Results of an Outpatient Antibiotic Stewardship Survey in Missouri

Objective: To understand the perceptions, knowledge, and opportunities to improve antibiotic prescribing practices among outpatient providers. Methodology: We disseminated a survey to a convenience sample of primary care and internal medicine physicians and mid-level providers practicing in the state of Missouri. Results: Sixty-seven providers completed the survey. Most (64%) providers reported reviewing best practice guidelines and educational materials on a regular basis. Providers were most interested in patient-facing educational materials that would help support best practices. However, substantial variability existed in responses about antibiotic prescribing; some (15%) respondents stated that they rarely review guidelines or use antibiotic stewardship resources. Providers felt that any feedback about antibiotic prescribing practices should be provided via email and should focus on reducing antibiotic use for viral conditions. Conclusion: Missouri survey respondents generally support appropriate antibiotic use to address antibiotic resistance. However, findings also suggest that delivering resources to targeted populations of over-prescribers may be beneficial. Future interventions should include physician-endorsed education to support safe antibiotic use and explore electronic feedback for viral conditions.