title: Identifying Opportunities to Improve Guideline-Concordant Antibiotic Prescribing in Veterans with Acute Respiratory Infections or Cystitis.
abstract: We investigated the frequency and determinants of guideline-discordant antibiotic prescribing in outpatients with respiratory infections or cystitis. Antibiotic prescribing was guideline discordant in 60% of patients. The most common reason for discordance was prescribing an antibiotic when not indicated. In a multivariate analysis, physicians in training had the highest likelihood of guideline-concordant antibiotic prescribing. Infect Control Hosp Epidemiol 2017;38:724-728.
authors.affiliation: 1Department of Pharmaceutical Services,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa.
authors.forename: Hayley E
authors.initials: HE
authors.lastname: Meyer
authors.affiliation: 2Center for Comprehensive Access & Delivery Research and Evaluation,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Lund
authors.affiliation: 1Department of Pharmaceutical Services,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa.
authors.forename: Brett H
authors.initials: BH
authors.lastname: Heintz
authors.affiliation: 2Center for Comprehensive Access & Delivery Research and Evaluation,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa.
authors.forename: Bruce
authors.initials: B
authors.lastname: Alexander
authors.affiliation: 1Department of Pharmaceutical Services,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa.
authors.forename: Jason A
authors.initials: JA
authors.lastname: Egge
authors.affiliation: 2Center for Comprehensive Access & Delivery Research and Evaluation,Iowa City Veterans Affairs Health Care System,Iowa City,Iowa.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Livorsi
mesh_terms: D000208:Acute Disease; D000554:Ambulatory Care Facilities; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001437:Bacteriuria / Q000188:drug therapy; D003556:Cystitis / Q000188:drug therapy*; D005260:Female; D019983:Guideline Adherence / Q000592:standards*; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D008875:Middle Aged; D010612:Pharyngitis / Q000188:drug therapy; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D058996:Quality Improvement; D012141:Respiratory Tract Infections / Q000188:drug therapy*; D012189:Retrospective Studies; D012852:Sinusitis / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents