First-Line Antibiotic Selection in Outpatient Settings

Danielle L Palms; Lauri A Hicks; Monina Bartoces; Adam L Hersh; Rachel Zetts; David Y Hyun; Katherine E Fleming-Dutra

doi:10.1128/AAC.01060-19

First-Line Antibiotic Selection in Outpatient Settings

Antimicrob Agents Chemother. 2019 Oct 22;63(11):e01060-19. doi: 10.1128/AAC.01060-19. Print 2019 Nov.

Authors

Danielle L Palms¹, Lauri A Hicks¹, Monina Bartoces¹, Adam L Hersh², Rachel Zetts³, David Y Hyun³, Katherine E Fleming-Dutra⁴

Affiliations

¹ Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
² Pediatric Infectious Diseases, University of Utah, Salt Lake City, Utah, USA.
³ The Pew Charitable Trusts, Washington, DC, USA.
⁴ Centers for Disease Control and Prevention, Atlanta, Georgia, USA ftu2@cdc.gov.

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.

Keywords: acute otitis media; antibiotic stewardship; outpatient; pharyngitis; sinusitis.

Publication types

Research Support, U.S. Gov't, P.H.S.

MeSH terms

Acute Disease
Adolescent
Adult
Ambulatory Care / statistics & numerical data*
Ambulatory Care Facilities / statistics & numerical data
Anti-Bacterial Agents / therapeutic use*
Antimicrobial Stewardship
Child
Emergency Service, Hospital / statistics & numerical data
Humans
Middle Aged
Otitis Media / drug therapy
Pharyngitis / drug therapy
Practice Patterns, Physicians' / statistics & numerical data*
Sinusitis / drug therapy
United States
Young Adult

Substances

Anti-Bacterial Agents