Antibiotics often prescribed for veterans with ARIs

August 13, 2015
Antibiotics often prescribed for veterans with ARIs

(HealthDay)—Though antibiotic prescribing for acute respiratory infections (ARIs) varies greatly among providers, veterans with ARIs commonly receive antibiotics, according to a study published in the July 21 issue of the Annals of Internal Medicine.

Barbara Ellen Jones, M.D., from the Veterans Affairs Salt Lake City Health Care System, and colleagues examined trends in antibiotic prescribing in Veterans Affairs emergency departments and primary and over an eight-year period (2005 to 2012). Patients had primary diagnoses of ARIs that typically had low proportions of bacterial infection.

The researchers found that the proportion of one million visits with ARI diagnoses that resulted in increased from 67.5 percent in 2005 to 69.2 percent in 2012. Among prescriptions, the proportion of prescribed increased from 36.8 percent to 47 percent. Antibiotic prescribing varied little by fever, age, setting, or comorbid conditions but was highest for sinusitis (adjusted proportion, 86 percent) and bronchitis (85 percent). Provider-level variation in prescribing was substantial, with the 10 percent of providers who prescribed the most antibiotics doing so during at least 95 percent of their ARI visits. By contrast, the 10 percent who prescribed the least did so during 40 percent or fewer of their ARI visits.

"Veterans with ARIs commonly receive antibiotics, regardless of patient, provider, or setting characteristics," the authors write.

Explore further: Health-care providers a major contributor to problem of antibiotic overuse

More information: Full Text (subscription or payment may be required)

Related Stories

If you want an antibiotic see your doctor later in the day

October 6, 2014

Clinicians make many patient care decisions each day, and the cumulative demand of these decisions may make inappropriate choices more likely later in the day. In primary care, doctors often prescribe unnecessary antibiotics ...

Positive plus negative treatment recs cut antibiotic Rx

May 14, 2015

(HealthDay)—For children with viral acute respiratory tract infection (ARTI), combined use of positive and negative treatment recommendations is associated with reduced risk of antibiotic prescribing, according to a study ...

Black children less likely to be prescribed antibiotics

March 18, 2013

(HealthDay)—Black children are less likely to be prescribed antibiotics and to be diagnosed with conditions that require antibiotics, even when treated by the same doctor, according to research published online March 18 ...

Recommended for you

Experts question push for 'abuse-deterrent' Rx opioids

June 1, 2017

In response to the rise in opioid overdose deaths nationwide, pharmaceutical companies have developed formulations of prescription opioids designed to prevent tampering or abuse. These "abuse-deterrent" forms, however, are ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.