Publication: Impact of an Antibiotic Stewardship Program on Antibiotic Prescription for Acute Respiratory Tract Infections in Children: A Prospective Before-After Study
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Issued Date
2019-10-01
Resource Type
ISSN
19382707
00099228
00099228
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2-s2.0-85071546777
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Mahidol University
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SCOPUS
Bibliographic Citation
Clinical Pediatrics. Vol.58, No.11-12 (2019), 1166-1174
Suggested Citation
Nalinee Aoybamroong, Worawit Kantamalee, Kunlawat Thadanipon, Chonnamet Techasaensiri, Kumthorn Malathum, Nopporn Apiwattanakul Impact of an Antibiotic Stewardship Program on Antibiotic Prescription for Acute Respiratory Tract Infections in Children: A Prospective Before-After Study. Clinical Pediatrics. Vol.58, No.11-12 (2019), 1166-1174. doi:10.1177/0009922819870248 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/51378
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Title
Impact of an Antibiotic Stewardship Program on Antibiotic Prescription for Acute Respiratory Tract Infections in Children: A Prospective Before-After Study
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Abstract
© The Author(s) 2019. We assessed the effectiveness of an antibiotic stewardship program (ASP) on antibiotic prescriptions for acute respiratory tract infection (ARTI) in a medical school. Our ASP included delivering an antibiotic use guideline via e-mail and LINE (an instant messaging app) to faculty staff, fellows, and residents, and posting of the guideline in examination rooms. Medical records of pediatric patients diagnosed with ARTI were reviewed to assess the appropriateness of antibiotic prescription. ASP could increase the rate of appropriateness from 78% (1979 out of 2553 visits) to 83.4% (2449 out of 2935 visits; P <.001). The baseline of appropriateness was higher in residents (95%) compared with fellows (82%) and faculty staff (75%). The ASP significantly increased the appropriateness only in faculty staff, especially in semiprivate clinics (75% to 83%, P <.001). In conclusion, our ASP increased appropriateness of antibiotic prescriptions for ARTI, with the greatest impact among faculty staff in semiprivate clinics.