{"id":"https://openalex.org/W7225448956","doi":"https://doi.org/10.22159/ajpcr.2026v19i11.61118","title":"ANTIBIOTIC PRESCRIBING PATTERNS AND FACTORS ASSOCIATED WITH INAPPROPRIATE USE IN ACUTE UPPER RESPIRATORY AND EAR, NOSE, AND THROAT INFECTIONS: A PROSPECTIVE OBSERVATIONAL STUDY","display_name":"ANTIBIOTIC PRESCRIBING PATTERNS AND FACTORS ASSOCIATED WITH INAPPROPRIATE USE IN ACUTE UPPER RESPIRATORY AND EAR, NOSE, AND THROAT INFECTIONS: A PROSPECTIVE OBSERVATIONAL STUDY","publication_year":2026,"publication_date":"2026-11-07","ids":{"openalex":"https://openalex.org/W7225448956","doi":"https://doi.org/10.22159/ajpcr.2026v19i11.61118"},"language":"en","primary_location":{"id":"doi:10.22159/ajpcr.2026v19i11.61118","doi":"https://doi.org/10.22159/ajpcr.2026v19i11.61118","is_oa":true,"landing_page_url":"https://doi.org/10.22159/ajpcr.2026v19i11.61118","pdf_url":"https://journals.innovareacademics.in/index.php/ajpcr/article/download/61118/34719","source":{"id":"https://openalex.org/S2764968390","display_name":"Asian Journal of Pharmaceutical and Clinical Research","issn_l":"0974-2441","issn":["0974-2441","2455-3891"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-40"],"host_organization":"https://openalex.org/P4322697801","host_organization_name":"Innovare Academic Sciences","host_organization_lineage":["https://openalex.org/P4322697801"],"host_organization_lineage_names":["Innovare Academic Sciences"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Pharmaceutical and Clinical Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journals.innovareacademics.in/index.php/ajpcr/article/download/61118/34719","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159453789","display_name":"Gudise Abhinav Kiran","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405261501","display_name":"Malla Reddy Institute Of Medical Sciences","ror":"https://ror.org/05d34fg54","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405254961","https://openalex.org/I4405261501"]},{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"GUDISE ABHINAV KIRAN","raw_affiliation_strings":["Department of Otorhinolaryngology, Malla Reddy Institute of Medical Sciences, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology, Malla Reddy Institute of Medical Sciences, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India","institution_ids":["https://openalex.org/I4405261501","https://openalex.org/I4405267936"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159455970","display_name":"Baddam Rachna Reddy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405261501","display_name":"Malla Reddy Institute Of Medical Sciences","ror":"https://ror.org/05d34fg54","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405254961","https://openalex.org/I4405261501"]},{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"BADDAM RACHNA REDDY","raw_affiliation_strings":["Department of Otorhinolaryngology, Malla Reddy Medical College for Women, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology, Malla Reddy Medical College for Women, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India","institution_ids":["https://openalex.org/I4405261501","https://openalex.org/I4405267936"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119250698","display_name":"Shruthi Vadla","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405261501","display_name":"Malla Reddy Institute Of Medical Sciences","ror":"https://ror.org/05d34fg54","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405254961","https://openalex.org/I4405261501"]},{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"SHRUTHI VADLA","raw_affiliation_strings":["Department of Otorhinolaryngology, Malla Reddy Institute of Medical Sciences, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology, Malla Reddy Institute of Medical Sciences, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India","institution_ids":["https://openalex.org/I4405261501","https://openalex.org/I4405267936"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161222245","display_name":"PRAHARSHINI GANJI","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405261501","display_name":"Malla Reddy Institute Of Medical Sciences","ror":"https://ror.org/05d34fg54","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405254961","https://openalex.org/I4405261501"]},{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"PRAHARSHINI