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A Safety-Net Antibiotic Prescription for Otitis Media: The Effects of a PBRN Study on Patients and Practitioners

Cincinnati Pediatric Research Group, Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

James Bien, MD

Cincinnati Pediatric Research Group, Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

Philip Lichtenstein, MD

Cincinnati Pediatric Research Group, Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

James Davis, MD

Cincinnati Pediatric Research Group, Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

Jane C. Khoury, MS

Division of Epidemiology and Biostatistics, Department of Environmental Health, University of Cincinnati Medical Center, Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

Jamie E. Knight

Cincinnati Pediatric Research Group, Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

Michele Kiely, DrPH

Division of Epidemiology, Statistics and Prevention Research, ICHD/NIH/DHHS, Bethesda, Maryland

Jeralyn Bernier, MD, MPH

Cincinnati Pediatric Research Group, Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

Pediatricians can decrease antibiotic use by treating acute otitis media (AOM) with a safety-net antibiotic prescription (SNAP). This study assessed whether the practitioners of the Practice-Based Research Network who participated in the study continued to use the SNAP and report a 60-day follow-up of the study patients. Charts were reviewed of study patients for 60 days following study enrollment. A survey on antibiotic use for AOM was mailed to the 17 study practitioners (SP) and 30 randomly selected community pediatricians (CP). Eight of the SP used the SNAP more than 20 times over the year following the study vs 1 of the CP. Sixty-two percent of patients never received antibiotics. The recurrence/relapse rate was greater in children younger than 2 years old compared to those older, 34% vs 10%. Practitioners who participate in a Practice-Based Research Network study are more likely to use a study intervention than others.

Clinical Pediatrics, Vol. 45, No. 6, 518-524 (2006)
DOI: 10.1177/0009922806290567


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