Improving Guideline-concordant Antibiotic Use for Acute Otitis Media in a Pediatric Primary Care Network.

The study period included 40,329 acute otitis media episodes.

After the intervention, MOC-participating clinics had increased use of guideline-concordant antibiotic selection and duration compared to nonparticipating clinics (70.1% versus 54.5%).

The frequency of patients returning within 7 days for a repeat acute otitis media visit did not differ between the baseline period (124/12,735; 1.0%) and the postintervention period (303/27,594; 1.1%) ( P = 0.3).