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Appropriateness of antibiotic prescriptions for acute sinusitis and pharyngitis in an integrated healthcare system

Published online by Cambridge University Press:  29 May 2018

Lakshmi Chauhan
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado
Heather Young
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado Division of Infectious Diseases, Department of Medicine, Denver Health, Denver, Colorado Department of Patient Safety and Quality, Denver Health, Denver, Colorado
Bryan C. Knepper
Affiliation:
Department of Patient Safety and Quality, Denver Health, Denver, Colorado
Katherine C. Shihadeh
Affiliation:
Department of Pharmacy, Denver Health, Denver, Colorado
Timothy C. Jenkins*
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado Division of Infectious Diseases, Department of Medicine, Denver Health, Denver, Colorado Department of Patient Safety and Quality, Denver Health, Denver, Colorado
*
Author for correspondence: Timothy Jenkins, MD, Denver Health, 777 Bannock Street, MC4000, Denver, Colorado, 80204. E-mail: timothy.jenkins@dhha.org

Abstract

We evaluated the appropriateness of antibiotic prescriptions for acute sinusitis and pharyngitis. Overall, 81% of antibiotic prescriptions for acute sinusitis were inappropriate and 48% of antibiotic prescriptions for pharyngitis were inappropriate. Types of prescribing errors differed between the 2 infections, including lack of an indication for antibiotics and excessive duration in ~50% of sinusitis cases and incorrect antibiotic dose in ~33% of pharyngitis cases.

Infect Control Hosp Epidemiol 2018; 0, 1–3

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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