Adam L. Hersh, Edward A. Stenehjem, Nora Fino, Emily S. Spivak
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Impact of COVID-19 on urgent care diagnoses and the new AXR metric
We examined the antibiotic prescribing rate for respiratory diagnoses (AXR) before and after onset of the COVID-19 pandemic in urgent care clinics. At the onset, AXR declined substantially due to changes in case mix. Using AXR as a stewardship metric requires monitoring of changes in case mix.