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A safety-net antibiotic prescription for otitis media: the effects of a PBRN study on patients and practitioners.

Abstract

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.

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  • Authors+Show Affiliations

    ,

    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.

    , , , , , ,

    Source

    Clinical pediatrics 45:6 2006 Jul pg 518-24

    MeSH

    Anti-Bacterial Agents
    Child
    Child, Preschool
    Drug Prescriptions
    Drug Utilization Review
    Humans
    Infant
    Otitis Media
    Pediatrics
    Practice Patterns, Physicians'

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    16893856

    Citation

    Siegel, Robert M., et al. "A Safety-net Antibiotic Prescription for Otitis Media: the Effects of a PBRN Study On Patients and Practitioners." Clinical Pediatrics, vol. 45, no. 6, 2006, pp. 518-24.
    Siegel RM, Bien J, Lichtenstein P, et al. A safety-net antibiotic prescription for otitis media: the effects of a PBRN study on patients and practitioners. Clin Pediatr (Phila). 2006;45(6):518-24.
    Siegel, R. M., Bien, J., Lichtenstein, P., Davis, J., Khoury, J. C., Knight, J. E., ... Bernier, J. (2006). A safety-net antibiotic prescription for otitis media: the effects of a PBRN study on patients and practitioners. Clinical Pediatrics, 45(6), pp. 518-24.
    Siegel RM, et al. A Safety-net Antibiotic Prescription for Otitis Media: the Effects of a PBRN Study On Patients and Practitioners. Clin Pediatr (Phila). 2006;45(6):518-24. PubMed PMID: 16893856.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A safety-net antibiotic prescription for otitis media: the effects of a PBRN study on patients and practitioners. AU - Siegel,Robert M, AU - Bien,James, AU - Lichtenstein,Philip, AU - Davis,James, AU - Khoury,Jane C, AU - Knight,Jamie E, AU - Kiely,Michele, AU - Bernier,Jeralyn, PY - 2006/8/9/pubmed PY - 2006/12/9/medline PY - 2006/8/9/entrez SP - 518 EP - 24 JF - Clinical pediatrics JO - Clin Pediatr (Phila) VL - 45 IS - 6 N2 - 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. SN - 0009-9228 UR - https://www.unboundmedicine.com/medline/citation/16893856/A_safety_net_antibiotic_prescription_for_otitis_media:_the_effects_of_a_PBRN_study_on_patients_and_practitioners_ L2 - http://journals.sagepub.com/doi/full/10.1177/0009922806290567?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -