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The impact of continuity of care on antibiotic prescribing in acute otitis media

International Journal of Pediatric Otorhinolaryngology Aug 02, 2019

Barrera SC, et al. - In a largely Hispanic population, researchers sought to comprehend the antibiotic prescribing habits for acute otitis media (AOM). From 2016-2018, a retrospective review of all patients under the age of 25 with an AOM diagnosis seen in multiple outpatient primary care clinics in a single institution was conducted. Utilizing STATA software with t-tests, ANOVA, and Pearson chi-squared analysis, data were collected and analyzed. According to findings, antibiotics have been prescribed 95.6% of the time with 3.8% being watch and wait prescriptions. While the race, ethnicity, gender, and insurance status of a patient did not affect physicians' prescribing rates, continuity of care may play a significant part in reducing inappropriate prescribing antibiotics. A difference was found between physicians, nurse practitioners, and physician’s assistants and antibiotic prescribing rate. In addition, antibiotics were less likely to be prescribed as seen by their primary care provider.
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