Category: Federal Forum Posters
Purpose: Antimicrobial resistance is increasing, leading to therapeutic failures and limiting options for treating infections. One of the leading causes of resistance is overuse and inappropriate use of antibiotics. The purpose of this project is to assess the prescribing habits of primary care physicians for acute respiratory infections and to limit antibiotic prescriptions to appropriate indications for Veterans within the Lebanon VAMC.
Methods: Patients will be identified by ICD-10 codes for acute upper respiratory infections during the months of November through March. This will include rhinosinusitis, pharyngitis, bronchitis, the common cold, and non-specific upper respiratory infection. Exclusion criteria will include diagnosis of pneumonia and neutropenia. Prescribing patterns from the outpatient setting will be identified from November 2017 – March 2018. This will include evaluating diagnosis, antibiotic choice, antibiotic dose/frequency, and duration of therapy for appropriateness. The outpatient providers will receive education on antibiotic resistance and appropriate prescribing prior to the 2018-2019 cold and flu season. This education will include guideline-based evidence on when it is appropriate to treat as well as the recommended treatments for the above-mentioned disease states.
The same ICD-10 codes will then be analyzed for the 2018-2019 cold and flu season to see the effects of the education provided.
Results: not applicable
Conclusion: not applicable
Carly Malivuk– Pharmacy Resident, St. Vincent Hospital, Erie, PA