Antibiotic prescribing by telephone in primary care

Ewen, Edward; Willey, Vincent J.; Kolm, Paul; McGhan, William F.; Drees, Marci

doi:10.1002/pds.3686

Cited by 14Antibiotic Use and ResistanceHealthcare cost, quality, practicesPharmaceutical Practices and Patient Outcomes

Antibiotic prescribing by telephone in primary care

Ewen, Edward, Willey, Vincent J., Kolm, Paul, McGhan, William F., Drees, Marci·2015·Pharmacoepidemiology and Drug Safety

DOI 10.1002/pds.3686

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Abstract

Objectives: Little is known about the contribution of telephone‐based prescribing on overall antibiotic utilization. The objective of this study was to determine the extent and characteristics of telephone‐based antibiotic prescribing in teaching and non‐teaching primary care practices. Methods: This retrospective cohort study included all patients (n = 114 610) cared for by teaching and non‐teaching internal medicine, pediatrics, family practice, and obstetrics/gynecology practices (n = 19) affiliated with a large US healthcare system during 2006–2010 and using a common electronic medical record. Rates and types of antibiotics prescribed by teaching and non‐teaching practices via telephone contact and office visit were compared among the overall cohort. All telephone‐related prescriptions during 2008 underwent chart review to determine indications for antibiotic prescribing. Results: Overall, 28.9 antibiotic prescriptions were issued per 100 patient‐years, with 63 418 total antibiotic prescriptions and 7876 (12.4%) generated after telephone contact. Telephone‐based prescribing increased steadily from 2.2 to 4.2 per 100 patient‐years during the study period. Both telephone‐based and office‐based antibiotic prescribing were higher in non‐teaching practices. Of 1790 antibiotics prescribed by telephone during 2008, the majority were for urinary tract infection (28.3%), sinusitis (20.1%), and unspecified upper respiratory infection (URI, 15.0%). Conclusions: Overall, one in every eight antibiotics was prescribed via telephone encounter. These data highlight the need to include the impact of this practice in analysis of outcomes associated with outpatient antibiotic prescribing and to incorporate telephonic prescribing into guidelines facilitating appropriate antibiotic use. Copyright © 2014 John Wiley & Sons, Ltd.

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Ewen et al 2015 reported that 12.4% of all antibiotics prescriptions were made through telephone.
“12.4% of all antibiotics prescriptions made through telephone (6617 telephone consultations and 27,487 office consultations; 63,418 antibiotics were prescribed during 61,707 consultations to 31,302 individuals)*”
From Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review (2020) · cites this paper as [23]
Four included studies lacked adjustment for any confounding factors.
“Additionally, 4 studies lacked adjustment for any confounding factors [16,18,20,23].”
From Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review (2020) · cites this paper as [23]
The results of Rokstad and Straand and Ewen et al do not consider multiple prescriptions made in one consultation.
“However, their results do not consider multiple prescriptions made in one consultation.”
From Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review (2020) · cites this paper as [23]

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Authors: Ewen, E., Willey, V. J., Kolm, P., McGhan, W. F., & Drees, M.
Affiliations: Christiana Care Health System (US)
Carelon Research (United States) (US)
University of the Sciences (US)
Corresponding author: Ewen, Edward
ORCID: Ewen, Edward
Willey, Vincent J.
Kolm, Paul
Drees, Marci
Venue: Pharmacoepidemiology and Drug Safety
Publisher: Wiley
Published: 2014-07-31
Volume: 24
Issue: 2
Pages: 113-120
ISSN: 1053-8569 (ISSN-L)
1099-1557
DOI: 10.1002/pds.3686
OpenAlex: W1555593428
Cited by: 14
References: 52
Citations by year: 2024: 1 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2016: 2 · 2014: 1
FWCI: 0.84
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Pharmacoepidemiology and Drug Safety (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords: antibiotic prescribing, primary care, antibiotic use, urinary tract infection, sinusitis, upper respiratory tract infection, appropriateness of antibiotic use, outpatient prescribing
MeSH terms: Adolescent, Adult, Aged, Anti-Bacterial Agents, Drug Utilization, Female, Humans, Male, Middle Aged, Practice Patterns, Physicians', Primary Health Care, Retrospective Studies, Telephone, Prescriptions, Young Adult

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Antibiotic prescribing by telephone in primary care

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