HealthDay News — Patient, practice, and provider characteristics are associated with inappropriate antimicrobial prescribing in the outpatient setting, according to a study published online in Infection Control & Hospital Epidemiology.

Monica L. Schmidt, PhD, MPH, from Carolinas HealthCare System in Charlotte, North Carolina, and colleagues assessed data from 448,990 outpatient visits to one health system’s urgent care, family medicine, internal medicine, and pediatric practices for common upper respiratory conditions that should not require antibiotics (January 2014 through May 2016).

The researchers found that the overall prescribing rate in the study cohort was 407 per 1000 visits. Adult patients seen by an advanced practice practitioner were 15% more likely to receive an antimicrobial compared to those seen by a physician provider, after adjustment. Older providers seeing pediatric patients were 4 times more likely to prescribe an antimicrobial versus providers aged ≤30 years seeing pediatric patients.

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“Future research should target antibiotic stewardship programs to specific patient and provider populations to reduce inappropriate prescribing compared to a ‘one size fits all’ approach,” the authors wrote.


Schmidt ML, Spencer MD, Davidson LE. Patient, provider, and practice characteristics associated with inappropriate antimicrobial prescribing in ambulatory practices [published online January 30, 2018]. Infect Control Hosp Epidemiol. doi:10.1017/ice.2017.263