ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2025
Impact of a multifaceted intervention including supportive care order sentence implementation on outpatient antibiotic prescribing for upper respiratory tract infections.
Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
8 authors.
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Abstract
Objective: Compare the incidence of antibiotic prescribing for bronchitis and sinusitis before and after implementation of a multifaceted outpatient stewardship intervention. Design: Retrospective, quasi-experimental study. Setting: Three primary care clinics within a Michigan health system. Patients: Age 3 months and older who were diagnosed with acute bronchitis or rhinosinusitis. Intervention: Provider education paired with electronic health record order sentences for supportive care were implemented in September 2024. Patients diagnosed with bronchitis or sinusitis between October 2023 and January 2024 were included in the pre-intervention group (pre-ASP) while patients diagnosed between October 2024 and January 2025 were in the post-implementation group (post-ASP). Results: Total antibiotic prescribing for acute bronchitis and rhinosinusitis decreased significantly following the intervention (pre-ASP 65.6% vs post-ASP 53.9%, Conclusions: Supportive care order sentence implementation paired with provider education may be an effective outpatient stewardship practice to reduce antibiotic prescribing for URI.
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