title: Impact of an Educational Intervention to Improve Antibiotic Prescribing for Nurse Practitioners in a Pediatric Urgent Care Center.
abstract: Up to 21% of pediatric visits result in an antibiotic prescription, and a large portion of these are unnecessary.
  
  
  
  To determine if educational sessions would reduce inappropriate antibiotic use.
  
  
  
  Intervention study evaluating antibiotic prescribing following educational sessions for urinary tract infection, skin and soft tissue infection, pharyngitis, upper respiratory tract infection, acute otitis media, and acute bacterial sinusitis.
  
  
  
  A total of 26 out of 43 (60%) nurse practitioners in 4 urgent care centers were enrolled in the study. The rate of inappropriate antibiotic use among all conditions was 10% before and 8% after the intervention (p = .02). A decrease in inappropriate antibiotic prescribing was seen after the educational session (p < .01). The most common reasons for inappropriate antibiotic prescribing were too broad (41%), wrong dosage (22%), and not indicated (17%).
  
  
  
  Educational sessions led to improvement in overall inappropriate antibiotic use. Additional stewardship interventions are needed to further reduce unnecessary antibiotic use.
authors: Gina
authors: G
authors: Weddle
authors: Jennifer
authors: J
authors: Goldman
authors: Angela
authors: A
authors: Myers
authors: Jason
authors: J
authors: Newland
mesh_terms: D000554:Ambulatory Care Facilities / Q000592:standards*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002648:Child; D002662:Child Health Services / Q000592:standards*; D004509:Education, Nursing, Continuing; D006801:Humans; D057970:Inappropriate Prescribing / Q000517:prevention & control* / Q000706:statistics & numerical data; D010033:Otitis Media / Q000188:drug therapy; D064701:Pediatric Nurse Practitioners / Q000193:education*; D010612:Pharyngitis / Q000188:drug therapy; D057184:Practice Patterns, Nurses'; D058996:Quality Improvement; D012141:Respiratory Tract Infections / Q000188:drug therapy; D012852:Sinusitis / Q000188:drug therapy; D018461:Soft Tissue Infections / Q000188:drug therapy; D014481:United States; D014552:Urinary Tract Infections / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antimicrobial Stewardship Program; nurse practitioner; pediatric; urgent care center