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Identifying Opportunities to Improve Guideline-Concordant Antibiotic Prescribing in Veterans with Acute Respiratory Infections or Cystitis

  • Hayley E. Meyer (a1), Brian C. Lund (a2), Brett H. Heintz (a1), Bruce Alexander (a2), Jason A. Egge (a1) and Daniel J. Livorsi (a2)...


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


Corresponding author

Address correspondence to Hayley Meyer, PharmD, Department of Pharmaceutical Services, Iowa City Veterans Affairs Health Care System, 601 Highway 6 W, Iowa City, Iowa 52246 (


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