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dc.contributor.advisorGarcia, Theresa
dc.contributor.authorSigdel, Sabita
dc.date.accessioned2021-10-11T18:48:01Z
dc.date.available2021-10-11T18:48:01Z
dc.date.issued2021-08
dc.identifier.urihttps://hdl.handle.net/1969.6/89807
dc.description.abstractBackground: Antibiotic overuse is one of the largest threats to global health. Nearly 50% of antibiotics prescribed in outpatient settings are unnecessary. The overuse of antibiotics is associated with antibiotic resistance, unnecessary adverse drug effects, and increased healthcare costs. Purpose: This quality improvement (QI) project aimed to increase patients’ knowledge and improve their attitude toward appropriate antibiotic use in acute respiratory tract infections (ARTIs) and decrease antibiotic over-prescription by providers through the implementation of an antibiotic stewardship program in a North Texas primary care clinic. Methods: This is a before and-after design QI project that implemented Centers for Disease Control and Prevention’s (CDC) antibiotic stewardship educational intervention. A convenience sample (N=20) was recruited from all interested English-speaking patients who were 18 years or above. Patients’ knowledge and attitude towards antibiotic use was assessed before and after an educational intervention. The second part of the project entailed provider education using a training activity from Stanford University (N=2). Pre- and post-training retrospective chart review was done to determine changes in antibiotic prescription rate. Results: There was a significant increase in patients’ knowledge and their attitude towards appropriate antibiotic use in ARTIs (p < .001) after the educational intervention. Secondly, there was a 15% reduction in antibiotic prescription rate in 2021 compared to the same months in 2020. Conclusion: Provider and patient educational interventions are effective strategies in promoting antibiotic stewardship in outpatient settings and improving inappropriate antibiotic use in ARTIs. Further research is needed to explore innovative educational strategies incorporating inexpensive technology.en_US
dc.format.extent50 pagesen_US
dc.language.isoen_USen_US
dc.subjectAntibioticsen_US
dc.subjectOveruseen_US
dc.subjectprimary careen_US
dc.subjectstewardshipen_US
dc.titleImplementing an antibiotic stewardship program to decrease antibiotic overuse in a primary care clinicen_US
dc.typeTexten_US
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A&M University-Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US
dc.contributor.committeeMemberBaldwin, Sara
dc.description.departmentNursing Practiceen_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.type.genreTechnical Reporten_US


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