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Antibiotic stewardship in the outpatient setting: treating common infections in the adult population
Descriptive
TitleInfo
Title
Antibiotic stewardship in the outpatient setting: treating common infections in the adult population
Name
(type = personal)
NamePart
(type = family)
Thomas
NamePart
(type = given)
Yasmine
NamePart
(type = date)
1970-
DisplayForm
Yasmine Thomas
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Jenkins
NamePart
(type = given)
Melinda
DisplayForm
Melinda Jenkins
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
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NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
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NamePart
School of Nursing - RBHS
Role
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school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
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2019
DateOther
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2019-01
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2018
Language
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(type = text)
English
Abstract
(type = abstract)
The 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.
Subject
(authority = RUETD)
Topic
Post-Master's DNP Practice
Subject
(authority = ETD-LCSH)
Topic
Drug resistance
Subject
(authority = local)
Topic
Antibiotic resistance
Subject
(authority = ETD-LCSH)
Topic
Pharyngitis
Subject
(authority = ETD-LCSH)
Topic
Bronchitis
Subject
(authority = ETD-LCSH)
Topic
Sinusitis
Subject
(authority = local)
Topic
Streptococcal pharyngitis
Subject
(authority = ETD-LCSH)
Topic
Skin -- Infections
Subject
(authority = ETD-LCSH)
Topic
Respiratory infections
Subject
(authority = ETD-LCSH)
Topic
Urinary tract infections
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
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ETD
RelatedItem
(type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier
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rucore10004500001
Identifier
ETD_9448
Identifier
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doi:10.7282/t3-t5ys-6k11
PhysicalDescription
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application/pdf
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text/xml
Extent
1 online resource (78 pages) : illustrations
Note
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DNP
Note
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Includes bibliographical references
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NjNbRU
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
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The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Thomas
GivenName
Yasmine
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2018-12-18 21:23:03
AssociatedEntity
Name
Yasmine Thomas
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
DateTime
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2019-01-31
DateTime
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(point = end)
2099-12-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 30th, 2021.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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