Antibiotic overuse and resistance are not only local issues, but are global problems as well. Major causes of antibiotic resistance are over-use and misuse of antibiotics. South Africa, Kenya, China, India, and Vietnam are just some of the countries that have major concerns regarding antibiotic overuse. At the family and urgent care practice setting, there was a concern regarding antibiotic overuse. There was not a standardized protocol to treat acute otitis media. They treat according to their knowledge base and local standards. Two evidence-based practice frameworks were used to guide this project. The objectives of the project were increased adherence to national standards, decreased antibiotic use, and decreased follow up visits.
