Evaluation of a Clinical Decision Support System and an Automated Electronic Health Record Alert on Outpatient Prescribing of Cefdinir

J Pediatric Infect Dis Soc. 2024 Apr 24;13(4):246-249. doi: 10.1093/jpids/piae026.

Abstract

Acute bacterial upper respiratory infections are common indications for antibiotics in pediatrics, and many prescriptions may be inappropriate. Novel approaches to outpatient antimicrobial stewardship interventions are needed. This quasi-experimental study of an order set and best practice advisory alert targeting cefdinir prescriptions demonstrated an 8.4% decrease in cefdinir prescribing (P ≤ .001).

Keywords: acute otitis media; antimicrobial stewardship; best practice advisory alert; order set; pharyngitis; sinusitis.

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents* / therapeutic use
  • Antimicrobial Stewardship*
  • Cefdinir*
  • Child
  • Child, Preschool
  • Decision Support Systems, Clinical*
  • Electronic Health Records*
  • Humans
  • Infant
  • Outpatients
  • Practice Patterns, Physicians' / statistics & numerical data
  • Respiratory Tract Infections / drug therapy

Substances

  • Cefdinir
  • Anti-Bacterial Agents