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	<title>
		Reducing Unnecessary Antibiotic Treatment for Acute Bronchitis Using Virtual Primary Care
							| Telehealth and Medicine Today
			</title>

	
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<meta name="keywords" content="telehealth journal, telehealth open access journal, telemedicine journal, telemedicine peer reveiwed journal, digital health peer reviwed journal, virtual care journal, telehealth peer review, telecare journal, clinical health automation ">
<link rel="schema.DC" href="http://purl.org/dc/elements/1.1/" />
<meta name="DC.Creator.PersonalName" content="David McCune"/>
<meta name="DC.Creator.PersonalName" content="James Pellegrin"/>
<meta name="DC.Creator.PersonalName" content="Anshul Sachdeva"/>
<meta name="DC.Creator.PersonalName" content="Roxana Cham"/>
<meta name="DC.Creator.PersonalName" content="jessica Sollaccio"/>
<meta name="DC.Creator.PersonalName" content="Sandra Giramahoro Coyne"/>
<meta name="DC.Creator.PersonalName" content="Mark Stewart"/>
<meta name="DC.Date.created" scheme="ISO8601" content="2021-07-30"/>
<meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2021-04-09"/>
<meta name="DC.Date.issued" scheme="ISO8601" content="2021-07-30"/>
<meta name="DC.Date.modified" scheme="ISO8601" content="2021-08-02"/>
<meta name="DC.Description" xml:lang="en" content="Objective: Reducing antibiotic overuse is a point of emphasis of the Centers for Disease
Control and Prevention (CDC). Despite this, both telemedicine and traditional in-person
medical care struggle to meet national guidelines. This study evaluates antibiotic
prescribing practices at 98point6, a Seattle-based provider of virtual primary care. This
paper reviews a novel combination of machine learning with a physician-led virtual
platform and smartphone interface to exceed published benchmarks for the avoidance
of antibiotics in the treatment of bronchitis.
&amp;nbsp;
Design: This retrospective cohort study looks at patients ages 18–64 who presented to
98point6 with “acute bronchitis/bronchiolitis” diagnosed between December 1, 2019
and November 30, 2020. Visits were categorized by whether systemic antibiotics were
or were not given. Cases in which systemic antibiotics were given were categorized as
“broad spectrum” or “narrow spectrum”. The results are presented as descriptive
statistics with demographic information and compared to published reports of
antibiotic use for the treatment of bronchitis.
&amp;nbsp;
Results: Of the 1,238 visits with a bronchitis/bronchiolitis diagnosis, 99 (8.0%) were
treated with prescribed systemic antibiotics. The rate of antibiotic avoidance of 92.0%
compares favorably with published benchmarks from the National Committee for
Quality Assurance and is significantly lower than rates in previously published samples
for telemedicine, primary care and urgent care.
&amp;nbsp;
Conclusion: Virtual primary care administered by 98point6 resulted in a high rate of
adherence to the established standard for the treatment of bronchitis, greatly exceeding
benchmarks and published results from both telemedicine and in-person medical
practice."/>
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<meta name="DC.Source.ISSN" content="2471-6960"/>
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<meta name="DC.Subject" xml:lang="en" content="practice standard"/>
<meta name="DC.Title" content="Reducing Unnecessary Antibiotic Treatment for Acute Bronchitis Using Virtual Primary Care"/>
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<meta name="DC.Type.articleType" content="Original Clinical Research"/>
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<meta name="citation_issn" content="2471-6960"/> 
<meta name="citation_author" content="David McCune"/>
<meta name="citation_author_institution" content="98point6"/>
<meta name="citation_author" content="James Pellegrin"/>
<meta name="citation_author_institution" content="98point6"/>
<meta name="citation_author" content="Anshul Sachdeva"/>
<meta name="citation_author_institution" content="98point6"/>
<meta name="citation_author" content="Roxana Cham"/>
<meta name="citation_author_institution" content="98point6"/>
<meta name="citation_author" content="jessica Sollaccio"/>
<meta name="citation_author_institution" content="98point6"/>
<meta name="citation_author" content="Sandra Giramahoro Coyne"/>
<meta name="citation_author_institution" content="98point6"/>
<meta name="citation_author" content="Mark Stewart"/>
<meta name="citation_author_institution" content="98point6"/>
<meta name="citation_title" content="Reducing Unnecessary Antibiotic Treatment for Acute Bronchitis Using Virtual Primary Care"/>
<meta name="citation_language" content="en"/>
<meta name="citation_date" content="2021/07/30"/>
<meta name="citation_doi" content="10.30953/tmt.v6.272"/>
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<meta name="citation_keywords" xml:lang="en" content="telemedicine"/>
<meta name="citation_keywords" xml:lang="en" content="virtual care"/>
<meta name="citation_keywords" xml:lang="en" content="primary care"/>
<meta name="citation_keywords" xml:lang="en" content="antibiotic stewardship"/>
<meta name="citation_keywords" xml:lang="en" content="bronchitis"/>
<meta name="citation_keywords" xml:lang="en" content="machine learning"/>
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		  	 <article class="obj_article_details">

		
	<h1 class="page_title">
		Reducing Unnecessary Antibiotic Treatment for Acute Bronchitis Using Virtual Primary Care
	</h1>

	
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				<li><span class="__dimensions_badge_embed__" data-doi="10.30953/tmt.v6.272" data-hide-zero-citations="true" data-style="small_circle"></span><script async src="https:// badge.dimensions.ai/badge.js" charset="utf-8"></script></li>

