Category: Federal Forum Posters
Purpose: Rising rates of antibiotic resistance and recent medication safety concerns with antibiotic use have urged healthcare systems to incorporate antimicrobial stewardship efforts. Due to growing evidence of excessive antimicrobial use in the ambulatory setting, the Veterans Affairs (VA) Academic Detailing Service launched in 2017 the Acute Respiratory Infection (ARI) Campaign. The primary objective of this study is to compare the overall antibiotic prescribing rate for uncomplicated ARIs within VA Caribbean Health Care System during Quarters 1 and 2 of Fiscal Years 2016, 2017 and 2018 with that of Quarters 1 and 2 of Fiscal Year 2019 after implementing ARI Campaign.
Methods: This study will be submitted to the Institutional Review Board for approval. A pre- and post- quasi-experimental design will be used to assess the prescribing practices of ambulatory care providers for oral antibiotics among outpatients with any of the pre-defined acute respiratory tract infection diagnoses of the ARI Campaign at the VA Caribbean Healthcare System. Data from the Quarters 1 and 2 of Fiscal Years 2016, 2017, and 2018 will be collected retrospectively from the Uncomplicated ARI Prescribing and Diagnosis Trend Reports of the VA Academic Detailing Service and will serve as the control group. From October 2018 to March 2019, the ARI campaign will be implemented targeting ambulatory care providers, related healthcare professionals and outpatients. Educational activities will be offered to the targeted audience using the ARI campaign materials, and order sets will be incorporated in the electronic medical record system. Afterwards, data from the Quarters 1 and 2 of Fiscal Year 2019 will be collected retrospectively from the same database and compared with data of the control group. Descriptive statistics will be used to present the use of the order sets for acute respiratory tract infections and inferential statistics will be used to evaluate the antibiotic prescribing rates.
Christine Raymond-Biaggi– Pharmacy Resident, VA Caribbean Healthcare System, Bayamon, Puerto Rico