Document Detail


A safety-net antibiotic prescription for otitis media: the effects of a PBRN study on patients and practitioners.
MedLine Citation:
PMID:  16893856     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pediatricians can decrease antibiotic use by treating acute otitis media (AOM) with a safety-net antibiotic prescription (SNAP). This study assessed whether the practitioners of the Practice-Based Research Network who participated in the study continued to use the SNAP and report a 60-day follow-up of the study patients. Charts were reviewed of study patients for 60 days following study enrollment. A survey on antibiotic use for AOM was mailed to the 17 study practitioners (SP) and 30 randomly selected community pediatricians (CP). Eight of the SP used the SNAP more than 20 times over the year following the study vs 1 of the CP. Sixty-two percent of patients never received antibiotics. The recurrence/relapse rate was greater in children younger than 2 years old compared to those older, 34% vs 10%. Practitioners who participate in a Practice-Based Research Network study are more likely to use a study intervention than others.
Authors:
Robert M Siegel; James Bien; Philip Lichtenstein; James Davis; Jane C Khoury; Jamie E Knight; Michele Kiely; Jeralyn Bernier
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical pediatrics     Volume:  45     ISSN:  0009-9228     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-08-08     Completed Date:  2006-11-29     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  518-24     Citation Subset:  AIM; IM    
Affiliation:
Cincinnati Pediatric Research Group, Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, and Department of Environmental Health, University of Cincinnati Medical Center, Ohio 45229, USA.
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use*
Child
Child, Preschool
Drug Prescriptions / statistics & numerical data*
Drug Utilization Review
Humans
Infant
Otitis Media / drug therapy*
Pediatrics / trends
Physician's Practice Patterns*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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