Open AccessDurability of Benefits of an Outpatient Antimicrobial Stewardship Intervention After Discontinuation of Audit and Feedback
Author(s) -
Jeffrey S. Gerber,
Priya A. Prasad,
Alexander G. Fiks,
A. Russell Localio,
Louis M. Bell,
Ron Keren,
Theoklis E. Zaoutis
Publication year - 2014
Publication title -
jama
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.688
H-Index - 680
eISSN - 1538-3598
pISSN - 0098-7484
DOI - 10.1001/jama.2014.14042
Subject(s) - medicine , discontinuation , antimicrobial stewardship , audit , intervention (counseling) , antimicrobial , stewardship (theology) , intensive care medicine , family medicine , physical therapy , nursing , antibiotics , accounting , antibiotic resistance , politics , political science , law , microbiology and biotechnology , business , biology , chemistry , organic chemistry
Durability of Benefits of an Outpatient Antimicrobial Stewardship Intervention After Discontinuation of Audit and Feedback Antibiotics are the most frequently prescribed medications for children1; most are prescribed for outpatient acute respiratory tract infections.2 Because antibiotic prescribing is often inappropriate,2,3 we recently conducted a cluster randomized trial of an outpatient antimicrobial stewardship intervention that found a nearly 50% relative reduction in presc ribing rates for broad-spectrum antibiotics.4 To assess the durability of this intervention, we followed antibiotic prescribing across intervention and control sites for 18 months after termination of audit and feedback.
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