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TABLE 2

Rate Ratios of Antibiotic Prescribing During All ITT Analysis Visits for ARTI Overall and by Condition (by Study Time Period)

ConditionMeasureBaselineModule 1Module 2Module 3Postintervention
     aRR (95% CI) 
ARTI overall Any prescribing Reference 0.96 (0.93–0.99) 0.84 (0.81–0.88) 0.89 (0.86–0.92) 0.93 (0.90–0.96) 
Viral ARTI Any prescribing Reference 0.63 (0.52–0.76) 0.65 (0.55–0.78) 0.64 (0.54–0.75) 0.60 (0.51–0.70) 
All pharyngitis Any prescribing Reference 1.06 (1.01–1.12) 0.90 (0.84–0.95) 0.85 (0.80–0.91) 0.96 (0.91–1.02) 
AOM Second-line prescribing Reference 1.01 (0.88–1.15) 0.69 (0.60–0.80) 0.96 (0.86–1.07) 0.93 (0.83–1.03) 
Streptococcal pharyngitis Second-line prescribing Reference 0.71 (0.53–0.94) 0.61 (0.46–0.82) 0.46 (0.32–0.66) 0.66 (0.50–0.87) 
Sinusitis Second-line prescribing Reference 0.75 (0.55–0.99) 0.51 (0.38–0.68) 0.66 (0.52–0.85) 0.59 (0.44–0.77) 
ConditionMeasureBaselineModule 1Module 2Module 3Postintervention
     aRR (95% CI) 
ARTI overall Any prescribing Reference 0.96 (0.93–0.99) 0.84 (0.81–0.88) 0.89 (0.86–0.92) 0.93 (0.90–0.96) 
Viral ARTI Any prescribing Reference 0.63 (0.52–0.76) 0.65 (0.55–0.78) 0.64 (0.54–0.75) 0.60 (0.51–0.70) 
All pharyngitis Any prescribing Reference 1.06 (1.01–1.12) 0.90 (0.84–0.95) 0.85 (0.80–0.91) 0.96 (0.91–1.02) 
AOM Second-line prescribing Reference 1.01 (0.88–1.15) 0.69 (0.60–0.80) 0.96 (0.86–1.07) 0.93 (0.83–1.03) 
Streptococcal pharyngitis Second-line prescribing Reference 0.71 (0.53–0.94) 0.61 (0.46–0.82) 0.46 (0.32–0.66) 0.66 (0.50–0.87) 
Sinusitis Second-line prescribing Reference 0.75 (0.55–0.99) 0.51 (0.38–0.68) 0.66 (0.52–0.85) 0.59 (0.44–0.77) 

Module 1 contained online communication and antibiotic prescribing tutorials and webinars and an individualized antibiotic prescribing feedback report. Module 2 contained 2 online communication booster video vignettes and an antibiotic prescribing feedback report. Module 3 contained 1 communication booster video vignette and 2 antibiotic prescribing feedback reports.

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