Contemporary views on acute bronchitis guidelines and antibiotic prescribing
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1. Antibiotics are not indicated for acute bronchitis, but antibiotics are overprescribed |
Barriers to guideline adherence
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1. Perceived patient demand for antibiotics |
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2. Lack of accountability or feedback about prescribing |
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3. Time and money |
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4. Other clinicians’ misconceptions about acute bronchitis |
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5. Diagnostic uncertainty and defensive practice |
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6. Clinician dissatisfaction with not meeting patient expectations |
Methods to reduce antibiotic prescribing
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1. Patient handouts and other educational materials |
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2. Quality reports |
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3. Clinical decision support |
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4. Pre-visit triage by nurses |
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5. Over-the-counter prescription pad |