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Effect of Patient and Provider Education on Antibiotic Overuse for Respiratory Tract Infections

Chiswell, Erin; Hampton, Debra; Okoli, Chizimuzo T.C.

The Journal for Healthcare Quality (JHQ): May/June 2019 - Volume 41 - Issue 3 - p e13–e20
doi: 10.1097/JHQ.0000000000000144
Original Article

ABSTRACT Antibiotic overuse for respiratory tract infections (RTIs) in primary care (PC) is a known important contributor to the serious health threat of antibiotic resistance, yet remains a difficult problem to improve. The purpose of the study was to assess the effects of a combination patient and provider education program on antibiotic prescribing in RTIs in a rural primary care clinic. Utilizing a quasi-experimental pretest-posttest design, a retrospective electronic medical record review was conducted to determine if a patient and provider education program changed the rates of antibiotics being prescribed (immediate or delayed) during a visit for RTI for 207 randomly selected patients during the established evaluation time periods. The antibiotic prescription rate for the preintervention group was 56.3% compared to 28.8% for the postintervention group (p < .01). Immediate antibiotics were ordered in the preintervention group 31.1% of the time compared to 13.5% for the postintervention group (p < .05). The results of this study demonstrate that educational interventions can be effective in rural settings and that changes in antibiotic prescribing are possible.

For more information on this article, contact Erin Chiswell at

The authors declare no conflict of interest.

© 2019 National Association for Healthcare Quality
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