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A Multisite Collaborative to Decrease Inappropriate Antibiotics in Urgent Care Centers.

Amanda Nedved1, Melody Fung2, Destani Bizune3

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This summary is machine-generated.

Pediatric urgent care centers significantly reduced inappropriate antibiotic prescriptions by over 50% for common diagnoses. This quality improvement project demonstrates effective antibiotic stewardship in urgent care settings.

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Area of Science:

  • Pediatric Urgent Care
  • Antibiotic Stewardship
  • Quality Improvement

Background:

  • Urgent care centers have high rates of inappropriate antibiotic prescribing.
  • Pediatric urgent care antibiotic prescribing practices were previously unknown.
  • A quality improvement project aimed to reduce inappropriate antibiotic use in pediatric urgent care.

Purpose of the Study:

  • To decrease inappropriate antibiotic prescribing for acute otitis media, otitis media with effusion, and pharyngitis in pediatric urgent care centers.
  • To achieve a relative 20% reduction in inappropriate antibiotic prescriptions by December 1, 2019.

Main Methods:

  • A multisite quality improvement study involving pediatric urgent care clinicians.
  • Utilized algorithms based on guidelines to identify inappropriate antibiotic prescriptions.
  • Implemented interventions from antibiotic stewardship materials over multiple cycles.

Main Results:

  • Overall inappropriate antibiotic prescription rates decreased by a relative 53.9% across 20 centers.
  • Significant reductions observed for acute otitis media (57.0% to 36.6%), otitis media with effusion (54.6% to 48.4%), and pharyngitis (66.9% to 11.7%).

Conclusions:

  • Pediatric urgent care providers reduced inappropriate antibiotic prescriptions from 60.3% to 27.8%.
  • Publicly available antibiotic stewardship interventions were effective in improving prescribing practices.