{"title":"Improving Antibiotic Prescribing Practices in an Urgent Care Clinic","authors":"Mary Estelle Bester, Janice Messam-Smith","doi":"10.1016/j.nurpra.2025.105509","DOIUrl":null,"url":null,"abstract":"<div><div>Inappropriate antibiotic prescribing for viral upper respiratory infections remains a critical concern in outpatient settings, particularly in urgent care clinics. This quality improvement project, implemented in a rural for-profit clinic in Southeast Georgia, explored whether targeted provider and patient education could reduce unnecessary antibiotic use. The intervention centered on (1) educating health care providers with evidence-based guidelines and (2) displaying Centers for Disease Control and Prevention–approved patient education posters. Data on antibiotic prescriptions were collected before and after the intervention over matched 3-month periods in 2023 and 2024. Results indicated a decrease from 30% to 16.7% in inappropriate prescribing. Although confounded by factors such as inconsistent provider participation and limited definitive conclusions, the initiative provided valuable insights into the implementation of stewardship in community settings.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105509"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525001928","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Inappropriate antibiotic prescribing for viral upper respiratory infections remains a critical concern in outpatient settings, particularly in urgent care clinics. This quality improvement project, implemented in a rural for-profit clinic in Southeast Georgia, explored whether targeted provider and patient education could reduce unnecessary antibiotic use. The intervention centered on (1) educating health care providers with evidence-based guidelines and (2) displaying Centers for Disease Control and Prevention–approved patient education posters. Data on antibiotic prescriptions were collected before and after the intervention over matched 3-month periods in 2023 and 2024. Results indicated a decrease from 30% to 16.7% in inappropriate prescribing. Although confounded by factors such as inconsistent provider participation and limited definitive conclusions, the initiative provided valuable insights into the implementation of stewardship in community settings.