{"id":"https://openalex.org/W2750815671","doi":"https://doi.org/10.1093/ofid/ofx163.545","title":"Antibiotic Use Metrics to Guide Antibiotic Stewardship Priorities: Dental Antibiotic Prescribing in the U.S. Veterans Affairs (VA) System","display_name":"Antibiotic Use Metrics to Guide Antibiotic Stewardship Priorities: Dental Antibiotic Prescribing in the U.S. Veterans Affairs (VA) System","publication_year":2017,"publication_date":"2017-01-01","ids":{"openalex":"https://openalex.org/W2750815671","doi":"https://doi.org/10.1093/ofid/ofx163.545","mag":"2750815671"},"language":"en","primary_location":{"id":"doi:10.1093/ofid/ofx163.545","doi":"https://doi.org/10.1093/ofid/ofx163.545","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofx163.545","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1093/ofid/ofx163.545","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5084977506","display_name":"Kj Suda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39422238","display_name":"University of Illinois Chicago","ror":"https://ror.org/02mpq6x41","country_code":"US","type":"education","lineage":["https://openalex.org/I39422238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kj Suda","raw_affiliation_strings":["University of Illinois at Chicago, Chicago, Illinois"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Illinois at Chicago, Chicago, Illinois","institution_ids":["https://openalex.org/I39422238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002970304","display_name":"Margaret A. Fitzpatrick","orcid":"https://orcid.org/0000-0002-1919-9238","observed_orcids":["https://orcid.org/0000-0002-1919-9238"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Margaret Fitzpatrick","raw_affiliation_strings":["VA Center of Innovation for Complex Chronic Healthcare, Chicago, Illinois"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VA Center of Innovation for Complex Chronic Healthcare, Chicago, Illinois","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014662161","display_name":"Gretchen Gibson","orcid":"https://orcid.org/0000-0001-9345-8552","observed_orcids":["https://orcid.org/0000-0001-9345-8552"]},"institutions":[{"id":"https://openalex.org/I4210111760","display_name":"Veterans Health Care System of the Ozarks","ror":"https://ror.org/01s8b3v69","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210111760","https://openalex.org/I4210138636"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gretchen Gibson","raw_affiliation_strings":["Veterans Health Care System of the Ozarks, Fayetteville, Arkansas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Veterans Health Care System of the Ozarks, Fayetteville, Arkansas","institution_ids":["https://openalex.org/I4210111760"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027332230","display_name":"M. Marianne Jurasic","orcid":"https://orcid.org/0000-0002-8179-1443","observed_orcids":["https://orcid.org/0000-0002-8179-1443"]},"institutions":[{"id":"https://openalex.org/I2801671727","display_name":"VA Boston Healthcare System","ror":"https://ror.org/04v00sg98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2801671727","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marianne Jurasic","raw_affiliation_strings":["Boston VA Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boston VA Hospital, Boston, MA","institution_ids":["https://openalex.org/I2801671727"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000233409","display_name":"Scott A. Miskevics","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802230104","display_name":"Edward Hines, Jr. VA Hospital","ror":"https://ror.org/02223wv31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2802230104","https://openalex.org/I4210115976"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Scott Miskevics","raw_affiliation_strings":["Hines VA Hospital, Hines, Illinois"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hines VA Hospital, Hines, Illinois","institution_ids":["https://openalex.org/I2802230104"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026461986","display_name":"Jessina C. McGregor","orcid":"https://orcid.org/0000-0002-6093-5444","observed_orcids":["https://orcid.org/0000-0002-6093-5444"]},"institutions":[{"id":"https://openalex.org/I131249849","display_name":"Oregon State University","ror":"https://ror.org/00ysfqy60","country_code":"US","type":"education","lineage":["https://openalex.org/I131249849"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jessina C McGregor","raw_affiliation_strings":["Department Pharmacy Practice, Oregon State University College of Pharmacy, Portland, Oregon"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department Pharmacy Practice, Oregon State University College of Pharmacy, Portland, Oregon","institution_ids":["https://openalex.org/I131249849"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033031657","display_name":"Swetha