Antibiotic Prescribing in Adults Presenting with Pharyngitis Pre- and Post-Implementation of a Rapid Group A Streptococcus Test
| Autor: | Tatsuya Norii, Carla Walraven, Timothy A. Huerena, Preeyaporn Sarangarm |
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| Rok vydání: | 2023 |
| Předmět: |
0301 basic medicine
Pharmacology medicine.medical_specialty business.industry medicine.drug_class Streptococcus Point-of-care testing 030106 microbiology Antibiotics Pharmacy Drug resistance Articles Acute Pharyngitis medicine.disease_cause Group A Pharyngitis 03 medical and health sciences 0302 clinical medicine Internal medicine Medicine Antimicrobial stewardship Pharmacology (medical) 030212 general & internal medicine medicine.symptom business |
| Zdroj: | Hosp Pharm |
| ISSN: | 0018-5787 |
| Popis: | Background: Group A Streptococcus (GAS) pharyngitis is the most common bacterial cause of acute pharyngitis and is often over treated with unnecessary antibiotics. The purpose was to evaluate if implementation of a rapid antigen detection test (RADT) for GAS would reduce the number of inappropriately prescribed antibiotics for adult patients presenting with symptoms of pharyngitis. Methods: This was a retrospective cohort study of adult urgent care clinic patients pre- and post-implementation of a GAS RADT. We included patients who had a diagnosis of GAS identified via ICD-10 codes and either a throat culture, GAS RADT, or antibiotic prescribed for GAS. Antibiotic prescribing was assessed as appropriate or inappropriate based on testing and IDSA guideline recommendations. Thirty-day follow-up visits related to pharyngitis or the prescribed antibiotics was also evaluated. Results: A total of 1734 patients were included; 912 and 822 in the pre- and post-implementation groups, respectively. Following implementation of the GAS RADT, there was an increase in the number of antibiotics prescribed for GAS (43.4% vs 59.1%, P |
| Databáze: | OpenAIRE |
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