Reducing Inappropriate Antibiotic Prescribing by Primary Care Clinicians
Increased Drug Resistance, Infectious Diseases
About this trial
This is an interventional health services research trial for Increased Drug Resistance
Eligibility Criteria
Inclusion Criteria:
- Clinic practices within Denver Health's Webb Center for Primary Care,
- Clinic practices within the University of Colorado - Anschutz Campus: General Internal Medicine Clinic,
- Clinic practices within the High Plains Network, and
- Clinical practices within the Wilmington Health Associates System
The antibiotic prescribing patterns of primary care clinicians in these practices will be monitored over a 2 year period. Practices must be willing to assist in tracking:
- Patient records (pediatric and adult) for conditions related to the International Classification of Diseases (ICD-9) codes associated with common infectious conditions (Upper Respiratory Infection, Acute Bronchitis, Pharyngitis, Acute Sinusitis, Otitis Media, Acute Cystitis, Cellulitis or soft tissue abscess, and Community-acquired Pneumonia) will be assessed for antibiotic prescribing,
- 30-day events (hospitalizations,
- Note: Emergency Department (ED) visits, or grade 3 or grade 4 abnormalities), will also be included in this study.
Exclusion Criteria:
1. Ob/Gyn related clinic visits will not be included in this study as these visits are not typically associated with high volumes of antibiotic prescribing for the infectious conditions of interest.
Sites / Locations
- Denver Health and Hospitals Authority
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention: Education, Decision Support Tools
No education, no implemented decision support tools
Clinic sites randomized to the intervention group will participate in an educational intervention comprised of lectures on antimicrobial resistance and implement decision support tools to guide primary care providers in appropriate antibiotic prescribing for common infectious conditions.
Clinics randomized to the control will not participate in the education intervention and implementation of decision support tools.