University of Utah, Salt Lake City, UT, USA.
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Clin Pediatr (Phila). 2021 May;60(4-5):230-240. doi: 10.1177/00099228211001623. Epub 2021 Mar 25.
An American Academy of Pediatrics State Chapter organized a 6-month, mostly online quality improvement learning collaborative to improve antibiotic prescribing and patient education for upper respiratory infection (URI) and acute otitis media (AOM). Practices submitted data on quality measures at baseline, monthly, and 4 months post-project. Fifty-three clinicians from 6 independent, private primary care pediatric practices participated. Use of first-line antibiotics for AOM increased from 63.5% at baseline to 80.4% 4 months post-project. Use of safety-net antibiotic prescriptions (SNAP) for AOM increased from 4.5% to 16.9%. Educating patients about management for URI increased from 66.1% to 88.0% and for AOM from 20.4% to 85.6%. Practices maintained high performance for not prescribing antibiotics for URI (94.4% to 96.2%). Leveraging local relationships and national resources, this replicable antibiotic stewardship project engaged independent private practices to improve patient education for URI and AOM and prescribing and use of SNAP for AOM.
美国儿科学会州分会组织了一项为期 6 个月的、主要在线的质量改进学习合作，以改善上呼吸道感染（URI）和急性中耳炎（AOM）的抗生素处方和患者教育。实践在基线、每月和项目后 4 个月提交质量措施数据。6 家独立的私人初级保健儿科诊所的 53 名临床医生参加了该项目。AOM 的一线抗生素使用率从基线时的 63.5%上升到项目后 4 个月时的 80.4%。AOM 的安全网抗生素处方（SNAP）使用率从 4.5%上升到 16.9%。URI 管理方面的患者教育从 66.1%提高到 88.0%，AOM 从 20.4%提高到 85.6%。对于不使用抗生素治疗 URI（94.4%至 96.2%），实践保持了高水平的表现。该可复制的抗生素管理项目利用当地关系和国家资源，吸引了独立的私人诊所，以改善 URI 和 AOM 的患者教育，并改善 AOM 的抗生素处方和 SNAP 的使用。