GANJI","raw_affiliation_strings":["Department of Otorhinolaryngology, Malla Reddy Institute of Medical Sciences, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology, Malla Reddy Institute of Medical Sciences, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India","institution_ids":["https://openalex.org/I4405261501","https://openalex.org/I4405267936"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161210871","display_name":"HARI MANASWINI","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405261501","display_name":"Malla Reddy Institute Of Medical Sciences","ror":"https://ror.org/05d34fg54","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405254961","https://openalex.org/I4405261501"]},{"id":"https://openalex.org/I4405267936","display_name":"Malla Reddy Vishwavidyapeeth","ror":"https://ror.org/053kvfq67","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405267936"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"HARI MANASWINI","raw_affiliation_strings":["Department of Otorhinolaryngology, Malla Reddy Institute of Medical Sciences, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology, Malla Reddy Institute of Medical Sciences, Malla Reddy Vishwavidyapeeth (Deemed to be University), Hyderabad, Telangana, India","institution_ids":["https://openalex.org/I4405261501","https://openalex.org/I4405267936"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"262","last_page":"266"},"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/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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":9.999999747378752e-05,"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"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antibiotic-prescribing-patterns","display_name":"antibiotic prescribing patterns","score":0.8240000009536743},{"id":"https://openalex.org/keywords/inappropriate-antibiotic-use","display_name":"inappropriate antibiotic use","score":0.972000002861023},{"id":"https://openalex.org/keywords/acute-upper-respiratory-tract-infection","display_name":"acute upper respiratory tract infection","score":0.8809999823570251},{"id":"https://openalex.org/keywords/ear-nose-and-throat-infections","display_name":"ear, nose and throat infections","score":0.9829999804496765},{"id":"https://openalex.org/keywords/common-cold","display_name":"common cold","score":0.8640000224113464},{"id":"https://openalex.org/keywords/amoxicillin-clavulanic-acid","display_name":"amoxicillin-clavulanic acid","score":0.953000009059906},{"id":"https://openalex.org/keywords/azithromycin","display_name":"azithromycin","score":1.0},{"id":"https://openalex.org/keywords/symptom-duration","display_name":"symptom duration","score":0.5389999747276306},{"id":"https://openalex.org/keywords/antimicrobial-stewardship","display_name":"antimicrobial stewardship","score":0.9139999747276306},{"id":"https://openalex.org/keywords/rational-antibiotic-use","display_name":"rational antibiotic use","score":0.781000018119812},{"id":"https://openalex.org/keywords/adults","display_name":"adults","score":0.7789999842643738},{"id":"https://openalex.org/keywords/clinical-documentation","display_name":"clinical documentation","score":0.5899999737739563}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9171000123023987},{"id":"https://openalex.org/C2776012195","wikidata":"https://www.wikidata.org/wiki/Q754447","display_name":"Respiratory tract infections","level":3,"score":0.769599974155426},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.7651000022888184},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.732200026512146},{"id":"https://openalex.org/C2778907293","wikidata":"https://www.wikidata.org/wiki/Q165399","display_name":"Azithromycin","level":3,"score":0.7081000208854675},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.6115999817848206},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5288000106811523},{"id":"https://openalex.org/C2778136109","wikidata":"https://www.wikidata.org/wiki/Q12125","display_name":"Common cold","level":2,"score":0.5260000228881836},{"id":"https://openalex.org/C2911094336","wikidata":"https://www.wikidata.org/wiki/Q2622199","display_name":"Upper respiratory