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Pediatric outpatient visits and antibiotic use attributable to higher valency pneumococcal conjugate vaccine serotypes.
medRxiv
August 2023
School of Public Health, University of California, Berkeley, Berkeley, CA.
Importance: is a known etiology of acute respiratory infections (ARIs), which account for large proportions of outpatient visits and antibiotic use in children. In 2023, 15- and 20-valent pneumococcal conjugate vaccines (PCV15, PCV20) were recommended for routine use in infants. However, the burden of outpatient healthcare utilization among U.
View Article and Find Full Text PDFOnline Self-Triage of Ear or Hearing Concerns in a Patient Portal: Comparison of Subsequent Diagnoses and Hospitalizations to National Emergency Department and National Ambulatory Ear or Hearing Visits.
Health Serv Res Manag Epidemiol
July 2023
Department of Medicine, Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Background: Although online self-triage is easily accessible, little is known about the patients who use self-triage or their subsequent diagnoses. We compared ear/hearing self-triage subsequent diagnoses to ear/hearing visit diagnoses in emergency departments (ED) and ambulatory clinics across the United States.
Methods: We compared International Classification of Diseases version 10 (ICD10) coded diagnoses following online self-triage for ear/hearing concerns with those from national ED and ambulatory clinic samples.
Antibiotic prescribing for acute gastroenteritis during ambulatory care visits-United States, 2006-2015.
Infect Control Hosp Epidemiol
December 2022
Enteric Diseases Epidemiology Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Article Synopsis
- *Data was collected from two major surveys (NAMCS/NHAMCS) and a commercial claims database (MarketScan), revealing that approximately 13% of AGE visits resulted in antibiotic prescriptions.
- *Findings highlighted that antibiotics, particularly for viral gastroenteritis and certain bacterial infections where they are not warranted, are being prescribed unnecessarily, indicating a need for better antibiotic stewardship in outpatient care.
Evaluation of Cough Medication Use Patterns in Ambulatory Care Settings in the United States: 2003-2018.
J Clin Med
June 2022
Department of Pharmaceutical Outcomes & Policy, College of Pharmacy, University of Florida, Gainesville, FL 32611, USA.
Using 2003−2018 National Ambulatory Medical Care Survey data for office-based visits and 2003−2018 National Hospital Ambulatory Medical Care Survey data for emergency department (ED) visits, we conducted cross-sectional analyses to examine cough medication (CM) use trends in the United States (US) ambulatory care settings. We included adult (≥18 years) patient visits with respiratory-infection-related or non-infection-related cough as reason-for-visit or diagnosis without malignant cancer or benign respiratory tumor diagnoses. Using multivariable logistic regressions, we examined opioid antitussive, benzonatate, dextromethorphan-containing antitussive, and gabapentinoid use trends.
View Article and Find Full Text PDFCoprescribing of opioids and high-risk medications in the USA: a cross-sectional study with data from national ambulatory and emergency department settings.
BMJ Open
June 2022
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Objective: Describe trends in opioid plus high-risk medication coprescribing in the USA.
Design: Analyses of serial, cross-sectional, nationally representative data of the National Ambulatory Medical Care Survey (NAMCS) over 2007-2016 and the National Hospital Ambulatory Medical Care Survey (NHAMCS) over 2007-2018.
Setting: US ambulatory (NAMCS) and emergency department (ED, NHAMCS) settings.
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