Hostname: page-component-7b7567c8c-2rsb6 Total loading time: 0 Render date: 2026-11-12T18:05:42.721Z Has data issue: false hasContentIssue false

Implementation of Antimicrobial Stewardship Interventions in Community Health Clinics

Published online by Cambridge University Press:  23 June 2026

Rajasekhar Jagarlamudi
Affiliation:
JPS Health System
Melissa Jackson
Affiliation:
JPS Health Network
Jeremie Sawadogo
Affiliation:
JPS Health Network
Michael Kent
Affiliation:
JPS Health Network

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the 'Save PDF' action button.

Background: Current antimicrobial and epidemiology literature has shown that most antibiotics are prescribed in the outpatient setting. Therefore, antimicrobial stewardship programs play a significant role in the reduction of inappropriate antibiotic utilization. JPS Health Network antimicrobial stewardship team presented provider education to the network’s community health clinics, aimed at reducing inappropriate antibiotic utilization in the outpatient setting. Providers receiving education in these community clinics included MD/DOs, medical residents, and advanced practice providers. Along with education, antibiotic prescribing scorecards were sent to individual clinic directors, allowing for direct comparison of individual clinics’ antibiotic prescribing patterns for sinusitis. The present quality improvement initiative aims at assessing the impact of these interventions on antibiotic prescribing patterns for sinusitis at JPS Health Network. Primary objective: Determine the rate of patients who received antibiotics for sinusitis at JPS Health Network’s community health clinics setting before and after provider education and implementation of sinusitis scorecards. Methods: Retrospective observational data was collected from the Electronic Health Record database (Epic) as part of the quality improvement initiative to assess antibiotics prescribing rate in patient diagnosed with sinusitis (ICD10-CM code included any variation of “J01” (acute sinusitis) or “J32” (chronic sinusitis) both before the interventions were implemented (September 1, 2024 through November 30, 2024) and after the interventions were implemented (January 1, 2025 through March 31, 2025). Results: A total of 1,807 patient encounters with sinusitis were recorded during the specified time frame. Of these, 151 patient encounters were excluded due to concurrent infections. A total of 603 antibiotics were prescribed in the preintervention group out of 788 patient encounters (77%) and 640 antibiotics were prescribed in the post-intervention group out of 868 patient encounters (74%) (p antibiotics prescribed for sinusitis. Conclusions: The antimicrobial stewardship interventions at the JPS Health Network’s community health clinics did result in a decrease in the overall prescribing of antibiotics for sinusitis. This finding reveals the significant role that antimicrobial stewardship program can play in outpatient settings to reduce the antibiotic utilization. Further research into outpatient antimicrobial stewardship interventions is warranted.

Information

Type
Antibiotic Stewardship
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America