infections","level":2,"score":0.49889999628067017},{"id":"https://openalex.org/C108516343","wikidata":"https://www.wikidata.org/wiki/Q189553","display_name":"Otorhinolaryngology","level":2,"score":0.47859999537467957},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4643000066280365},{"id":"https://openalex.org/C2776989088","wikidata":"https://www.wikidata.org/wiki/Q16364","display_name":"Throat","level":2,"score":0.459199994802475},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.4397999942302704},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4113999903202057},{"id":"https://openalex.org/C2780805593","wikidata":"https://www.wikidata.org/wiki/Q2622199","display_name":"Upper respiratory tract infection","level":2,"score":0.39629998803138733},{"id":"https://openalex.org/C2779279270","wikidata":"https://www.wikidata.org/wiki/Q2085267","display_name":"Pharyngitis","level":2,"score":0.3862999975681305},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3255000114440918},{"id":"https://openalex.org/C4937899","wikidata":"https://www.wikidata.org/wiki/Q68541106","display_name":"Antimicrobial","level":2,"score":0.30090001225471497},{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.2971999943256378},{"id":"https://openalex.org/C2779644171","wikidata":"https://www.wikidata.org/wiki/Q13400765","display_name":"Respiratory tract","level":3,"score":0.29179999232292175},{"id":"https://openalex.org/C2993183539","wikidata":"https://www.wikidata.org/wiki/Q754447","display_name":"Respiratory infection","level":3,"score":0.29030001163482666},{"id":"https://openalex.org/C2776399701","wikidata":"https://www.wikidata.org/wiki/Q3631290","display_name":"Lower respiratory tract infection","level":4,"score":0.2840000092983246},{"id":"https://openalex.org/C2780206985","wikidata":"https://www.wikidata.org/wiki/Q213511","display_name":"Erythromycin","level":3,"score":0.2833000123500824},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.27799999713897705},{"id":"https://openalex.org/C2993328841","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotic therapy","level":3,"score":0.2646999955177307},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.2621999979019165},{"id":"https://openalex.org/C2779708577","wikidata":"https://www.wikidata.org/wiki/Q201928","display_name":"Amoxicillin","level":3,"score":0.2599000036716461},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.25130000710487366},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2502000033855438}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.22159/ajpcr.2026v19i11.61118","doi":"https://doi.org/10.22159/ajpcr.2026v19i11.61118","is_oa":true,"landing_page_url":"https://doi.org/10.22159/ajpcr.2026v19i11.61118","pdf_url":"https://journals.innovareacademics.in/index.php/ajpcr/article/download/61118/34719","source":{"id":"https://openalex.org/S2764968390","display_name":"Asian Journal of Pharmaceutical and Clinical Research","issn_l":"0974-2441","issn":["0974-2441","2455-3891"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-40"],"host_organization":"https://openalex.org/P4322697801","host_organization_name":"Innovare Academic Sciences","host_organization_lineage":["https://openalex.org/P4322697801"],"host_organization_lineage_names":["Innovare Academic Sciences"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Pharmaceutical and Clinical Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.22159/ajpcr.2026v19i11.61118","doi":"https://doi.org/10.22159/ajpcr.2026v19i11.61118","is_oa":true,"landing_page_url":"https://doi.org/10.22159/ajpcr.2026v19i11.61118","pdf_url":"https://journals.innovareacademics.in/index.php/ajpcr/article/download/61118/34719","source":{"id":"https://openalex.org/S2764968390","display_name":"Asian Journal of Pharmaceutical and Clinical Research","issn_l":"0974-2441","issn":["0974-2441","2455-3891"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-40"],"host_organization":"https://openalex.org/P4322697801","host_organization_name":"Innovare Academic Sciences","host_organization_lineage":["https://openalex.org/P4322697801"],"host_organization_lineage_names":["Innovare Academic Sciences"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Pharmaceutical and Clinical Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225448956.pdf","grobid_xml":"https://content.openalex.org/works/W7225448956.