Pneumonia Clinical Trial
Official title:
Reducing Inappropriate Prescribing of Antibiotics by Primary Care Clinicians
The purpose of the study is to determine if physician education coupled with audit and feedback of antibiotic prescribing can improve antibiotic prescribing by primary care clinicians.
Using a large, diverse pediatric primary care network sharing a comprehensive electronic
health record (EHR), a cluster-randomized trial will be performed to determine the
effectiveness of an outpatient antimicrobial stewardship bundle, including treatment
guidelines coupled with audit and feedback of physician prescribing, to curb inappropriate
antibiotic prescribing for respiratory tract infections.
Aim 1: To determine the impact of an outpatient antimicrobial stewardship bundle within a
pediatric primary care network on antibiotic prescribing for conditions for which
antibiotics are not indicated.
Hypothesis: Antimicrobial stewardship will decrease rates of antibiotic prescribing for
conditions for which antibiotics are not indicated.
Aim 2: To determine the impact of an outpatient antimicrobial stewardship bundle within a
pediatric primary care network on broad-spectrum antibiotic prescribing for conditions for
which narrow-spectrum antibiotics are indicated.
Hypothesis: Antimicrobial stewardship will decrease the rate of broad-spectrum antibiotic
prescribing for conditions for which narrow-spectrum antibiotics are indicated.
;
Allocation: Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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