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					<h2 class="pkp_screen_reader">Authors</h2>
					<ul class="authors">
											<li>
							<span class="name">
								David McCune
							</span>
															<span class="affiliation">
									98point6
																	</span>
																						<span class="orcid">
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			C84.2,46.7,88.7,51.3,88.7,56.8z"/>
	</g>
</svg>
									<a href="https://orcid.org/0000-0002-0845-5769" target="_blank">
										https://orcid.org/0000-0002-0845-5769
									</a>
								</span>
													</li>
											<li>
							<span class="name">
								James Pellegrin
							</span>
															<span class="affiliation">
									98point6
																	</span>
																				</li>
											<li>
							<span class="name">
								Anshul Sachdeva
							</span>
															<span class="affiliation">
									98point6
																	</span>
																				</li>
											<li>
							<span class="name">
								Roxana Cham
							</span>
															<span class="affiliation">
									98point6
																	</span>
																				</li>
											<li>
							<span class="name">
								jessica Sollaccio
							</span>
															<span class="affiliation">
									98point6
																	</span>
																				</li>
											<li>
							<span class="name">
								Sandra Giramahoro Coyne
							</span>
															<span class="affiliation">
									98point6
																	</span>
																						<span class="orcid">
									<svg class="orcid_icon" viewBox="0 0 256 256" aria-hidden="true">
	<style type="text/css">
		.st0{fill:#A6CE39;}
		.st1{fill:#FFFFFF;}
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			c34.9,0,42.9-26.5,42.9-39.7c0-21.5-13.7-39.7-43.7-39.7h-23.7V172.4z"/>
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	</g>
</svg>
									<a href="https://orcid.org/0000-0001-9363-2151" target="_blank">
										https://orcid.org/0000-0001-9363-2151
									</a>
								</span>
													</li>
											<li>
							<span class="name">
								Mark Stewart
							</span>
															<span class="affiliation">
									98point6
																	</span>
																						<span class="orcid">
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							<a href="https://doi.org/10.30953/tmt.v6.272">
								https://doi.org/10.30953/tmt.v6.272
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									<section class="item keywords">
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										Keywords:
				</h2>
				<span class="value">
											telemedicine, 											virtual care, 											primary care, 											antibiotic stewardship, 											bronchitis, 											machine learning, 											practice standard									</span>
			</section>
			
										<section class="item abstract">
					<h2 class="label">Abstract</h2>
					<strong>Objective</strong>: Reducing antibiotic overuse is a point of emphasis of the Centers for Disease
Control and Prevention (CDC). Despite this, both telemedicine and traditional in-person
medical care struggle to meet national guidelines. This study evaluates antibiotic
prescribing practices at 98point6, a Seattle-based provider of virtual primary care. This
paper reviews a novel combination of machine learning with a physician-led virtual
platform and smartphone interface to exceed published benchmarks for the avoidance
of antibiotics in the treatment of bronchitis.
 
<strong>Design</strong>: This retrospective cohort study looks at patients ages 18–64 who presented to
98point6 with “acute bronchitis/bronchiolitis” diagnosed between December 1, 2019
and November 30, 2020. Visits were categorized by whether systemic antibiotics were
or were not given. Cases in which systemic antibiotics were given were categorized as
“broad spectrum” or “narrow spectrum”. The results are presented as descriptive
statistics with demographic information and compared to published reports of
antibiotic use for the treatment of bronchitis.
 
<strong>Results</strong>: Of the 1,238 visits with a bronchitis/bronchiolitis diagnosis, 99 (8.0%) were
treated with prescribed systemic antibiotics. The rate of antibiotic avoidance of 92.0%
compares favorably with published benchmarks from the National Committee for
Quality Assurance and is significantly lower than rates in previously published samples
for telemedicine, primary care and urgent care.
 
<strong>Conclusion</strong>: Virtual primary care administered by 98point6 resulted in a high rate of
adherence to the established standard for the treatment of bronchitis, greatly exceeding
benchmarks and published results from both telemedicine and in-person medical
practice.
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						Published
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																			<span>2021-07-30</span>
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  <div class="csl-entry">McCune, D., Pellegrin, J., Sachdeva, A., Cham, R., Sollaccio, jessica, Giramahoro Coyne, S., &#38; Stewart, M. (2021). Reducing Unnecessary Antibiotic Treatment for Acute Bronchitis Using Virtual Primary Care. <i>Telehealth and Medicine Today</i>, <i>6</i>(3). https://doi.org/10.30953/tmt.v6.272</div>
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									Volume 6, Issue 3, 2021
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																										<p>Copyright (c) 2021 David McCune, James Pellegrin, Anshul Sachdeva, Roxana Cham, jessica Sollaccio, Sandra Giramahoro Coyne, Mark Stewart</p>
														<a rel="license" href="https://creativecommons.org/licenses/by-nc/4.0/"><img alt="Creative Commons License" src="//i.creativecommons.org/l/by-nc/4.0/88x31.png" /></a><p>This work is licensed under a <a rel="license" href="https://creativecommons.org/licenses/by-nc/4.0/">Creative Commons Attribution-NonCommercial 4.0 International License</a>.</p>
																<p>Authors retain copyright of their work, with first publication rights granted to  <em>Telehealth and Medicine Today (TMT).</em></p>
<p><em>TMT is published under a <a href="http://creativecommons.org/licenses/by-nc/4.0/" rel="license">Creative Commons Attribution-NonCommercial 4.0 International License</a>. </em></p>
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							David McCune, M.D, MPH,
													Erin Graf,
													Jo Masterson,
													Amanda Cuda,
												<a href="https://bhty.journals.publicknowledgeproject.org/index.php/journal/article/view/148">
							Feasibility of Recommending mHealth Solutions to Patients Receiving Virtual Primary Care
						</a>,
						<a href="https://bhty.journals.publicknowledgeproject.org/index.php/journal/issue/view/14">
							Telehealth and Medicine Today: Volume 4, 2019
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