Inappropriate prescriptions for the aging population of the United States: an analysis of the National Ambulatory Medical Care Survey, 1997

2002 ◽  
Vol 11 (2) ◽  
pp. 127-134 ◽  
Author(s):  
Boji Huang ◽  
Kenneth A. Bachmann ◽  
Xuming He ◽  
Randi Chen ◽  
Jennifer S. McAllister ◽  
...  
Keyword(s):  
United States ◽  
Medical Care ◽  
Aging Population ◽  
The United States ◽  
Care Survey ◽  
Ambulatory Medical Care ◽  
Inappropriate Prescriptions

scholarly journals 1099. Antibiotic Prescriptions for Acute Gastroenteritis during Office and Emergency Department Visits–United States, 2006–2015

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S330-S330
Author(s):  
Jennifer P Collins ◽  
Louise Francois Watkins ◽  
Laura M King ◽  
Monina Bartoces ◽  
Katherine Fleming-Dutra ◽  
...  
Keyword(s):  
United States ◽  
Emergency Department ◽  
Medical Care ◽  
Acute Gastroenteritis ◽  
Antibiotic Use ◽  
The United States ◽  
Emergency Department Visits ◽  
Antibiotic Prescribing ◽  
Care Survey ◽  
Ambulatory Medical Care

Abstract Background Acute gastroenteritis (AGE) is a major cause of office and emergency department (ED) visits in the United States. Most patients can be managed with supportive care alone, although some require antibiotics. Limiting unnecessary antibiotic use can minimize side effects and the development of resistance. We used national data to assess antibiotic prescribing for AGE to target areas for stewardship efforts. Methods We used the 2006–2015 National Hospital Ambulatory Medical Care Survey of EDs and National Ambulatory Medical Care Survey to describe antibiotic prescribing for AGE. An AGE visit was defined as one with a new problem (<3 months) as the main visit indication and an ICD-9 code for bacterial or viral gastrointestinal infection or AGE symptoms (nausea, vomiting, and/or diarrhea). We excluded visits with ICD-9 codes for Clostridium difficile or an infection usually requiring antibiotics (e.g., pneumonia). We calculated national annual percentage estimates based on weights of sampled visits and used an α level of 0.01, recommended for these data. Results Of the 12,191 sampled AGE visits, 13% (99% CI: 11–15%) resulted in antibiotic prescriptions, equating to an estimated 1.3 million AGE visits with antibiotic prescriptions annually. Antibiotics were more likely to be prescribed in office AGE visits (16%, 99% CI: 12–20%) compared with ED AGE visits (11%, 99% CI: 9–12%; P < 0.01). Among AGE visits with antibiotic prescriptions, the most frequently prescribed were fluoroquinolones (29%, 99% CI: 21–36%), metronidazole (18%, 99% CI: 13–24%), and penicillins (18%, 99% CI: 11–24%). Antibiotics were prescribed for 25% (99% CI: 8–42%) of visits for bacterial AGE, 16% (99% CI: 12–21%) for diarrhea without nausea or vomiting, and 11% (99% CI: 8–15%) for nausea, vomiting, or both without diarrhea. Among AGE visits with fever (T ≥ 100.9oF) at the visit, 21% (99% CI: 11–31%) resulted in antibiotic prescriptions. Conclusion Patients treated for AGE in office settings were significantly more likely to receive prescriptions for antibiotics compared with those seen in an ED, despite likely lower acuity. Antibiotic prescribing was also high for visits for nausea or vomiting, conditions that usually do not require antibiotics. Antimicrobial stewardship for AGE is needed, especially in office settings. Disclosures All authors: No reported disclosures.

scholarly journals Outpatient Macrolide Antibiotic Prescribing in the United States, 2008–2011

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Guillermo V Sanchez ◽  
Daniel J Shapiro ◽  
Adam L Hersh ◽  
Lauri A Hicks ◽  
Katherine E Fleming-Dutra
Keyword(s):  
United States ◽  
Medical Care ◽  
Survey Data ◽  
Antibiotic Stewardship ◽  
Macrolide Antibiotic ◽  
The United States ◽  
Antibiotic Prescribing ◽  
Family Practitioners ◽  
Care Survey ◽  
Ambulatory Medical Care

Abstract National Ambulatory Medical Care Survey data were used to assess outpatient macrolide prescribing and selection. Conditions for which macrolides are firstline therapy represented 5% of macrolide prescribing. Family practitioners selected macrolides for children more frequently than pediatricians. Macrolides are an important antibiotic stewardship target.

Skin Manifestations of Outpatient Adverse Drug Events in the United States: A National Analysis

2013 ◽  
Vol 17 (4) ◽  
pp. 269-275 ◽  
Author(s):  
Peter Koelblinger ◽  
Tushar S. Dabade ◽  
Cheryl J. Gustafson ◽  
Scott A. Davis ◽  
Brad A. Yentzer ◽  
...  
Keyword(s):  
United States ◽  
Medical Care ◽  
Antimicrobial Agents ◽  
Adverse Drug Events ◽  
The United States ◽  
Medical Attention ◽  
Skin Reactions ◽  
Care Survey ◽  
National Analysis ◽  
Ambulatory Medical Care

Background: Cutaneous reactions to drugs are among the most common clinical manifestations of adverse drug events (ADEs); however, data on outpatient cutaneous adverse drug events (CADEs) are limited. Purpose: To provide national estimates of outpatient CADEs and determine their most frequent causes. Methods: Outpatient CADEs recorded in the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) between 1995 and 2005 were analyzed. The national incidence of outpatient CADEs in those seeking medical attention in the United States was estimated, and the common medication classes implicated with CADEs were identified. Results: There were a mean annual total of 635,982 CADE-related visits, resulting in an annual incidence of 2.26 CADEs per 1,000 persons. Patients took an average of 2.2 medications in addition to the one causing the CADE. The incidence of CADEs increased with age, with a peak in the age group from 70 to 79 years. The medications most frequently causing a CADE were antimicrobial agents. Dermatitis and urticaria were the two main types of skin reactions reported. Conclusions: CADEs occur less frequently in outpatients than in inpatients and result in few hospital admissions. Physicians must be particularly cognizant of the occurrence of CADEs when prescribing antimicrobial agents.

Sign in / Sign up

Export Citation Format

Share Document