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.

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.

Noncosmetic Skin-Related Procedures Performed in the United States: An Analysis of National Ambulatory Medical Care Survey Data from 1995 to 2010

2013 ◽  
Vol 39 (12) ◽  
pp. 1912-1921 ◽  
Author(s):  
Christine S. Ahn ◽  
Scott A. Davis ◽  
Tushar S. Dabade ◽  
Phillip M. Williford ◽  
Steven R. Feldman
Keyword(s):  
United States ◽  
Medical Care ◽  
Survey Data ◽  
The United States ◽  
Care Survey ◽  
Ambulatory Medical Care

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
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