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Antibiotic stewardship in the outpatient setting: treating common infections in the adult population
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Thomas, Yasmine. Antibiotic stewardship in the outpatient setting: treating common infections in the adult population. Retrieved from https://doi.org/doi:10.7282/t3-t5ys-6k11

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TitleAntibiotic stewardship in the outpatient setting: treating common infections in the adult population
NameThomas, Yasmine (author); Jenkins, Melinda (chair); Rutgers University; School of Nursing - RBHS
Date Created2019
Other Date2019-01 (degree)
SubjectPost-Master's DNP Practice, Drug resistance, Antibiotic resistance, Pharyngitis, Bronchitis, Sinusitis, Streptococcal pharyngitis, Skin -- Infections, Respiratory infections, Urinary tract infections
Extent1 online resource (78 pages) : illustrations
DescriptionThe use and misuse of antibiotics is a major contributor to the development of antibiotic-resistant bacteria. Infections are among the most common reasons for outpatient visits, and the vast majority of antibiotic prescriptions occur in this setting. Many of these prescriptions however, are unnecessary, since they treat viral illnesses or other conditions that do not respond to antibiotics. Therefore, it is critical that clinicians practicing outpatient medicine be highly knowledgeable concerning the epidemiology, diagnosis, and management of commonly encountered infections. This quality improvement project was conducted at a Family Medicine practice in Northern New Jersey, and examined current management of common outpatient infections. Study participants received current adult treatment guidelines for upper respiratory infections (URIs), urinary tract infections (UTIs) and superficial skin infections (SSIs). In addition, participants completed an outpatient antibiotic continuing education module, received best practice advisory reminders, and had antibiotic stewardship flyers placed in their offices. Prescriptive patterns were measured using descriptive analysis and McNemar’s test. The results indicated the level of antibiotic stewardship in the outpatient setting remained low amongst all categories of providers for all categories of patients, and that an educational intervention that aimed to improve antibiotic stewardship did not significantly improve adherence to national clinical guidelines between 2017 and 2018 in adult outpatients diagnosed with upper respiratory infections, urinary tract infections and superficial skin infections.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-t5ys-6k11
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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