Impact of an Educational Intervention to Improve Antibiotic Prescribing for Nurse Practitioners in a Pediatric Urgent Care Center

被引：23
作者：
Weddle, Gina [1 ]
Goldman, Jennifer [1 ]
Myers, Angela [1 ]
Newland, Jason [2 ]
机构：
[1] Univ Missouri, Infect Dis Nurse Practitoner, Childrens Mercy Hosp & Clin, Kansas City, MO 65211 USA
[2] Washington Univ, Dept Pediat, St Louis, MO 63130 USA
来源：
JOURNAL OF PEDIATRIC HEALTH CARE | 2017年 / 31卷 / 02期
关键词：
Antimicrobial Stewardship Program; nurse practitioner; pediatric; urgent care center; RESPIRATORY-TRACT INFECTIONS; OTITIS-MEDIA; CHILDREN; COMMUNICATION; CONSULTATIONS; DISPARITIES; DECISIONS; TRENDS;
D O I：
10.1016/j.pedhc.2016.07.005
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Background: Up to 21% of pediatric visits result in an antibiotic prescription, and a large portion of these are unnecessary. Objective: To determine if educational sessions would reduce inappropriate antibiotic use. Methods: Intervention study evaluating antibiotic prescribing following educational sessions for urinary tract infection, skin and soft tissue infection, pharyngitis, upper respiratory tract infection, acute otitis media, and acute bacterial sinusitis. Results: A total of 26 out of 43 (60%) nurse practitioners in 4 urgent care centers were enrolled in the study. The rate of inappropriate antibiotic use among all conditions was 10% before and 8% after the intervention (p =.02). A decrease in inappropriate antibiotic prescribing was seen after the educational session (p < .01). The most common reasons for inappropriate antibiotic prescribing were too broad (41%), wrong dosage (22%), and not indicated (17%). Conclusions: Educational sessions led to improvement in overall inappropriate antibiotic use. Additional stewardship interventions are needed to further reduce unnecessary antibiotic use.
引用
收藏
页码：184 / 188
页数：5
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