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Improving antibiotic prescribing for acute bronchitis in the ambulatory setting using a multifaceted approach
Philip Chung1, Regina Nailon2, M Salman Ashraf3
1Division of Public Health, Nebraska Department of Health and Human Services, Lincoln, Nebraska.
Infection Control and Hospital Epidemiology
|May 14, 2021
Summary
Antibiotic prescribing for acute bronchitis decreased significantly with a new stewardship program. This initiative reduced inappropriate antibiotic use in outpatient respiratory infections.
Area of Science:
- Infectious Diseases
- Public Health
- Clinical Pharmacy
Background:
- Antibiotic overuse for acute respiratory infections is a significant public health concern.
- Inappropriate prescribing contributes to antimicrobial resistance and adverse events.
Purpose of the Study:
- To evaluate the impact of a multifaceted outpatient antimicrobial stewardship initiative.
- To reduce antibiotic prescribing for acute respiratory infections in primary care.
Main Methods:
- Implementation of a comprehensive antimicrobial stewardship program.
- Targeted interventions in primary care clinics.
- Monitoring antibiotic prescribing rates for acute bronchitis.
Main Results:
- A 12.3% absolute reduction in antibiotic prescribing for acute bronchitis was observed.
- The reduction was noted in clinics actively participating in the stewardship initiative.
Conclusions:
- Multifaceted outpatient antimicrobial stewardship is effective in reducing antibiotic prescribing for acute bronchitis.
- Interventions can successfully curb inappropriate antibiotic use in primary care settings.
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