학술논문

Reducing Antibiotic Prescribing in Primary Care for Respiratory Illness.
Document Type
article
Source
Pediatrics. 146(3)
Subject
Humans
Streptococcal Infections
Respiratory Tract Infections
Pharyngitis
Bronchitis
Sinusitis
Otitis Media
Acute Disease
Anti-Bacterial Agents
Confidence Intervals
Logistic Models
Odds Ratio
Communication
Pediatric Nursing
Education
Distance
Child
Child
Preschool
Infant
Outpatients
Program Development
Primary Health Care
Chicago
Female
Male
Intention to Treat Analysis
Inappropriate Prescribing
Quality Improvement
Pediatricians
Pediatrics
Medical and Health Sciences
Psychology and Cognitive Sciences
Language
Abstract
BackgroundOne-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.MethodsIn 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