{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:08:03Z","timestamp":1788851283630,"version":"build-2803163510"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Approximately 30% of U.S. outpatient antibiotic prescriptions are unnecessary. Using 2016\u20132022 MarketScan data, this study assessed Missouri outpatient prescribing. Among several bacterial infections, 62.4% were inappropriate; antibiotics were prescribed for 18.3% of viral infections. Inappropriate prescribing was higher in rural areas. This method can assess regional condition-specific antibiotic stewardship targets.<\/jats:p>","DOI":"10.1017\/ice.2026.10528","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:23:27Z","timestamp":1788848607000},"page":"1-4","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["A Missouri state-wide assessment of antibiotic appropriateness in outpatient treatment of common bacterial and viral infections"],"prefix":"10.1017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4652-7089","authenticated-orcid":false,"given":"Michael J.","family":"Durkin","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01yc7t268","id-type":"ROR","asserted-by":"publisher"}],"name":"Washington University in St Louis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9300-6558","authenticated-orcid":false,"given":"Katheryn","family":"Ney","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in Saint Louis: Washington University i"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah","family":"Chodos","sequence":"additional","affiliation":[{"name":"Washington University in St Louis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5392-4010","authenticated-orcid":false,"given":"Alice","family":"Bewley","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01yc7t268","id-type":"ROR","asserted-by":"publisher"}],"name":"Washington University in St Louis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4086-6476","authenticated-orcid":false,"given":"Priscilla","family":"Kabutey","sequence":"additional","affiliation":[{"name":"Washington University in St Louis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Turabelidze","sequence":"additional","affiliation":[{"name":"State of Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4280-9804","authenticated-orcid":false,"given":"M. Cristina","family":"Vazquez Guillamet","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in Saint Louis: Washington University i"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6000-0908","authenticated-orcid":false,"given":"John","family":"Sahrmann","sequence":"additional","affiliation":[{"name":"Washington University in St Louis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2425-5024","authenticated-orcid":false,"given":"Corey","family":"Lance","sequence":"additional","affiliation":[{"name":"State of Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Cole","sequence":"additional","affiliation":[{"name":"VA St Louis Medical Center John Cochran Division: John J Cochran Veterans Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sena","family":"Sayood","sequence":"additional","affiliation":[{"name":"Washington University in St Louis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Habrock-Bach","sequence":"additional","affiliation":[{"name":"Washington University in St Louis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Hseuh","sequence":"additional","affiliation":[{"name":"Washington University in St Louis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"S0899823X26105285_ref7","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12584"},{"key":"S0899823X26105285_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.14153"},{"key":"S0899823X26105285_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciab637"},{"key":"S0899823X26105285_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.4151"},{"key":"S0899823X26105285_ref9","first-page":"135","article-title":"Analysis of a high-prescribing states 2016 outpatient antibiotic prescriptions: Implications for outpatient antimicrobial stewardship interventions","volume":"41","author":"Staub","year":"2020","journal-title":"Infect Control Hosp Epidemiol"},{"key":"S0899823X26105285_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2021.177"},{"key":"S0899823X26105285_ref4","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciac879"},{"key":"S0899823X26105285_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofv113"},{"key":"S0899823X26105285_ref10","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.14153"},{"key":"S0899823X26105285_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12825"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X26105285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:23:29Z","timestamp":1788848609000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X26105285\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,8]]},"references-count":10,"alternative-id":["S0899823X26105285"],"URL":"https:\/\/doi.org\/10.1017\/ice.2026.10528","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,8]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}