دورية أكاديمية

Impact of a Personalized Audit and Feedback Intervention on Antibiotic Prescribing Practices for Outpatient Pediatric Community-Acquired Pneumonia

التفاصيل البيبلوغرافية
العنوان: Impact of a Personalized Audit and Feedback Intervention on Antibiotic Prescribing Practices for Outpatient Pediatric Community-Acquired Pneumonia
المؤلفون: Diaz, Maria Carmen G., Handy, Lori K., Crutchfield, James H., Cadilla, Adriana, Hossain, Jobayer, Werk, Lloyd N.
المساهمون: Telemedicine and Advanced Technology Research Center
المصدر: Clinical Pediatrics ; volume 59, issue 11, page 988-994 ; ISSN 0009-9228 1938-2707
بيانات النشر: SAGE Publications
سنة النشر: 2020
مصطلحات موضوعية: Pediatrics, Perinatology and Child Health
الوصف: Antibiotic choice for pediatric community-acquired pneumonia (CAP) varies widely. We aimed to determine the impact of a 6-month personalized audit and feedback program on primary care providers’ antibiotic prescribing practices for CAP. Participants in the intervention group received monthly personalized feedback. We then analyzed enrolled providers’ CAP antibiotic prescribing practices. Participants diagnosed 316 distinct cases of CAP (214 control, 102 intervention); among these 316 participants, 301 received antibiotics (207 control, 94 intervention). In patients ≥5 years, the intervention group had fewer non–guideline-concordant antibiotics prescribed (22/103 [21.4%] control; 3/51 [5.9%] intervention, P < .05) and received more of the guideline-concordant antibiotics (amoxicillin and azithromycin). Personalized, scheduled audit and feedback in the outpatient setting was feasible and had a positive impact on clinician’s selection of guideline-recommended antibiotics. Audit and feedback should be combined with other antimicrobial stewardship interventions to improve guideline adherence in the management of outpatient CAP.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/0009922820928054
الإتاحة: https://doi.org/10.1177/0009922820928054Test
حقوق: http://journals.sagepub.com/page/policies/text-and-data-mining-licenseTest
رقم الانضمام: edsbas.91A966A9
قاعدة البيانات: BASE