Office-related antibiotic prescribing for Medicaid-enrolled children

Randall J Nett1, David Campana, Cody L Custis

  • 1Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA. ggE5@cdc.gov

Clinical Pediatrics
|March 6, 2013
PubMed

Insights

Antibiotic prescribing for acute respiratory infections (ARIs) in children did not change between 1999 and 2010. This highlights a need for improved antibiotic stewardship to combat resistance.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Prudent antibiotic prescribing is crucial for limiting antibiotic resistance.
  • Antibiotic overuse for acute respiratory infections (ARIs) contributes to resistance.

Purpose of the Study:

  • To evaluate trends in antibiotic prescription rates for pediatric ARIs.
  • To assess changes in office visits for ARIs linked to antibiotic prescriptions from 1999 to 2010.

Main Methods:

  • Retrospective analysis of Montana Medicaid claims data (1999-2010).
  • Included continuously enrolled children aged 14 years or younger.
  • Examined ARI-related office visits and antibiotic prescriptions within 10 days.

Main Results:

  • 13% of 873,244 office visits were for ARIs.
  • 55% of ARI visits (64,250) were linked to antibiotic prescriptions.
  • No significant change in the odds of ARI visits receiving antibiotics observed (OR=1.00).

Conclusions:

  • The rate of antibiotic prescriptions for pediatric ARIs remained stable from 1999 to 2010.
  • Current prescribing practices require further efforts to reduce unnecessary antibiotic use for ARIs.
  • Addressing antibiotic resistance necessitates improved stewardship for common infections.
Abstract

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