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Outpatient antibiotic prescribing patterns in pediatric academic and community practices

Mayssa Abuali1, Andrea Zivot1, Sandra Guerguis1

  • 1Department of Pediatrics, Einstein Medical Center, Philadelphia, PA.

American Journal of Infection Control
|May 7, 2019
PubMed

Insights

Antibiotic prescribing for common infections was significantly better in academic settings (67% compliance) than community clinics (21% compliance). This highlights a critical need for antibiotic stewardship programs in community outpatient settings.

Area of Science:

  • Infectious Diseases
  • Outpatient Healthcare
  • Clinical Pharmacy

Background:

  • Antibiotic prescribing patterns vary between healthcare settings.
  • Optimal antibiotic use is crucial for combating antimicrobial resistance.
  • Guidelines exist for common pediatric infections like otitis media, sinusitis, and pharyngitis.

Purpose of the Study:

  • To compare antibiotic prescribing guideline compliance for otitis media, sinusitis, and pharyngitis.
  • To evaluate differences in prescribing practices between academic and community outpatient settings.

Main Methods:

  • Retrospective, cross-sectional chart review.
  • Comparison of antibiotic prescribing against Infectious Diseases Society of America and American Academy of Pediatrics guidelines.
  • Analysis of data from academic and affiliated community practices.

Main Results:

  • Correct antibiotic prescribing rate was 67% in academic settings.
  • Correct antibiotic prescribing rate was 21% in community settings.
  • A significant disparity in guideline adherence was observed.

Conclusions:

  • Academic outpatient settings demonstrate higher adherence to antibiotic prescribing guidelines.
  • Community outpatient clinics require enhanced antibiotic stewardship interventions.
  • Improving prescribing practices in community settings is essential for antimicrobial stewardship.

Keywords:
Otitis mediaPharyngitisResistanceSinusitisStewardship

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