Cited by 1,740Antibiotic Use and ResistanceHealthcare cost, quality, practicesPharmaceutical Practices and Patient Outcomes

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Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011

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Fleming-Dutra, Katherine E., Hersh, Adam L., Shapiro, Daniel J., Bartoces, Monina, Enns, Eva A., File, Thomas M., Finkelstein, Jonathan A., Gerber, Jeffrey S., Hyun, David Y., Linder, Jeffrey A., Lynfield, Ruth, Margolis, David J., May, Larissa S., Merenstein, Daniel, Metlay, Joshua P., Newland, Jason G., Piccirillo, Jay F., Roberts, Rebecca M., Sanchez, Guillermo V., Suda, Katie J., Thomas, Ann, Woo, Teri Moser, Zetts, Rachel M., Hicks, Lauri A.·2016·JAMA

DOI 10.1001/jama.2016.4151

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Abstract

IMPORTANCE: The National Action Plan for Combating Antibiotic-Resistant Bacteria set a goal of reducing inappropriate outpatient antibiotic use by 50% by 2020, but the extent of inappropriate outpatient antibiotic use is unknown. OBJECTIVE: To estimate the rates of outpatient oral antibiotic prescribing by age and diagnosis, and the estimated portions of antibiotic use that may be inappropriate in adults and children in the United States. DESIGN, SETTING, AND PARTICIPANTS: Using the 2010-2011 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey, annual numbers and population-adjusted rates with 95% confidence intervals of ambulatory visits with oral antibiotic prescriptions by age, region, and diagnosis in the United States were estimated. EXPOSURES: Ambulatory care visits. MAIN OUTCOMES AND MEASURES: Based on national guidelines and regional variation in prescribing, diagnosis-specific prevalence and rates of total and appropriate antibiotic prescriptions were determined. These rates were combined to calculate an estimate of the appropriate annual rate of antibiotic prescriptions per 1000 population. RESULTS: Of the 184,032 sampled visits, 12.6% of visits (95% CI, 12.0%-13.3%) resulted in antibiotic prescriptions. Sinusitis was the single diagnosis associated with the most antibiotic prescriptions per 1000 population (56 antibiotic prescriptions [95% CI, 48-64]), followed by suppurative otitis media (47 antibiotic prescriptions [95% CI, 41-54]), and pharyngitis (43 antibiotic prescriptions [95% CI, 38-49]). Collectively, acute respiratory conditions per 1000 population led to 221 antibiotic prescriptions (95% CI, 198-245) annually, but only 111 antibiotic prescriptions were estimated to be appropriate for these conditions. Per 1000 population, among all conditions and ages combined in 2010-2011, an estimated 506 antibiotic prescriptions (95% CI, 458-554) were written annually, and, of these, 353 antibiotic prescriptions were estimated to be appropriate antibiotic prescriptions. CONCLUSIONS AND RELEVANCE: In the United States in 2010-2011, there was an estimated annual antibiotic prescription rate per 1000 population of 506, but only an estimated 353 antibiotic prescriptions were likely appropriate, supporting the need for establishing a goal for outpatient antibiotic stewardship.

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Antibiotic resistance threats in the United States, 2019
(U.S.), C. F. D. C. A. P. (2019) · doi:10.15620/cdc:82532 · Cited by 5,782
Expert Panel Report 2: Guidelines for the Diagnosis and Management of Asthma
Program, P., & theDiagnosis, T. E. P. O. (1997) · Cited by 4,082
International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases
Gupta, K., Hooton, T. M., Naber, K. G., Wullt, B., Colgan, R., Miller, L. G., Moran, G. J., Nicolle, L. E., Raz, R., Schaeffer, A. J., et al. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/ciq257 · Cited by 3,038
The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America
Bradley, J. S., Byington, C. L., Shah, S. S., Alverson, B. K., Carter, E. R., Harrison, C., Kaplan, S. L., Mace, S. E., McCracken, G. H., Moore, M. R., et al. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/cir531 · Cited by 1,959
Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis
Ralston, S. L., Lieberthal, A. S., Meissner, H. C., Alverson, B. K., Baley, J. E., Gadomski, A., Johnson, D. W., Light, M. J., Maraqa, N., Mendonça, E. A., et al. (2014) · PEDIATRICS · doi:10.1542/peds.2014-2742 · Cited by 1,731
Clinical Practice Guideline (Update): Adult Sinusitis
Rosenfeld, R. M., Piccirillo, J. F., Chandrasekhar, S. S., Brook, I., Ashok Kumar, K., Kramper, M., Orlandi, R. R., Palmer, J. N., Patel, Z. M., Peters, A., et al. (2015) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599815572097 · Cited by 1,159
Self-citation
Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America
Shulman, S. T., Bisno, A. L., Clegg, H. W., Gerber, M. A., Kaplan, E. L., Lee, G. M., Martin, J. M., & Beneden, C. V. (2012) · Clinical Infectious Diseases · doi:10.1093/cid/cis629 · Cited by 1,094
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Antiviral agents for the treatment and chemoprophylaxis of influenza --- recommendations of the Advisory Committee on Immunization Practices (ACIP).
Fiore, A. E., Fry, A. M., Shay, D. K., Gubareva, L. V., Bresee, J., & Uyeki, T. M. (2011) · PubMed · Cited by 761
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Chow, A. W., Benninger, M. S., Brook, I., Brożek, J., Goldstein, E. J. C., Hicks, L. A., Pankey, G. A., Seleznick, M. J., Volturo, G., Wald, E. R., et al. (2012) · Clinical Infectious Diseases · doi:10.1093/cid/cis370 · Cited by 603
Self-citation

