Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-25T00:16:05.724Z Has data issue: false hasContentIssue false

Association between antibiotic prescribing and visit duration among patients with respiratory tract infections

Published online by Cambridge University Press:  11 June 2021

Daniel J. Shapiro*
Affiliation:
Division of Emergency Medicine, Boston Children’s Hospital, Boston, Massachusetts
Laura M. King
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Sharon V. Tsay
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Lauri A. Hicks
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Adam L. Hersh
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, Utah
*
Author for correspondence: Daniel Shapiro, E-mail: daniel.shapiro@childrens.harvard.edu

Abstract

Time constraints have been suggested as a potential driver of antibiotic overuse for acute respiratory tract infections. In this cross-sectional analysis of national data from visits to offices and emergency departments, we identified no statistically significant association between antibiotic prescribing and the duration of visits for acute respiratory tract infections.

Type
Concise Communication
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hersh, AL, King, LM, Shapiro, DJ, Hicks, LA, Fleming-Dutra, KE. Unnecessary antibiotic prescribing in US ambulatory care settings, 2010–2015. Clin Infect Dis 2021;72:133137.Google ScholarPubMed
Dempsey, PP, Businger, AC, Whaley, LE, Gagne, JJ, Linder, JA. Primary care clinicians’ perceptions about antibiotic prescribing for acute bronchitis: a qualitative study. BMC Fam Pract 2014;15:194.CrossRefGoogle ScholarPubMed
Szymczak, JE, Feemster, KA, Zaoutis, TE, Gerber, JS. Pediatrician perceptions of an outpatient antimicrobial stewardship intervention. Infect Control Hosp Epidemiol 2014;35 suppl 3:S69S78.CrossRefGoogle Scholar
Coco, A, Mainous, AG. Relation of time spent in an encounter with the use of antibiotics in pediatric office visits for viral respiratory infections. Arch Pediatr Adolesc Med 2005;159:11451149.CrossRefGoogle Scholar
Linder, JA, Singer, DE, Stafford, RS. Association between antibiotic prescribing and visit duration in adults with upper respiratory tract infections. Clin Ther 2003;25:24192430.CrossRefGoogle ScholarPubMed
Martinez, KA, Rood, M, Jhangiani, N, Boissy, A, Rothberg, MB. Antibiotic prescribing for respiratory tract infections and encounter length: an observational study of telemedicine. Ann Intern Med 2019;170:275277.CrossRefGoogle ScholarPubMed
Palms, DL, Hicks, LA, Bartoces, M, et al. Comparison of antibiotic prescribing in retail clinics, urgent care centers, emergency departments, and traditional ambulatory care settings in the United States. JAMA Intern Med. 2018;178:12671269.CrossRefGoogle ScholarPubMed
Lieberthal, AS, Carroll, AE, Chonmaitree, T, et al. The diagnosis and management of acute otitis media. Pediatrics 2013;131:e964e999.CrossRefGoogle ScholarPubMed
Wald, ER, Applegate, KE, Bordley, C, et al. Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to 18 years. Pediatrics 2013;132:e262e280.CrossRefGoogle ScholarPubMed
Gjelstad, S, Straand, J, Dalen, I, Fetveit, A, Strom, H, Lindbaek, M. Do general practitioners’ consultation rates influence their prescribing patterns of antibiotics for acute respiratory tract infections? J Antimicrob Chemother 2011;66:24252433.CrossRefGoogle ScholarPubMed