Robert H. Harris|Thomas D. MacKenzie|Bonnie Leeman-Castillo|Kitty Corbett|Holly Batal|Judith H. Maselli|Ralph Gonzales
Optimizing antibiotic prescribing for acute respiratory tract infections in an urban urgent care clinic
Denver Health Medical Center|University of Colorado Health|University of Colorado Denver|Denver Health Medical Center|University of Colorado Health|University of Colorado Denver|University of Colorado Denver|University of Colorado Denver|Denver Health Medical Center|University of Colorado Health|University of Colorado Denver|University of California, San Francisco|University of California, San Francisco
decrease unnecessary antibiotic use acute respiratory tract infections adults pointofservice health care settingprospective nonrandomized controlled trialan urban urgent care clinic associated major indigent care hospital denver colorado october 2000 april 2001adults diagnosed acute respiratory tract infections bronchitis sinusitis pharyngitis nonspecific upper respiratory infection total 554 adults included baseline period october december 2000 964 adults included study period january april 2001a provider educational session recommendations appropriate antibiotic use recently published centers disease control prevention placement examination room posters performed last week december 2000 study period patients completed brief interactive computerized education ice module classified exposed full intervention whereas study period patients complete ice module classified exposed limited interventionthe proportion patients diagnosed acute bronchitis received antibiotics decreased 58 baseline period 30 24 among patients exposed limited full intervention respectively p 001 intervention groups vs baseline antibiotic prescriptions nonspecific upper respiratory tract infections decreased 14 3 1 limited fullintervention groups respectively p 001 intervention groups vs baselineantibiotic use adults diagnosed acute respiratory tract infections reduced pointofservice health care setting using combination patient provider educational interventions