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Identifying Opportunities to Improve Guideline-Concordant Antibiotic Prescribing in Veterans with Acute Respiratory Infections or Cystitis

Published online by Cambridge University Press:  11 April 2017

Hayley E. Meyer ,
Brian C. Lund ,
Brett H. Heintz ,
Bruce Alexander ,
Jason A. Egge  and
Daniel J. Livorsi
Hayley E. Meyer*
Affiliation:
Department of Pharmaceutical Services, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa
Brian C. Lund
Affiliation:
Center for Comprehensive Access & Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa.
Brett H. Heintz
Affiliation:
Department of Pharmaceutical Services, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa
Bruce Alexander
Affiliation:
Center for Comprehensive Access & Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa.
Jason A. Egge
Affiliation:
Department of Pharmaceutical Services, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa
Daniel J. Livorsi
Affiliation:
Center for Comprehensive Access & Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa.
*
Address correspondence to Hayley Meyer, PharmD, Department of Pharmaceutical Services, Iowa City Veterans Affairs Health Care System, 601 Highway 6 W, Iowa City, Iowa 52246 ([email protected]).
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Abstract

We investigated the frequency and determinants of guideline-discordant antibiotic prescribing in outpatients with respiratory infections or cystitis. Antibiotic prescribing was guideline discordant in 60% of patients. The most common reason for discordance was prescribing an antibiotic when not indicated. In a multivariate analysis, physicians in training had the highest likelihood of guideline-concordant antibiotic prescribing.

Infect Control Hosp Epidemiol 2017;38:724–728

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 6 , June 2017 , pp. 724 - 728
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

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