ArticleInfection & chemotherapy2026
Effectiveness of Clinical Pathway Pop-Up Window Insertion in Computer-Based Prescription System for Antibiotic Stewardship in Acute Diarrhea.
Article in Infection & chemotherapy, 2026. 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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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.
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3 authors.
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Abstract
backgroundAcute diarrhea is highly prevalent in Thailand, and inappropriate antibiotic use remains common. The effectiveness of a clinical pathway pop-up integrated into a computerized prescription system for antibiotic stewardship has not been previously evaluated. MATERIALS AND
methodsWe conducted a quasi-experimental study following implementation of a clinical pathway pop-up on 21 December 2021. Outpatient records from Srinagarind Hospital and two nearby primary care units were reviewed from November 2021 to January 2022. Patients were divided into pre- and post-intervention groups. Factors associated with antibiotic prescribing and appropriate antibiotic management were analyzed.
resultsA total of 460 patients were included (230 per group); 26.7% were male, with a mean age of 34.8, and 82% of patients were treated in the emergency department. Antibiotics were prescribed to 30.9% of patients in both pre-intervention and post-intervention groups (
conclusionThe implementation of a clinical pathway pop-up window in a computerized prescription system did not significantly reduce inappropriate antibiotic use or improve rational prescribing in patients with acute diarrhea. Resident physicians as primary care providers were independently associated with inappropriate antibiotic management.
trial registrationThai Clinical Trials Registry: TCTR20210420002.
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