- •Current national metrics of pediatric outpatient antibiotic prescribing are limited.
- •This article outlines the advantages and challenges of available prescribing metrics.
- •Quantitative measures are easy to extract and bypass diagnosis selection bias.
- •Qualitative measures capture antibiotic appropriateness and improvement targets.
- •We propose three high-impact metrics for pediatric outpatient antibiotic prescribing.
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- Changes in US outpatient antibiotic prescriptions from 2011-2016.Clin Infect Dis. 2020; 70: 370-377
- Association of antibiotics in infancy with early childhood obesity.JAMA Pediatr. 2014; 168: 1063-1069
- Unnecessary antibiotic prescribing in US ambulatory care settings, 2010-2015.Clin Infect Dis. 2021; 72: 133-137
- Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010-2011.JAMA. 2016; 315: 1864-1873
- Outpatient antibiotic use and the need for increased antibiotic stewardship efforts.Pediatrics. 2018; : 141
- Policy statement: antibiotic stewardship in pediatrics.J Pediatric Infect Dis Soc. 2021; 10: 641-649
Sanchez GV, Fleming-Dutra KE, Roberts RM, Hicks LA. Core elements of outpatient antibiotic stewardship. 2016.
- Joint Commission issues antimicrobial stewardship requirements for ambulatory health care.Am J Nurs. 2019; 119: 13
- Sharing antimicrobial reports for pediatric stewardship (SHARPS): a quality improvement collaborative.J Pediatric Infect Dis Soc. 2018; 7: 124-128
- Metrics to assess the quantity of antibiotic use in the outpatient setting: a systematic review followed by an international multidisciplinary consensus procedure.J Antimicrob Chemother. 2018; 73 (vi59-vi66)
- Reducing antibiotic prescribing in primary care for respiratory illness.Pediatrics. 2020; : 146
- Antibiotic prescribing for acute respiratory infections in New York City: a model for collaboration.Infect Control Hosp Epidemiol. 2018; 39: 1360-1366
- Proxy indicators to estimate appropriateness of antibiotic prescriptions by general practitioners: a proof-of-concept cross-sectional study based on reimbursement data, north-eastern France 2017.Euro Surveill. 2020; : 25
- Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study.BMJ. 2019; 364: k5092
- Duration of antibiotic therapy: shorter is better.Ann Intern Med. 2019; 171: 210-211
- System-based treatment table.(editors)in: Kimberlin DW Barnett ED Lynfield R Sawyer MH Red Book 2021-2024 Rerport of the Committee on Infectious Diseases. 32 ed. American Academy of Pediatrics, Itasca, IL2021: 990-1003
Conflict of interest: All authors report no conflict of interest.
Funding: There is no funding source.
On behalf of the SHARPS-OP collaborative benchmarking subgroup