratory infections among family medicine prescribers.BMJ open quality · 2024Article
- Antibiotic prescribing for acute respiratory infections during the coronavirus disease 2019 (COVID-19) pandemic: Patterns in a nationwide telehealth service provider.Infection control and hospital epidemiology · 2024Article
- A rapid host-protein test for differentiating bacterial from viral infection: Apollo diagnostic accuracy study.Journal of the American College of Emergency Physicians open · 2024Article
- Challenges Facing Antimicrobial Stewardship Programs in the Endemic Region for Coccidioidomycosis.Open forum infectious diseases · 2024Review
- Diagnosis and Treatment of Pneumonia in Urgent Care Clinics: Opportunities for Improving Care.Open forum infectious diseases · 2024Article
- Next Steps in Ambulatory Stewardship.Infectious disease clinics of North America · 2023Review
- Evaluation of Multisite Programmatic Bundle to Reduce Unnecessary Antibiotic Prescribing for Respiratory Infections: A Retrospective Cohort Study.Open forum infectious diseases · 2023Article
- Physician antimicrobial prescribing and patient outcomes on general medical wards: a multicentre retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Implementation of an Antibiotic Stewardship Initiative in a Large Urgent Care Network.JAMA network open · 2023Article
- Comparative Safety and Attributable Healthcare Expenditures Following Inappropriate Versus Appropriate Outpatient Antibiotic Prescriptions Among Adults With Upper Respiratory Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
Improving antibiotic prescribing in outpatient settings is a public health priority. In the United States, urgent care (UC) encounters are increasing and have high rates of inappropriate antibiotic prescribing. Our objective was to characterize antibiotic prescribing practices during UC encounters, with a focus on respiratory tract conditions. This was a retrospective cohort study of UC encounters in the Intermountain Healthcare network. Among 1.16 million UC encounters, antibiotics were prescribed during 34% of UC encounters and respiratory conditions accounted for 61% of all antibiotics prescribed. Of respiratory encounters, 50% resulted in antibiotic prescriptions, yet the variability at the level of the provider ranged from 3% to 94%. Similar variability between providers was observed for respiratory conditions where antibiotics were not indicated and in first-line antibiotic selection for sinusitis, otitis media, and pharyngitis. These findings support the importance of developing antibiotic stewardship interventions specifically targeting UC settings.
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