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The predicted rates, which correspond to what would have been expected in the absence of the DBND program, were compared to those observed for the 36 months after DBND implementation.
These results demonstrate DBND's potential influence on antibiotic utilization patterns, especially in the long term.
(23) It is thus possible that the documented improvements in antibiotic use would have occurred even without DBND. Second, it is currently not mandatory for physicians to record medications provided directly to patients during an office, clinic, or emergency visit.
A review of the recent medical literature and discussions with practicing physicians indicated that no major changes in professional practice guidelines impacting antimicrobial use occurred simultaneously to DBND implementation.
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