Program cuts outpatient antibiotic RX for pediatric respiratory infections

Program cuts outpatient antibiotic RX for pediatric respiratory infections


(HealthDay)—A distance learning program is effective for reducing outpatient prescribing for pediatric acute respiratory tract infection (ARTI) visits, according to a study published online Aug. 3 in Pediatrics.

Matthew P. Kronman, M.D., from the University of Washington in Seattle, and colleagues examined a distance learning program’s effectiveness for reducing outpatient antibiotic prescribing for ARTI visits. During 11 months, clinicians received the intervention as three program modules containing online tutorials and webinars on evidence-based communication strategies and antibiotic prescribing, booster video vignettes, and individualized antibiotic prescribing feedback reports.

The researchers observed a 7 percent decrease in the probability of antibiotic prescribing for ARTI overall between the baseline and postintervention periods (adjusted rate ratio [aRR], 0.93; 95 percent confidence interval [CI], 0.90 to 0.96) among 72,723 ARTI visits by 29,762 patients. There were decreases in second-line antibiotic prescribing for streptococcal pharyngitis and sinusitis (aRRs, 0.66 [95 percent CI, 0.50 to 0.87] and 0.59 [95 percent CI, 0.44 to 0.77], respectively), but not for acute otitis media (aRR, 0.93; 95 percent CI, 0.83 to 1.03). Decreases were seen in any antibiotic prescribing for viral ARTIs (aRR, 0.60; 95 percent CI, 0.51 to 0.70).

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