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Antibiotic resistance has become a global health crisis. Providers contribute to this crisis by inappropriately prescribing antibiotics causing an increase in the number of drug resistant organisms. The leading cause of inappropriate antibiotic prescriptions in the primary care setting are upper respiratory tract infections, primarily acute bronchitis. The purpose of this evidence-based practice project is to determine if an educational program for primary care providers regarding appropriate use of antibiotics will reduce the number of antibiotic prescriptions issued for acute bronchitis. The following PICOT question was developed to guide this evidence-based practice project: “Among primary care providers treating adults in a primary care setting, does a web-based educational program aimed at appropriate antibiotic prescribing decrease the number of inappropriate antibiotic prescriptions issued during the initial visit to low risk adults diagnosed with uncomplicated acute bronchitis, over a 3-month period?” A literature search was conducted using CINAHL, PubMed and Medline to find relevant articles to support the PICOT question. Three articles, a randomized controlled trial, a systematic review and a clinical practice guideline, were identify and critically appraised. The theoretical framework used to guide this project was Kurt Lewin’s change theory. This evidence-based practice project reflects current practice guidelines, is considered highly relevant and is recommended for all advanced practice nurses working in the primary care setting.
antibiotics, upper respiratory tract infection, acute bronchitis, antibiotic stewardship, Lewin’s change theory
Medicine and Health Sciences
Steinhaus, Esther, "Antibiotics Gone Viral: Reduce Their Use for Acute Bronchitis" (2020). Student Research Poster Presentations 2020. 72.