Ramanathan","orcid":"https://orcid.org/0000-0001-8620-6584","observed_orcids":["https://orcid.org/0000-0001-8620-6584"]},"institutions":[{"id":"https://openalex.org/I2802230104","display_name":"Edward Hines, Jr. VA Hospital","ror":"https://ror.org/02223wv31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2802230104","https://openalex.org/I4210115976"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Swetha Ramanathan","raw_affiliation_strings":["Center for Innovation for Complex Chronic Healthcare, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Innovation for Complex Chronic Healthcare, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois","institution_ids":["https://openalex.org/I2802230104"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5022937000","display_name":"Charlesnika Tyon Evans","orcid":"https://orcid.org/0000-0002-0696-8288","observed_orcids":["https://orcid.org/0000-0002-0696-8288"]},"institutions":[{"id":"https://openalex.org/I2802230104","display_name":"Edward Hines, Jr. VA Hospital","ror":"https://ror.org/02223wv31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2802230104","https://openalex.org/I4210115976"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charlesnika Evans","raw_affiliation_strings":["Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois","institution_ids":["https://openalex.org/I2802230104"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4053,"currency":"USD","value_usd":4053},"apc_paid":{"value":4053,"currency":"USD","value_usd":4053},"fwci":0.0,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.16631324,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"4","issue":"suppl_1","first_page":"S252","last_page":"S253"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11080","display_name":"Surgical site infection prevention","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antibiotic-prescribing","display_name":"antibiotic prescribing","score":0.8209999799728394},{"id":"https://openalex.org/keywords/dental-care","display_name":"dental care","score":0.6380000114440918},{"id":"https://openalex.org/keywords/antibiotic-stewardship","display_name":"antibiotic stewardship","score":0.718999981880188},{"id":"https://openalex.org/keywords/days-of-therapy","display_name":"days of therapy","score":0.9959999918937683},{"id":"https://openalex.org/keywords/broad-spectrum-antibiotics","display_name":"broad-spectrum antibiotics","score":0.9649999737739563},{"id":"https://openalex.org/keywords/veterans-affairs-health-system","display_name":"Veterans Affairs health system","score":0.6449999809265137},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.6330000162124634},{"id":"https://openalex.org/keywords/aminopenicillins","display_name":"aminopenicillins","score":0.800000011920929},{"id":"https://openalex.org/keywords/lincomycin","display_name":"lincomycin","score":0.8130000233650208},{"id":"https://openalex.org/keywords/dental-professionals","display_name":"dental professionals","score":0.4180000126361847},{"id":"https://openalex.org/keywords/prescribing-patterns","display_name":"prescribing patterns","score":0.3580000102519989},{"id":"https://openalex.org/keywords/quinolones","display_name":"quinolones","score":0.7369999885559082},{"id":"https://openalex.org/keywords/cephalosporins","display_name":"cephalosporins","score":0.8629999756813049},{"id":"https://openalex.org/keywords/aminoglycosides","display_name":"aminoglycosides","score":0.8849999904632568},{"id":"https://openalex.org/keywords/macrolides","display_name":"macrolides","score":0.843999981880188},{"id":"https://openalex.org/keywords/tetracycline","display_name":"tetracycline","score":0.9890000224113464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8783111572265625},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.7911114692687988},{"id":"https://openalex.org/C2775969662","wikidata":"https://www.wikidata.org/wiki/Q7923600","display_name":"Veterans Affairs","level":2,"score":0.6347841024398804},{"id":"https://openalex.org/C2776040555","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antimicrobial stewardship","level":4,"score":0.58070969581604},{"id":"https://openalex.org/C2911146124","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antibiotic Stewardship","level":4,"score":0.5731756687164307},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.5379951596260071},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.5308429002761841},{"id":"https://openalex.org/C2776865356","wikidata":"https://www.wikidata.org/wiki/Q1182681","display_name":"Defined daily