Demonstration of Near Zero Antibiotic Prescribing for Acute Bronchitis
| Status: | Completed |
|---|---|
| Conditions: | Bronchitis, Other Indications, Infectious Disease |
| Therapuetic Areas: | Immunology / Infectious Diseases, Pulmonary / Respiratory Diseases, Other |
| Healthy: | No |
| Age Range: | 18 - 64 |
| Updated: | 11/30/-0001 |
| Start Date: | March 2011 |
| End Date: | June 2014 |
| Contact: | Alexandra C Businger |
| Email: | abusinger@partners.org |
| Phone: | 617-732-7063 |
Studies show, guidelines state, and performance measures assert that antibiotic prescribing
for uncomplicated acute bronchitis is inappropriate. However, clinicians prescribe
antimicrobials in over 60% of the 22.5 million acute bronchitis visits in the United States
each year. Previous successful interventions have only reduced the antimicrobial prescribing
rate to 40% or 50%. It is unknown if the antimicrobial prescribing rate for acute bronchitis
can be brought to near zero percent in actual practice while maintaining patient safety and
satisfaction. The goal of this study is to develop an EHR-integrated algorithm for the
diagnosis and treatment of adults with acute bronchitis with a goal of reducing the
antibiotic prescribing rate to near zero percent.
Inclusion Criteria:
- first visit in 30 days, age 18-64, has a cough of less than 3 weeks duration
Exclusion Criteria:
- infiltrate on chest x-ray, has chronic lung disease
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