Cleveland Clinic Children's Outcomes
Pediatric Infectious Diseases
The Centers for Disease Control and Prevention (CDC) estimate that of nearly 154 million outpatient antibiotic prescription (OAPs) issued each year, approximately 30% are unnecessary. The CDC further estimates that the remaining 70% of OAP patients may benefit from improvement in antibiotic selection. To that end, the Cleveland Clinic Antimicrobial Stewardship committee, in collaboration with the Office of Clinical Compliance, has begun tracking OAP selection for 4 common diagnoses: otitis media, pharyngitis, sinusitis, and urinary tract infection. This report evaluates the encounter diagnostic code and whether the OAP selected is concordant with clinical practice guidelines,1 and includes considerations for penicillin allergy, if documented. The report does not consider microbiologic data, additional antibiotic allergies, previous treatment failures, or other patient-specific factors.
Guideline Consistent Antibiotic Selection by Diagnosis
ᵃNo national estimate for urinary tract inefctions is available.