Evidence map›Paper›PMID 38698946›Full record

ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2024

It takes a village: decreasing inappropriate antibiotic prescribing for upper respiratory tract infections.

Jamilah L Shubeilat, Dan Ilges, Angie N Ton, Maria Teresa A Seville

Abstract read
In one paragraph

Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jamilah L ShubeilatDivision of Infectious Diseases, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-5393-0397
Dan IlgesDepartment of Pharmacy Services, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0003-0778-3901
Angie N TonDepartment of Family Medicine, Mayo Clinic, Phoenix, Arizona, USA.
Maria Teresa A SevilleDivision of Infectious Diseases, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-7384-2685

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Prescribing of antibiotics for viral upper respiratory infections (URIs) remains a pressing public health problem. We sought to reduce inappropriate prescribing of antibiotics for URIs in Mayo Clinic Arizona. Design: Single-center, quasi-experimental, and retrospective cohort study. Setting: Emergency medicine and all primary care departments. Methods: The interventions included sharing baseline prescribing data, education, resources, and quarterly peer comparison reports. Encounters with diagnostic codes for respiratory infections commonly caused by viruses were categorized as Tier 3 (ie, never appropriate to prescribe antibiotics). Our goal was to reduce inappropriate prescribing for Tier 3 encounters by 22% in 2022. Results: Department education was completed by June 2022. The annual antibiotic prescribing rate for Tier 3 encounters was reduced by 29%, from a baseline rate of 23.6% in 2021 to 16.4% in 2022 ( Conclusion: A multi-faceted intervention, which included baseline education, syndrome-specific order panels, resources for symptomatic management, and peer comparison reports, resulted in significant reduction of inappropriate antibiotic prescribing for URIs.

Identifiers

PMID38698946
PMCPMC11062784

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.