Improving Antibiotic Prescribing Practices in an Urgent Care Clinic

Mary Estelle Bester, Janice Messam-Smith
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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.
改进急诊诊所的抗生素处方实践
病毒性上呼吸道感染的不适当抗生素处方仍然是门诊环境,特别是在紧急护理诊所的一个关键问题。这个质量改进项目在乔治亚州东南部的一个农村营利性诊所实施,旨在探索有针对性的提供者和患者教育是否可以减少不必要的抗生素使用。干预的重点是(1)用循证指南教育卫生保健提供者,(2)展示疾病控制和预防中心批准的患者教育海报。在2023年和2024年相匹配的3个月期间,收集干预前后的抗生素处方数据。结果显示,处方不当比例由30%下降至16.7%。虽然受到提供者参与不一致和结论有限等因素的影响,但该倡议为在社区环境中执行管理工作提供了宝贵的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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