{"title":"改进急诊诊所的抗生素处方实践","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":"{\"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}","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}
Improving Antibiotic Prescribing Practices in an Urgent Care Clinic
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.