First-Line Antibiotic Selection in Outpatient Settings

Using the 2014 IBM MarketScan commercial database, we compared antibiotic selection for pharyngitis, sinusitis, and acute otitis media in retail clinics, emergency departments, urgent care centers, and offices. Only 50% of visits for these conditions received recommended first-line antibiotics. Impr...

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Published in:	Antimicrobial agents and chemotherapy Vol. 63; no. 11
Main Authors:	Palms, Danielle L, Hicks, Lauri A, Bartoces, Monina, Hersh, Adam L, Zetts, Rachel, Hyun, David Y, Fleming-Dutra, Katherine E
Format:	Journal Article
Language:	English
Published:	United States American Society for Microbiology 01-11-2019
Subjects:	Editor's Pick Epidemiology and Surveillance sinusitis acute otitis media pharyngitis antibiotic stewardship outpatient
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Abstract	Using the 2014 IBM MarketScan commercial database, we compared antibiotic selection for pharyngitis, sinusitis, and acute otitis media in retail clinics, emergency departments, urgent care centers, and offices. Only 50% of visits for these conditions received recommended first-line antibiotics. Improving antibiotic selection for common outpatient conditions is an important stewardship target.
AbstractList	Using the 2014 IBM MarketScan commercial database, we compared antibiotic selection for pharyngitis, sinusitis, and acute otitis media in retail clinics, emergency departments, urgent care centers, and offices. Only 50% of visits for these conditions received recommended first-line antibiotics. Improving antibiotic selection for common outpatient conditions is an important stewardship target. Using the 2014 IBM MarketScan commercial database, we compared antibiotic selection for pharyngitis, sinusitis, and acute otitis media in retail clinics, emergency departments, urgent care centers, and offices. Only 50% of visits for these conditions received recommended first-line antibiotics. Improving antibiotic selection for common outpatient conditions is an important stewardship target. Using the 2014 IBM MarketScan commercial database, we compared antibiotic selection for pharyngitis, sinusitis, and acute otitis media in retail clinics, emergency departments, urgent care centers, and offices. Only 50% of visits for these conditions received recommended first-line antibiotics. Improving antibiotic selection for common outpatient conditions is an important stewardship target.
Author	Hyun, David Y Bartoces, Monina Fleming-Dutra, Katherine E Palms, Danielle L Zetts, Rachel Hicks, Lauri A Hersh, Adam L
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Cites_doi	10.1001/jamainternmed.2018.1632 10.1001/jama.286.15.1849 10.1097/00006454-200004000-00019 10.1001/jama.2016.4151 10.1089/dis.2006.636 10.15585/mmwr.rr6506a1 10.1093/cid/ciz225 10.1001/jamainternmed.2016.6625
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Keywords	sinusitis acute otitis media pharyngitis antibiotic stewardship outpatient
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Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Citation Palms DL, Hicks LA, Bartoces M, Hersh AL, Zetts R, Hyun DY, Fleming-Dutra KE. 2019. First-line antibiotic selection in outpatient settings. Antimicrob Agents Chemother 63:e01060-19. https://doi.org/10.1128/AAC.01060-19.
