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Physician antibiotic prescriptions for skin infections in the outpatient setting are often unnecessarily long and include unnecessary antibiotics
  1. Loren G Miller
  1. Division of Infectious Diseases, Harbor-UCLA Medical Center, Torrance, California, USA
  1. Correspondence to: Professor Loren G Miller, Division of Infectious Diseases, Harbor-UCLA Medical Center, 1000 West Carson Street, Box 466, Torrance, CA 90509, USA; Lgmiller{at}ucla.edu

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There are ample data suggesting that physicians often deviate from guidelines for the treatment of common infections by unnecessarily overprescribing antibiotics. Antibiotic overprescription for skin and soft tissue infections (SSTIs) has been observed in the inpatient setting. Previous observational studies have shown that physicians commonly prescribe broad-spectrum antibiotics when treatment for only Gram-positive pathogens is warranted. In addition, physicians often use overly long courses of antibiotics for inpatient SSTIs. Antibiotic overuse for infections, including inpatient SSTIs, has been shown to be amenable to improvement with target antibiotic stewardship efforts. Hurley and colleagues hypothesised that overprescription and avoidable antibiotic exposure would also be common …

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