dose","level":3,"score":0.5266292691230774},{"id":"https://openalex.org/C64778159","wikidata":"https://www.wikidata.org/wiki/Q271021","display_name":"Cephalosporin","level":3,"score":0.43793267011642456},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.39804649353027344},{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.27779144048690796},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.26813703775405884},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.09890875220298767},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.07689344882965088},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/ofid/ofx163.545","doi":"https://doi.org/10.1093/ofid/ofx163.545","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofx163.545","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:5632148","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5632148","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infect Dis","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/ofid/ofx163.545","doi":"https://doi.org/10.1093/ofid/ofx163.545","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofx163.545","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2753563530","https://openalex.org/W2752462952","https://openalex.org/W3134513219","https://openalex.org/W4386046032","https://openalex.org/W4391969396","https://openalex.org/W2981434372","https://openalex.org/W2754638130","https://openalex.org/W2756348904","https://openalex.org/W2981644545","https://openalex.org/W6926696182"],"abstract_inverted_index":{"In":[0,192],"the":[1,16,55,67,101,154,161,237,268,275],"private":[2],"sector,":[3],"dentists":[4,28,283],"prescribe":[5],"approximately":[6],"1":[7],"out":[8],"of":[9,20,26,35,57,79,83,109,124,133,138,157,201,270,278],"every":[10],"10":[11],"antibiotic":[12,23,36,39,63,112,119,128,195,242],"prescriptions":[13],"and":[14,115,131,170,231],"are":[15,41],"top":[17],"specialty":[18],"prescriber":[19],"antibiotics.":[21],"However,":[22,252],"prescribing":[24,272],"practices":[25],"VA":[27,68,84,150,202,282],"have":[29,48],"not":[30,49],"been":[31,50],"reported.":[32],"Standardized":[33],"metrics":[34,65],"consumption":[37],"(ie,":[38],"days)":[40],"useful":[42],"to":[43,61,175,199,292,297],"guide":[44],"stewardship":[45,295],"efforts,":[46],"but":[47],"reported":[51],"for":[52,183],"dentistry.":[53],"Thus,":[54,286],"purpose":[56],"this":[58],"study":[59,78],"was":[60,113,129,144,181,189,197,225,233,256,273],"report":[62],"use":[64],"in":[66,94,160],"with":[69,153],"an":[70,241,290],"emphasis":[71],"on":[72],"antibiotics":[73,279],"prescribed":[74,198,215,280],"by":[75,149,218,281],"dentists.":[76],"Cross-sectional":[77],"all":[80,88],"Veteran":[81],"users":[82],"dental":[85,89,203,298],"care":[86],"from":[87,243],"clinics":[90],"(n":[91],"=":[92,206,228],"205)":[93],"2013.":[95],"Antibiotic":[96],"data":[97],"were":[98,147,173,212],"collected":[99],"at":[100],"patient-level":[102,276],"where":[103,126,140],">1":[104,107,194],"day":[105],"and/or":[106],"dose":[108],"a":[110,141,244,249],"systemic":[111],"ordered":[114],"dispensed.":[116],"Metrics":[117],"included:":[118],"days":[120,132,230],"(AD;":[121],"average":[122,136],"number":[123,137],"days/patient":[125,139],"any":[127],"administered)":[130],"therapy":[134],"(DOT;":[135],"unique":[142],"agent":[143],"administered).":[145],"Dentists":[146],"identified":[148],"personnel":[151],"files":[152],"professional":[155],"designation":[156],"\u2018Dentistry.\u2019":[158],"Antibiotics":[159],"carbapenem,":[162],"quinolone,":[163],"anti-pseudomonal":[164],"penicillin,":[165],"third-/fourth-generation":[166],"cephalosporin,":[167],"macrolide,":[168],"tetracycline,":[169],"aminoglycoside":[171],"classes":[172],"considered":[174,190],"be":[176,289],"broad":[177],"spectrum.":[178],"Student\u2019s":[179],"t-test":[180],"used":[182],"statistical":[184],"analysis;":[185],"P":[186,264],"<":[187,265],"0.05":[188],"significant.":[191],"2013,":[193],"dose/day":[196],"16.2%":[200],"patients":[204],"(total":[205],"476,451":[207],"patients).":[208],"By":[209],"class,":[210],"aminopenicillins":[211],"most":[213],"frequently":[214],"(69.4%),":[216],"followed":[217],"lincomycins":[219],"(21.9%).":[220],"The":[221],"overall":[222],"mean":[223],"AD":[224,254,262],"11.4":[226],"(range":[227],"1\u2013309)":[229],"DOT":[232],"11.5":[234],"(1\u2013309).":[235],"Of":[236],"Veterans":[238],"who":[239],"received":[240,248],"dentist,":[245],"only":[246],"2.3%":[247],"broad-spectrum":[250,253,271],"agent.":[251],"(15.0)":[255],"significantly":[257],"longer":[258],"than":[259],"narrow":[260],"spectrum":[261],"(11.2;":[263],"0.0001).":[266],"While":[267],"prevalence":[269],"low,":[274],"duration":[277],"is":[284],"surprising.":[285],"there":[287],"may":[288],"opportunity":[291],"expand":[293],"antimicrobial":[294],"efforts":[296],"providers.":[299],"J.":[300],"C.":[301],"McGregor,":[302],"Merck":[303],"&":[304],"Co.:":[305],"Grant":[306],"Investigator,":[307],"Research":[308],"grant":[309]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2017-09-15T00:00:00"}