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References	Sanchez, G, Fleming-Dutra, K, Roberts, R, Hicks, L (B1) 2016; 65 Piccirillo, JF, Mager, DE, Frisse, ME, Brophy, RH, Goggin, A (B5) 2001; 286 Hansen-Turton, T, Ryan, S, Miller, K, Counts, M, Nash, DB (B7) 2007; 10 Capra, AM, Lieu, TA, Black, SB, Shinefield, HR, Martin, KE, Klein, JO (B6) 2000; 19 Hersh, AL, Fleming-Dutra, KE, Shapiro, DJ, Hyun, DY, Hicks, LA (B2) 2016; 176 Fleming-Dutra, KE, Hersh, AL, Shapiro, DJ, Bartoces, M, Enns, EA, File, TM, Finkelstein, JA, Gerber, JS, Hyun, DY, Linder, JA, Lynfield, R, Margolis, DJ, May, LS, Merenstein, D, Metlay, JP, Newland, JG, Piccirillo, JF, Roberts, RM, Sanchez, GV, Suda, KJ, Thomas, A, Woo, TM, Zetts, RM, Hicks, LA (B4) 2016; 315 King, LM, Bartoces, M, Fleming-Dutra, KE, Roberts, RM, Hicks, LA (B9) 2019; 68 Palms, DL, Hicks, LA, Bartoces, M, Hersh, AL, Zetts, R, Hyun, DY, Fleming-Dutra, KE (B3) 2018; 178 (B8) 2008; 57 e_1_3_2_8_2 e_1_3_2_7_2 e_1_3_2_6_2 Centers for Disease Control and Prevention (e_1_3_2_9_2) 2008; 57 e_1_3_2_10_2 e_1_3_2_5_2 e_1_3_2_4_2 e_1_3_2_3_2 e_1_3_2_2_2
References_xml	– volume: 178 start-page: 1267 year: 2018 end-page: 1269 ident: B3 article-title: Comparison of antibiotic prescribing in retail clinics, urgent care centers, emergency departments, and traditional ambulatory care settings in the United States publication-title: JAMA Intern Med doi: 10.1001/jamainternmed.2018.1632 contributor: fullname: Fleming-Dutra, KE – volume: 286 start-page: 1849 year: 2001 end-page: 1856 ident: B5 article-title: Impact of first-line vs second-line antibiotics for the treatment of acute uncomplicated sinusitis publication-title: JAMA doi: 10.1001/jama.286.15.1849 contributor: fullname: Goggin, A – volume: 19 start-page: 354 year: 2000 end-page: 355 ident: B6 article-title: Costs of otitis media in a managed care population publication-title: Pediatr Infect Dis J doi: 10.1097/00006454-200004000-00019 contributor: fullname: Klein, JO – volume: 57 start-page: 1148 year: 2008 end-page: 1151 ident: B8 article-title: Progress in introduction of pneumococcal conjugate vaccine–worldwide, 2000–2008 publication-title: MMWR Morb Mortal Wkly Rep – volume: 315 start-page: 1864 year: 2016 end-page: 1873 ident: B4 article-title: Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011 publication-title: JAMA doi: 10.1001/jama.2016.4151 contributor: fullname: Hicks, LA – volume: 10 start-page: 61 year: 2007 end-page: 73 ident: B7 article-title: Convenient care clinics: the future of accessible health care publication-title: Dis Manag doi: 10.1089/dis.2006.636 contributor: fullname: Nash, DB – volume: 65 start-page: 1 year: 2016 end-page: 12 ident: B1 article-title: Core elements of outpatient antibiotic stewardship publication-title: MMWR Recomm Rep doi: 10.15585/mmwr.rr6506a1 contributor: fullname: Hicks, L – volume: 68 start-page: ciz225 year: 2019 ident: B9 article-title: Changes in US outpatient antibiotic prescriptions from 2011–2016 publication-title: Clin Infect Dis doi: 10.1093/cid/ciz225 contributor: fullname: Hicks, LA – volume: 176 start-page: 1870 year: 2016 end-page: 1872 ident: B2 article-title: Frequency of first-line antibiotic selection among US ambulatory care visits for otitis media, sinusitis, and pharyngitis publication-title: JAMA Intern Med doi: 10.1001/jamainternmed.2016.6625 contributor: fullname: Hicks, LA – ident: e_1_3_2_8_2 doi: 10.1089/dis.2006.636 – ident: e_1_3_2_10_2 doi: 10.1093/cid/ciz225 – ident: e_1_3_2_6_2 doi: 10.1001/jama.286.15.1849 – ident: e_1_3_2_4_2 doi: 10.1001/jamainternmed.2018.1632 – ident: e_1_3_2_5_2 doi: 10.1001/jama.2016.4151 – ident: e_1_3_2_7_2 doi: 10.1097/00006454-200004000-00019 – ident: e_1_3_2_3_2 doi: 10.1001/jamainternmed.2016.6625 – ident: e_1_3_2_2_2 doi: 10.15585/mmwr.rr6506a1 – volume: 57 start-page: 1148 year: 2008 ident: e_1_3_2_9_2 article-title: Progress in introduction of pneumococcal conjugate vaccine–worldwide, 2000–2008 publication-title: MMWR Morb Mortal Wkly Rep contributor: fullname: Centers for Disease Control and Prevention
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