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• Majority of antibiotic expenditures occur in the outpatient setting.1,2 • Increasing attention to outpatient antimicrobial stewardship: • The National Action Plan for Combating Antibiotic Resistant Bacteria sets a goal of a 50% reduction in inappropriate outpatient antibiotic use by 2020.3 • Outpatient antibiotic overuse is prevalent nationally4 and in the VA Pittsburgh Healthcare System5 • More data are needed to inform stewardship efforts.6 • Little data exist on effect of stewardship interventions on nonrespiratory infections, or on giving feedback on overall antibiotic prescribing rates • Ideal outpatient stewardship program • Low barrier to implementation • Easily gathered data • Ongoing and sustainable • Decreases inappropriate use • Increases guideline-concordance • Among respiratory and non-respiratory tract infections

open forum infectious diseases

Reduction of Overall and Inappropriate Antibiotic Prescribing within a Veterans Affairs Primary Care System through Peer Comparison of Overall Antibiotic Prescribing Rates