Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-15T02:38:38.829Z Has data issue: false hasContentIssue false
  • English
  • Français

Changes in outpatient antibiotic utilization, 2000–2016: More people are receiving fewer antibiotics

Published online by Cambridge University Press:  15 February 2019

Noelle M. Cocoros Open the ORCID record for Noelle M. Cocoros [Opens in a new window] ,
Aileen Ochoa  and
Michael Klompas
Noelle M. Cocoros*
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Aileen Ochoa
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Michael Klompas
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts Division of Infectious Diseases, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
*
Author for correspondence: Noelle M. Cocoros Email: Noelle_cocoros@harvardpilgrim.org
Get access Rights & Permissions [Opens in a new window]

Abstract

We examined annual outpatient antibiotic dispensings within a health insurance plan covering ∼970,000 members per year during 2000–2016. The proportion of members with antibiotic dispensings decreased from 33.3% in 2000 to 25.9% in 2016. This trend was consistent in all stratifications of age, race/ethnicity, sex, and comorbidities.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 3 , March 2019 , pp. 372 - 374
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Antibiotic use in the United States, 2017: progress and opportunities. Centers for Disease Control and Prevention website. https://www.cdc.gov/antibiotic-use/stewardship-report/pdf/stewardship-report.pdf. Published 2017. Accessed December 17, 2018.Google Scholar
Durkin, MJ, Jafarzadeh, SR, Hsueh, K, et al. Outpatient antibiotic prescription trends in the united states: a national cohort study. Infect Control Hosp Epidemiol 2018;39:584–589.CrossRefGoogle ScholarPubMed
Grigoryan, L, Zoorob, R, Shah, J, Wang, H, Arya, M, Trautner, BW. Antibiotic prescribing for uncomplicated acute bronchitis is highest in younger adults. Antibiotics (Basel) 2017;6(4):22.CrossRefGoogle ScholarPubMed
Hales, CM, Kit, BK, Gu, Q, Ogden, CL. Trends in prescription medication use among children and adolescents—United States, 1999–2014. JAMA 2018;319:2009–2020.CrossRefGoogle ScholarPubMed
Quan, H, Sundararajan, V, Halfon, P, et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care 2005;43:1130–1139.CrossRefGoogle ScholarPubMed
Patient safety atlas, Xponent database from Quintiles IMS, 2011-2015, 2017. Centers for Disease Control and Prevention website. https://gis.cdc.gov/grasp/psa/index.html. Published 2017. Accessed December 17, 2018.Google Scholar
Suda, KJ, Hicks, LA, Roberts, RM, Hunkler, RJ, Taylor, TH. Trends and seasonal variation in outpatient antibiotic prescription rates in the United States, 2006 to 2010. Antimicrob Agents Chemother 2014;58:2763–2766.CrossRefGoogle ScholarPubMed
Chai, G, Governale, L, McMahon, AW, Trinidad, JP, Staffa, J, Murphy, D. Trends of outpatient prescription drug utilization in US children, 2002–2010. Pediatrics 2012;130:23–31.CrossRefGoogle Scholar
Vaz, LE, Kleinman, KP, Raebel, MA, et al. Recent trends in outpatient antibiotic use in children. Pediatrics 2014;133:375–385.CrossRefGoogle ScholarPubMed
Rhee, C, Murphy, MV, Li, L, et al. Improving documentation and coding for acute organ dysfunction biases estimates of changing sepsis severity and burden: a retrospective study. Crit Care 2015;19:338.CrossRefGoogle ScholarPubMed