Reducing Antibiotic Prescribing in Primary Care for Respiratory Illness
Reducing Antibiotic Prescribing in Primary Care for Respiratory Illness
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DOI：
10.1542/peds.2020-0038
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发表时间：
2020-09-01
期刊：
影响因子：
8
通讯作者：
Mangione-Smith, Rita
中科院分区：
文献类型：
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作者：
Kronman, Matthew P.;Gerber, Jeffrey S.;Mangione-Smith, Rita
DART QI计划提供了一种解决方案，用于减少全国呼吸道感染的不适当门诊抗生素处方。PICCOVEDefaultPlayer10.1542/6158600710001 PEDS-VA_2020- 0038视频摘要背景：三分之一的儿科急性呼吸道感染（ARTIs）门诊抗生素处方不合适。我们评估了一个远程学习计划的有效性，减少门诊抗生素处方阿尔蒂visits.METHODS：在这个阶梯楔形临床试验运行从2015年11月至2018年6月，我们随机分配了19个儿科实践属于儿科研究办公室设置网络或北岸大学HealthSystem的4个楔形。6个月至10个月的儿童因急性中耳炎、支气管炎、咽炎、鼻窦炎和上呼吸道感染就诊
The DART QI program provides 1 solution for reducing inappropriate outpatient antibiotic prescribing for respiratory infections nationally. BrightcoveDefaultPlayer10.1542/6158600710001PEDS-VA_2020-0038Video AbstractBACKGROUND:One-third of outpatient antibiotic prescriptions for pediatric acute respiratory tract infections (ARTIs) are inappropriate. We evaluated a distance learning program's effectiveness for reducing outpatient antibiotic prescribing for ARTI visits.METHODS:In this stepped-wedge clinical trial run from November 2015 to June 2018, we randomly assigned 19 pediatric practices belonging to the Pediatric Research in Office Settings Network or the NorthShore University HealthSystem to 4 wedges. Visits for acute otitis media, bronchitis, pharyngitis, sinusitis, and upper respiratory infection for children 6 months to