Show all 38 references

Research works printed but not linked: 2

Lieberthal AS, Carroll AE, Chonmaitree T, et al. The diagnosis and management of acute otitis media [published correction appears in Pediatrics. 2014;133(2):346]. Pediatrics. 2013;131(3):e964-e999.
Levri K, Thomas A. Evaluation of Antibiotics Administered for Acute Upper Respiratory Tract Infections-Oregon, 2011. Paper presented at: EIS Conference; April 28, 2014; Atlanta, GA.

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Tamir, S. O., Sibbald, A., Rupa, V., Marchisio, P., Homøe, P., Daniel, S. J., Enoksson, F., & Marom, T. (2017) · Current Otorhinolaryngology Reports · doi:10.1007/s40136-017-0149-1 · Cited by 6
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Filho, J. A. C. (2019) · Springer eBooks · doi:10.1007/978-981-13-7154-7_1 · Cited by 6
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Jones, T. W. (2017) · Clinical Infectious Diseases · doi:10.1093/cid/cix845 · Cited by 6
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Patrick, D., McKay, R., & Keen, P. L. (2017) · Oxford University Press eBooks · doi:10.1093/obo/9780199756797-0167 · Cited by 6
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Authors: Fleming-Dutra, K. E., Hersh, A. L., Shapiro, D. J., Bartoces, M., Enns, E. A., File, T. M., Finkelstein, J. A., Gerber, J. S., Hyun, D. Y., Linder, J. A., Lynfield, R., Margolis, D. J., May, L. S., Merenstein, D., Metlay, J. P., Newland, J. G., Piccirillo, J. F., Roberts, R. M., Sanchez, G. V., Suda, K. J., Thomas, A., Woo, T. M., Zetts, R. M., & Hicks, L. A.
Affiliations: Centers for Disease Control and Prevention (US)
University of Utah (US)
University of California, San Francisco (US)
University of Minnesota (US)
Summa Health System (US)
Boston Children's Hospital (US)
Children's Hospital of Philadelphia (US)
Pew Charitable Trusts (US)
Brigham and Women's Hospital (US)
Minnesota Department of Health (US)
University of Pennsylvania (US)
University of California, Davis (US)
Georgetown University Medical Center (US)
Massachusetts General Hospital (US)
Washington University in St. Louis (US)
University of Illinois Chicago (US)
Oregon Public Health Division, Portland
Pacific Lutheran University (US)
Corresponding author: Fleming-Dutra, Katherine E.
ORCID: Fleming-Dutra, Katherine E.
Hersh, Adam L.
Shapiro, Daniel J.
Enns, Eva A.
File, Thomas M.
Finkelstein, Jonathan A.
Gerber, Jeffrey S.
Hyun, David Y.
Linder, Jeffrey A.
Lynfield, Ruth
Margolis, David J.
Merenstein, Daniel
Metlay, Joshua P.
Newland, Jason G.
Piccirillo, Jay F.
Roberts, Rebecca M.
Sanchez, Guillermo V.
Suda, Katie J.
Thomas, Ann
Woo, Teri Moser
Zetts, Rachel M.
Hicks, Lauri A.
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 2016-05-03
Volume: 315
Issue: 17
Pages: 1864
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.2016.4151
OpenAlex: W2347049117
Cited by: 1,740
References: 38
Citations by year: 2026: 109 · 2025: 133 · 2024: 168 · 2023: 152 · 2022: 197 · 2021: 230 · 2020: 244 · 2019: 200 · 2018: 158 · 2017: 109 · 2016: 34
FWCI: 116.28
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords: inappropriate antibiotic prescribing, outpatient antibiotic use, antibiotic resistance, antibiotic stewardship, acute respiratory infections, sinusitis, suppurative otitis media, pharyngitis, appropriateness of antibiotic prescribing, outpatient visits, prescribing guidelines, children and adults, regional variation in prescribing, United States
MeSH terms: Adolescent, Adult, Aged, Ambulatory Care, Anti-Bacterial Agents, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Otitis Media, Suppurative, Pharyngitis, Practice Patterns, Physicians', Respiratory Tract Infections, United States, Prevalence, Health Care Surveys, Inappropriate Prescribing

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Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011

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