向接受医疗补助的儿科患者不适当开具抗生素的情况：2019年肯塔基州高处方量和非高处方量抗生素开方者的比较
Inappropriate Prescribing of Antibiotics to Pediatric Patients Receiving Medicaid: Comparison of High-Volume and Non-High-Volume Antibiotic Prescribers-Kentucky, 2019.
作者信息
Wattles Bethany A, Smith Michael J, Feygin Yana, Jawad Kahir, Flinchum Andrea, Corley Brittany, Spicer Kevin B
机构信息
Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Department of Pediatrics, Duke University Medical Center and Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC 27710, USA.
出版信息
Healthcare (Basel). 2023 Aug 16;11(16):2307. doi: 10.3390/healthcare11162307.
Abstract
Inappropriate antibiotic prescribing to pediatric Medicaid patients was compared among high-volume and non-high-volume prescribers. High-volume prescribers had a higher percentage of inappropriate prescriptions than non-high-volume prescribers (17.2% versus 15.8%, = 0.005). Targeting high-volume prescribers for stewardship efforts is a practical approach to reducing outpatient antibiotic prescribing that also captures inappropriate use.
摘要
对大量和少量开处方者针对儿科医疗补助患者不恰当使用抗生素的情况进行了比较。大量开处方者开出的不恰当处方比例高于少量开处方者（分别为17.2%和15.8%，P = 0.005）。将大量开处方者作为管理工作的目标是减少门诊抗生素处方的一种切实可行的方法，这也能发现不恰当的使用情况。
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本文引用的文献
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2
Effect of Antibiotic-Prescribing Feedback to High-Volume Primary Care Physicians on Number of Antibiotic Prescriptions: A Randomized Clinical Trial.高剂量初级保健医生抗生素处方反馈对抗生素处方数量的影响：一项随机临床试验。
JAMA Intern Med. 2021 Sep 1;181(9):1165-1173. doi: 10.1001/jamainternmed.2021.2790.
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