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Comparative Study
. 2013 Feb;16(1):22-7.
doi: 10.1089/pop.2012.0025. Epub 2012 Oct 31.

Effectiveness of interventions in reducing antibiotic use for upper respiratory infections in ambulatory care practices

Christopher Vinnard  1 , Darren R Linkin, A Russell Localio, Charles E Leonard, Valerie L Teal, Neil O Fishman, Sean Hennessy
Affiliations
Comparative Study

Effectiveness of interventions in reducing antibiotic use for upper respiratory infections in ambulatory care practices

Christopher Vinnard et al. Popul Health Manag. 2013 Feb.

Abstract

The objective was to evaluate the effect of separate interventions on antimicrobial prescribing for uncomplicated upper respiratory tract infections. The authors conducted a quasi-experimental pre-post study with concurrent control groups for each intervention. Academic detailing led to a significant reduction in unnecessary antibiotic prescribing. However, there was no significant change in antibiotic prescribing in response to educational mailings to providers or to provider involvement in patient mailings. Organizations that seek to reduce inappropriate use of antibiotics should use proven approaches, even when they are more expensive.

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Figures

FIG. 1.
FIG. 1.
Variability in baseline prevalence of antibiotic prescribing by individual providers in the control and intervention groups.
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