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Appropriateness of antibiotic prescriptions for acute sinusitis and pharyngitis in an integrated healthcare system

Published online by Cambridge University Press:  29 May 2018

Lakshmi Chauhan
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado
Heather Young
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado Division of Infectious Diseases, Department of Medicine, Denver Health, Denver, Colorado Department of Patient Safety and Quality, Denver Health, Denver, Colorado
Bryan C. Knepper
Affiliation:
Department of Patient Safety and Quality, Denver Health, Denver, Colorado
Katherine C. Shihadeh
Affiliation:
Department of Pharmacy, Denver Health, Denver, Colorado
Timothy C. Jenkins*
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado Division of Infectious Diseases, Department of Medicine, Denver Health, Denver, Colorado Department of Patient Safety and Quality, Denver Health, Denver, Colorado
*
Author for correspondence: Timothy Jenkins, MD, Denver Health, 777 Bannock Street, MC4000, Denver, Colorado, 80204. E-mail: [email protected]

Abstract

We evaluated the appropriateness of antibiotic prescriptions for acute sinusitis and pharyngitis. Overall, 81% of antibiotic prescriptions for acute sinusitis were inappropriate and 48% of antibiotic prescriptions for pharyngitis were inappropriate. Types of prescribing errors differed between the 2 infections, including lack of an indication for antibiotics and excessive duration in ~50% of sinusitis cases and incorrect antibiotic dose in ~33% of pharyngitis cases.

Infect Control Hosp Epidemiol 2018; 0, 1–3

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

1. National action plan for combating antibiotic-resistant bacteria. March 2015. The White House website. https://www.whitehouse.gov/sites/default/files/docs/national_action_plan_for_combating_antibotic-resistant_bacteria.pdf. Published 2015. Accessed April 6, 2015.Google Scholar
2. Sanchez, GV, Fleming-Dutra, KE, Roberts, RM, Hicks, LA. Core elements of outpatient antibiotic stewardship. MMWR 2016;65:112.Google Scholar
3. Fleming-Dutra, KE, Hersh, AL, Shapiro, DJ, et al. Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. JAMA 2016;315:18641873.Google Scholar
4. Fairlie, T, Shapiro, DJ, Hersh, AL, Hicks, LA. National trends in visit rates and antibiotic prescribing for adults with acute sinusitis. Arch Int Med 2012;172:15131514.Google Scholar
5. Hersh, AL, Fleming-Dutra, KE, Shapiro, DJ, Hyun, DY, Hicks, LA. Frequency of first-line antibiotic selection among US ambulatory care visits for otitis media, sinusitis, and pharyngitis. JAMA Intern Med 2016;176:18701872.Google Scholar
6. McCaig, LF, Hicks, LA, Roberts, RM, Fairlie, TA. Office-related antibiotic prescribing for persons aged ≤14 years—United States, 1993–1994 to 2007–2008. MMWR 2011;60:11531156.Google Scholar
7. Barnett, ML, Linder, JA. Antibiotic prescribing to adults with sore throat in the United States, 1997–2010. JAMA Intern Med 2014;174:138140.Google Scholar
8. King, LM, Sanchez, GV, Bartoces, M, Hicks, LA, Fleming-Dutra, KE. Antibiotic therapy duration in US adults with sinusitis. JAMA Intern Med 2018. doi: 10.1001/jamainternmed.2018.0407.Google Scholar
9. Gabow, P, Eisert, S, Wright, R. Denver Health: a model for the integration of a public hospital and community health centers. Ann Intern Med 2003;138:143149.Google Scholar
10. Chow, AW, Benninger, MS, Brook, I, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis 2012;54:e72e112.Google Scholar
11. Shulman, ST, Bisno, AL, Clegg, HW, et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis 2012;55:12791282.Google Scholar
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