Outpatient antibiotic prescribing patterns in pediatric academic and community practices


      • Less antibiotic guideline compliance seen in the community versus academic setting.
      • Antibiotics given frequently for pharyngitis without positive test results.
      • Sinusitis and otitis media are overdiagnosed, and azithromycin overused.
      • Errors in antibiotic choice, dose, frequency, and duration frequently seen.
      Little is known about antibiotic prescribing differences between academic and community outpatient settings. This retrospective, cross-sectional chart review compares compliance with Infectious Diseases Society of America and American Academy of Pediatrics prescribing guidelines for otitis media, sinusitis, and pharyngitis in academic and affiliated community practices. The study results for correct antibiotic prescribing rate in the academic setting (67%) compared with the community setting (21%) demonstrate the urgent need for stewardship in community outpatient clinics.

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