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National trends in emergency department antibiotic prescribing for children with acute otitis media, 1996 2005.
Acad Emerg Med 2007; 14(12):1172-5AE

Abstract

OBJECTIVES

Withholding antibiotics in nontoxic children with acute otitis media (AOM) is now recommended to reduce bacterial resistance rates. Using the National Hospital Ambulatory Medical Care Survey (NHAMCS), the authors describe the national trends for prescribing antibiotics in children with AOM presenting to emergency departments (EDs) in the United States over the past decade. The authors hypothesized that the rates of prescribing antibiotics would decline over time.

METHODS

This was a retrospective study of NHAMCS databases. A national sampling of ED visits for 1996-2005 was used to identify trends in ED prescription of antibiotics to patients with AOM. The National Drug Code Directory Drug Classes were used to identify type of antibiotic prescribed. Frequency and type of antibiotic prescription patterns over time were evaluated.

RESULTS

There were 2.6 million and 2.1 million ED visits for AOM during the first and last years of the study. Children ages 2-12 years accounted for about 40% of all ED visits for AOM, with another 40% in the younger than 2 years age group and 20% in the older than 12 years of age group. During the first and last year of the study, 79.2% and 91.3% of the patients with AOM were prescribed antibiotics, respectively. There was a slight increasing trend in the proportion prescribed antibiotics over time (p = 0.02). The rates of use of antibiotics for AOM were similar in all three age groups.

CONCLUSIONS

There was a slight increase in the percentage of children with AOM who were prescribed antibiotics in the ED between 1996 and 2005. There was also no change in the patterns of prescribing antibiotics.

Authors+Show Affiliations

Department of Emergency Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18045893

Citation

Fischer, Thomas, et al. "National Trends in Emergency Department Antibiotic Prescribing for Children With Acute Otitis Media, 1996 2005." Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, vol. 14, no. 12, 2007, pp. 1172-5.
Fischer T, Singer AJ, Lee C, et al. National trends in emergency department antibiotic prescribing for children with acute otitis media, 1996 2005. Acad Emerg Med. 2007;14(12):1172-5.
Fischer, T., Singer, A. J., Lee, C., & Thode, H. C. (2007). National trends in emergency department antibiotic prescribing for children with acute otitis media, 1996 2005. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, 14(12), pp. 1172-5.
Fischer T, et al. National Trends in Emergency Department Antibiotic Prescribing for Children With Acute Otitis Media, 1996 2005. Acad Emerg Med. 2007;14(12):1172-5. PubMed PMID: 18045893.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - National trends in emergency department antibiotic prescribing for children with acute otitis media, 1996 2005. AU - Fischer,Thomas, AU - Singer,Adam J, AU - Lee,Christopher, AU - Thode,Henry C,Jr PY - 2007/11/30/pubmed PY - 2007/12/21/medline PY - 2007/11/30/entrez SP - 1172 EP - 5 JF - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine JO - Acad Emerg Med VL - 14 IS - 12 N2 - OBJECTIVES: Withholding antibiotics in nontoxic children with acute otitis media (AOM) is now recommended to reduce bacterial resistance rates. Using the National Hospital Ambulatory Medical Care Survey (NHAMCS), the authors describe the national trends for prescribing antibiotics in children with AOM presenting to emergency departments (EDs) in the United States over the past decade. The authors hypothesized that the rates of prescribing antibiotics would decline over time. METHODS: This was a retrospective study of NHAMCS databases. A national sampling of ED visits for 1996-2005 was used to identify trends in ED prescription of antibiotics to patients with AOM. The National Drug Code Directory Drug Classes were used to identify type of antibiotic prescribed. Frequency and type of antibiotic prescription patterns over time were evaluated. RESULTS: There were 2.6 million and 2.1 million ED visits for AOM during the first and last years of the study. Children ages 2-12 years accounted for about 40% of all ED visits for AOM, with another 40% in the younger than 2 years age group and 20% in the older than 12 years of age group. During the first and last year of the study, 79.2% and 91.3% of the patients with AOM were prescribed antibiotics, respectively. There was a slight increasing trend in the proportion prescribed antibiotics over time (p = 0.02). The rates of use of antibiotics for AOM were similar in all three age groups. CONCLUSIONS: There was a slight increase in the percentage of children with AOM who were prescribed antibiotics in the ED between 1996 and 2005. There was also no change in the patterns of prescribing antibiotics. SN - 1553-2712 UR - https://www.unboundmedicine.com/medline/citation/18045893/National_trends_in_emergency_department_antibiotic_prescribing_for_children_with_acute_otitis_media_1996_2005_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1069-6563&date=2007&volume=14&issue=12&spage=1172 DB - PRIME DP - Unbound Medicine ER -