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Category: Respiratory Infections - Bacterial
Poster Session: Respiratory Infections - Bacterial
David Augusto Terrero Salcedo
Infectious Disease Fellow
University of Cincinnati
Cincinnati, Ohio
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Allison Kelly
MD
US Department of Veteran Affairs
Cincinnati, Ohio
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Victoria Tate
PharmD
Cincinnati VA Medical Center
Cincinnati, Ohio
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
A total of 12 health care providers were followed for 12 months. Education, prescribing reports and individual goals were provided. The pre-intervention prescription rate from September to December 2018 averaged 74.75% (SD 20.59, 95% CI 61.6-87.8), with a post-intervention rate of 55.5% from September to December of 2019 (SD 19.20, 95% CI 43.3-67.7) that was statistically significant (p=0.0036). A higher use of antibiotic was observed in physicians when compared to non-physician providers in both pre and post intervention stages (reduction of 16.6% vs 23% after intervention respectively), with no statistical difference between the two groups (CI 95% of -38.82 to 2.395, p=0.0773). A proposed target of 50% or less was observed in 5 of 12 providers (41.6%), and 2 out of 12 (16.7%) had increase in their antibiotic utilization rate.Comparative use of antimicrobials in the pre (September-December 2018) and post (September-December 2019) - intervention periods.
Average individual antimicrobial use rate before and after intervention.
Conclusion: Routine face-to-face utilization reports may constitute an effective approach in reducing antibiotic prescription practices in the Emergency Department, and potentially, in other outpatient healthcare settings.