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Proposed metrics to benchmark antibiotic prescribing in pediatric outpatient settings

Published:September 04, 2021DOI:https://doi.org/10.1016/j.ajic.2021.08.028

      Highlights

      • 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.
      Metrics to track and compare outpatient pediatric antibiotic prescribing are needed to improve antibiotic use and prevent unwanted consequences of antibiotic overuse. We have considered the impact and feasibility of available metrics and propose select high-priority measures for electronic reporting of pediatric outpatient antibiotic use. Streamlined use of antibiotic prescribing metrics will allow for national benchmarking, monitoring and identification of targets and goals for improvement.

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