2015
DOI: 10.7326/m14-1933
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Variation in Outpatient Antibiotic Prescribing for Acute Respiratory Infections in the Veteran Population

Abstract: U.S. Department of Veterans Affairs, Centers for Disease Control and Prevention.

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Cited by 90 publications
(101 citation statements)
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References 25 publications
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“…Empirical evidence shows that initial antibiotic therapy in bronchitis patients is not necessary unless pneumonia is suspected40. But antibiotics are frequently overprescribed for bronchitis even in developed countries4142. The level of antibiotic usage for bronchitis unveiled in this study is consistent with findings of previous studies.…”
Section: Discussionsupporting
confidence: 88%
“…Empirical evidence shows that initial antibiotic therapy in bronchitis patients is not necessary unless pneumonia is suspected40. But antibiotics are frequently overprescribed for bronchitis even in developed countries4142. The level of antibiotic usage for bronchitis unveiled in this study is consistent with findings of previous studies.…”
Section: Discussionsupporting
confidence: 88%
“…Previous efforts have recognized that complex patient, provider, and systems‐based factors can influence nonrational antibiotic prescribing patterns, leading to substantial variation in antibiotic distribution. Such factors include perceptions of illness or pharmaceuticals, perceived risks of nontreatment, time pressure, and implemented policies or guidelines . Although these and similar studies have set a foundation upon which antimicrobial stewardship can be addressed, much still remains unknown.…”
Section: Introductionmentioning
confidence: 99%
“…At least 30% of US outpatient antibiotic prescribing is estimated to be unnecessary [5]. Clinicians vary in their propensity to prescribe antibiotics, even when controlling for diagnosis [6], but few US data exist regarding demographic groups of physicians who are most likely to prescribe antibiotics, whether appropriately or inappropriately. Understanding these patterns can inform health systems and public health programs about important physician groups to target with outpatient antibiotic stewardship efforts.…”
mentioning
confidence: 99%