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W3157896900","https://openalex.org/W3211444262","https://openalex.org/W4200299340","https://openalex.org/W4292289470","https://openalex.org/W4306403991","https://openalex.org/W4308633781","https://openalex.org/W4319293835","https://openalex.org/W4387326222","https://openalex.org/W4402557213","https://openalex.org/W4408952792","https://openalex.org/W4412788559","https://openalex.org/W4416576955","https://openalex.org/W4417001158","https://openalex.org/W7081948050","https://openalex.org/W7129599582"],"related_works":["https://openalex.org/W7204255550","https://openalex.org/W4321600233","https://openalex.org/W4224629854","https://openalex.org/W4414579498","https://openalex.org/W7165046075","https://openalex.org/W7166674950","https://openalex.org/W2004227193","https://openalex.org/W4416988472","https://openalex.org/W1988158591","https://openalex.org/W3189523292"],"abstract_inverted_index":{"Objectives:":[0],"The":[1,108,170,222],"aim":[2],"of":[3,45,62,80,87,111,131,167,172,181,198,228,235,252,271],"this":[4],"study":[5,39,113,223],"was":[6,40,115,188],"to":[7,125,283],"describe":[8],"antibiotic":[9,18,98,157,186,229,286],"prescribing":[10,77,99,187,230],"patterns":[11],"and":[12,28,31,57,71,85,96,118,145,213,231,245,255,279,288],"identify":[13],"factors":[14],"associated":[15,262],"with":[16,23,66,136,240,263],"inappropriate":[17,97,183,236,264],"use":[19,287],"among":[20,192,238],"adults":[21,239],"presenting":[22,194],"acute":[24,67,140,241],"upper":[25,68,242],"respiratory":[26,69,243],"tract":[27,70,244],"ear,":[29],"nose,":[30],"throat":[32],"(ENT)":[33],"infections.":[34,247],"Methods:":[35],"This":[36],"prospective":[37],"observational":[38],"conducted":[41],"in":[42,51],"the":[43,112,149,155,269],"department":[44],"otorhinolaryngology":[46],"at":[47],"a":[48,225,232],"healthcare":[49],"institution":[50],"Hyderabad,":[52],"India,":[53],"between":[54,92],"March":[55],"2025":[56],"January":[58],"2026.":[59],"A":[60],"total":[61],"100":[63],"adult":[64],"patients":[65,127,133,193],"ENT":[72,246],"infections":[73],"were":[74,89,100,120,123,148,161,260],"included.":[75],"Antibiotic":[76],"frequency,":[78],"selection":[79],"antimicrobial":[81,280,291],"agents,":[82],"treatment":[83],"duration,":[84,250],"appropriateness":[86],"prescriptions":[88,237],"evaluated.":[90],"Associations":[91],"selected":[93],"clinical":[94,175,275],"characteristics":[95],"assessed":[101],"using":[102],"two-sided":[103],"Fisher\u2019s":[104],"exact":[105],"tests.":[106],"Results:":[107],"mean":[109],"age":[110],"participants":[114],"34.6\u00b113.2":[116],"years,":[117],"54.0%":[119],"male.":[121],"Antibiotics":[122],"prescribed":[124,152],"72":[126,156],"(72.0%),":[128],"including":[129],"18":[130],"30":[132],"(60.0%)":[134],"diagnosed":[135],"common":[137],"cold":[138],"or":[139],"viral":[141],"nasopharyngitis.":[142],"Amoxicillin\u2013clavulanate":[143],"(36.1%)":[144],"azithromycin":[146],"(27.8%)":[147],"most":[150],"frequently":[151],"antibiotics.":[153],"Among":[154],"prescriptions,":[158],"40":[159],"(55.6%)":[160],"classified":[162],"as":[163],"inappropriate,":[164],"representing":[165],"40.0%":[166],"all":[168],"consultations.":[169],"absence":[171,251],"an":[173],"appropriate":[174],"indication":[176],"accounted":[177],"for":[178,258],"26":[179],"(65.0%)":[180],"these":[182],"prescriptions.":[184],"Inappropriate":[185],"significantly":[189,261],"more":[190],"frequent":[191],"within":[195],"3":[196],"days":[197],"symptom":[199,249],"onset":[200],"(72.2%":[201],"vs.":[202,210,218],"38.9%;":[203],"p=0.009),":[204],"those":[205,214],"without":[206],"documented":[207,253],"fever":[208],"(68.2%":[209],"35.7%;":[211],"p=0.008),":[212],"requesting":[215],"antibiotics":[216,259],"(78.6%":[217],"40.9%;":[219],"p=0.003).":[220],"Conclusion:":[221],"identified":[224],"high":[226],"frequency":[227],"substantial":[233],"proportion":[234],"Shorter":[248],"fever,":[254],"patient":[256,277],"requests":[257],"prescribing.":[265],"These":[266],"findings":[267],"highlight":[268],"importance":[270],"evidence-based":[272],"prescribing,":[273],"improved":[274],"documentation,":[276],"education,":[278],"stewardship":[281],"interventions":[282],"promote":[284],"rational":[285],"reduce":[289],"unnecessary":[290],"exposure.":[292]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-08T00:00:00"}